it doesnt look sizable in your photos. when you wear a t-shrt, say at the gym, does the breast bulge or the nipples? two different issues there. if they do, you do have a case to consult a plastics surgeon. plastics will only do a reduction if the male breasts are of certain grades.
sometimes its worth to check your prolactin levels. high prl can lead to more mammary tissues in a male

Nipples will stick out a bit lo.... The Pic, the nipples a bit erected, so looks better... Got female breast look shape, a bit lo.

Private hospital will do for me, but d price is 8k+....

Tried govt hospital, get rejected said it's normal, wasted $$ on ultrasound report.
NORMAL. keep said nothing.... I keep saiding got problem.
The doctor who examine me is an Indian, which apparently has bigger gyneo than me.... Sad

ha ha, he got bigger ones than yours, eh? never mind; i still think tho that if the patient is very concious about it, then you a doctor has to do something. this though will bring u into the cosmesis territory. if it was significant and surgical-grade gynaecomastia then it is a surgical issue. if its not, then it is more cosmetic. u may want to check your prl tho.. if it is prolactin problem, all our chat here is not that valid. read up on prolactinoma

Ya, I ask him to refer me to cosmestic surgery section. He reject me politely though ,said its for serious case like skin burn due to accident bla bla ...

* The whole examination process, my nipples were contract & erect due to cold aircon. WHICH make me look completely NORMAL.I got told him

Yup, he is a bit fat.... Even wit shirt on , can see his tummy and breast.... Need to mention, its govt hospital, not PPUM
Even PPUM, some forumers here also got rejected.

sorry to here that; so it wasnt an optimum consultation session.
its disappointing tho, as it is a valid complaint, even if it is more of cosmesis.
but to get it done in private at 8k...ouch. 8k is many people's one month salary

My salary is lesser than 8k.

even if your salary is above 8k, the quoted price of 8k is a bit steep.. what with follow-up costs, pain killers post op, antibiotics (chest, hot country, sweat is the outcome). so whats your plan? you wanna stick it out and wait-and-see if people notice or not, or do you wanna go ahead. you're the patient, you decide.

8K is the cheapest in my place lo...
Some doctors quoted 10 - 12K.

ok (it will be more than 8k in final fees but wont be too much higher). sit on it 2 weeks to think about it and talk to people around. Read up on satisfaction, rate of re-growth, risks etc. I just dont want you to feel cheated or ill-informed. Overall, if a person feels some degree of discomfort and some inhibition to social / daily routines, then it deserves weighing up pros and cons of that person's request. read up stuff like this: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5109391/ , but skip the methods/material/results (will be heavy on statistical analyses) and read only abstracts and end of discussion.

If you decide to go ahead, i think you will be fine. the surgeons will be experienced there in what they are doing and will do their best for you.

So if I wanna go to PPUM for consultation do I still need a referral letter from GP?

Which department should i go to? General surgery or plastic surgery?

Any response will be much appreciated.

Yeah, I thought so too, but then when I asked the Dr, they said mine is big case, could be around RM6-7K. They kept saying PPUM now is semi private. So no longer Rm500. I said "I read online PPUM offers RM500". But, the Dr keep denying and say if I want faster I can go private, but it will be much expensive for my case could be around RM10-12K. I said "nvm, will consider PPUM better". True story. I think, the cost really depends on your each individual case. Some breasts already matured, some just small gyne. Whatever it is, ask your Doctor and consultation can be discussed later. I personally think, PPUM still within my affordable range of cost compared to other private clinics already set MIN RM7 or 8K. Thank God, PPUM is expected ranged to be around RM6-7.

Anyway, my first visit in PPUM was in early February 2020, next appointment before surgery is 1st June for anesthetics (to see if my body ready for the surgery) , surgery is scheduled on 9th June 2020. Wish me all the best guys.

Man, you look better now congratulations. Wish you all of happiness and confidence.

I did that type of low carb diet before, but then, my body is skinny but the breast still there, man.

Thank you for all the information provided here. I have already done the surgery. Now in recovery process. My advice, just go and get it done.

Oh, i see. Now I guess it was the reddit post by obese people with extra fat on specific area, not skinny with man boobs.

Where did you get it done? What's the cost?

Maybe urs one is more serious case.... Actually, serious case for private case charge much even more expensive,up to 20K, due to longer operation hours.

IF PPUM is NOT SO FAR fr my place , I will SURELY go PPUM. Don't forget they have done so many cases on hand, tht means they have lots of experience.

I tried govt hospital, they rejected me. I hate them.

Anyone know any good surgeon for gynecomastia in Ipoh- lumut??

Just go and consult Dr Danny Oh in Penang Adventist Hospital. He is pretty good though. Not that expensive. You may email him with pictures, no fee incurred in email. His email is dannysoh1@gmail.com or cosmetic@pah.com.my

you had quite a discernible gynaecomastia there, and they sagged too.
well done to get them sorted, from the images, the results are aesthetically sound.
watch your weight.