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Dr Ivan Puah Designs Tailored Surgical Technique To Address Bodybuilders' Prominent Breast Deformity Issue

October 15, 2020
February 27, 2024

Dr Ivan Puah's Unique 360 degrees Glandular Tissue Dissection Technique in his gynecomastia surgery can treat this issue successfully.

Table of Contents


SINGAPORE, October 2020 — The use of anabolic steroid is a common practice in the preoccupation for a muscled physique particularly among male bodybuilders. Among those who engage in such practices, some have developed breast deformity called gynecomastia or enlarged male breasts.

Using Synthetic Male Sex Hormone Testosterone To Boost Energy & Build Muscles

Synthetic male sex testosterone in the form of anabolic steroids is widely used among amateur gym-goers and professional athletes, and bodybuilders for muscle building as well as performance enhancement.

As the use of anabolic steroids is deemed illegal by doctors and professional sports associations, those who use them are likely to obtain them from alternative channels. Without proper medical advice and monitoring, those who use these substances have high risks of developing side effects and complications.

Anabolic Steroids Side Effects & Male Breast Enlargement

Anabolic steroids use comes with many side effects. Men who use anabolic steroids are putting themselves at risk of various health issues that include gynecomastia, acne, balding, growth retardation, infertility, and heart disease. Aside from medical conditions and health issues, it can also lead to psychological issues such as mood swing, depression and anger.

Anabolic steroids cause male breast enlargement, a type of breast deformity in men. Most often, men do not give enough consideration to this side effect, but this condition, once developed, could be irreversible. Gynecomastia not only affects one's appearance but also can be physically painful.

Dr Ivan Puah's Unique 360 degrees Glandular Tissue Dissection Technique

Addressing gynecomastia in bodybuilders requires a different approach. Unlike the average men who suffer from this condition, bodybuilders who abuse steroids usually develop enlarged vascular breast tissues. They typically have minimal fat tissues as they are relatively lean and fit with a fat percentage less than 10 percent.

Special attention is needed to prevent bleeding and scarring when it comes to treating bodybuilders with gynecomastia issues. Hypertrophied chest muscles present with a higher risk of bleeding due to the increased blood flow within the tissues. Additionally, the use of anabolic steroids and certain unregulated supplements may also increase the chance of excessive bleeding. Besides removing the enlarged breasts tissues, special attention is required to sculpt and shape their chest to bring out or enhance their musculature, allowing them to achieve the physique that they hope but have been unable to achieve from training and diet management. For instance, some bodybuilders with gynecomastia would see Dr. Ivan Puah to get their glands reduced, and chest musculature sculpted months before they start training for events or competitions. This allows them to heal properly and be ready as planned.

To address this, Dr. Ivan Puah developed the 360 degrees Glandular Tissue Dissection (360 degrees GTD®) technique. In this technique, an endoscopic-line incision, no bigger than 4mm, is first created to allow infiltration of anaesthetic fluid on the area to be treated. Through this incision, a 360 degrees GTD® is then performed carefully following the physiological disposition of the glandular tissues.  This gynecomastia surgical technique effectively reduces the invasive factor of the procedure, allowing a more desired cosmetic outcome.

Vaser liposuction is performed on areas with excessive fatty tissues around the breasts. VASER stands for 'Vibration Amplification of Sound Energy at Resonance'. The VASER probe breaks down the fat cells efficiently via ultrasonic sound wave energy. All this is being done while leaving the surrounding connective tissues, blood vessels and nerves relatively undisrupted. Dr Ivan Puah will then carefully suction the liquefied fat with a specialised VASER cannula. He will further contour the chest to leave a more sculpted appearance. Vaser liposuction is not only effective in body contouring but as it also stimulates collagen production, it is equally efficient in skin tightening.

"The use of anabolic steroids is not an uncommon practice among professional and amateur bodybuilders. This may, unfortunately, expose them to increased risks of adverse effects with gynaecomastia amongst one of the most common complications. Many affected athletes often do not know how or where to seek help when it affects them. With the introduction of our 360 degrees Glandular Tissue Dissection, we can help these affected athletes," Dr Ivan Puah explained.


About Amaris B. Clinic & Dr Ivan Puah

Established in 2004, Amaris B. Clinic is a medical aesthetics, sculpting and fitness clinic in Singapore.

Led by Dr Ivan Puah, who is the clinic's Medical Director and accredited by the Ministry of Health to perform liposuction, Amaris B.'s forte lies in body sculpting - surgically removing stubborn fat pockets to sculpt and shape different areas of the body through various services offered.

Chairman of the Lipo Peer Review Committee in Singapore, Dr Puah obtained his Vaser liposuction (fundamental and hi-definition) training in Colorado and Argentina. He has also received training in syringe liposculpture, fat grafting and thread lift by renowned French plastic surgeon, Dr Pierre Francois Fournier, and dedicated surgical training in gynecomastia surgery in San Francisco. Dr Puah holds a Graduate Diploma in Family Dermatology from NUS, a Graduate Diploma in Acupuncture from TCMB, and a Graduate Diploma in Sports Medicine from LKCMedicine, NTU. He is the appointed trainer by Allergan and Merz for fellow doctors on cosmetic injectables such as neurotoxins and dermal fillers, as well as the designated trainer for PDO thread lift and Picolaser from Venusys Medical in Singapore.

Amaris B. Clinic's signature treatments include:


Bianca Zen

Marketing Consultant

Amaris B. Clinic, www.amaris-b.com

140 Arab Street, Singapore 199827

+65 6536 4211 | marketing@amaris-b.com


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