Overview
There's a sequence to this, and it's worth knowing before you spend anything. Medical weight loss comes first, because cryolipolysis on a body about to lose fifteen kilos is money spent on an outline that's going to change anyway. Contouring comes second, once weight has stabilised and what remains is a stubborn pocket rather than general adiposity.
Surgery is a separate question entirely. Gynecomastia is glandular breast tissue, not fat — which is why it doesn't respond to weight loss or freezing, and why we confirm it on ultrasound before recommending excision. Men who've spent two years in the gym trying to shift it are usually relieved to hear that.
Low testosterone changes body composition too, so it's screened as part of the workup rather than treated as a separate conversation.
Explore Our Treatments
Tap any treatment to learn more. The full priced menu is below.
Mounjapen
Dual-pathway weekly GLP-1 pen, prescribed and supervised across a three-month programme.
Learn more → ContouringFat Reduction
CoolSwiss cryolipolysis for stubborn pockets. Non-invasive, no downtime, priced by applicator pad.
Learn more → SurgicalGynecomastia
Excision of glandular breast tissue, confirmed by ultrasound first, in our licensed operating room.
Learn more → SupportFat Loss IV
Infusion support for fat metabolism and body composition, used alongside the programme.
Learn more → RecompositionPeptides
Including tesamorelin, used in the medically supervised recomposition programme.
Learn more → Underlying causeTestosterone (TRT)
Where low testosterone is driving body composition, treating it changes the result.
Learn more →Key Benefits
Meaningful, supervised weight loss rather than a crash
Appetite addressed medically, with nutrition support alongside
Stubborn pockets contoured once weight is actually stable
Chest tissue correctly diagnosed before anything is recommended
Testosterone and metabolic markers screened as part of the plan
No downtime for the non-surgical route
A physician monitoring the prescription throughout
Treatments & Pricing
A men's-specific menu, sequenced for real results. Prices shown are starting points — your plan is confirmed at consultation.
Dual-pathway weekly GLP-1 · 3-month supervised programme
Fat Loss / Metabolism IV From ฿3,900Infusion support for fat metabolism and body composition
EnquireFat Loss retreat From ฿61,900Two treatment days — nutrition plan, screening, pen, CoolSwiss and IV
CoolSwiss fat reduction On consultCryolipolysis · priced by applicator pad
CoolSwiss Prime package PromoTen applicator pads · no downtime
EnquireBulk It Up On consultMounjapen, CoolSwiss, tesamorelin and tumour-marker screening
Gynecomastia excision On consultGlandular breast tissue removal · ultrasound-confirmed
The Treatment, Step by Step
Assessment
Body composition, testosterone and metabolic screening — plus ultrasound where gynecomastia is suspected, because it changes the entire plan.
Your plan & pricing
We set out the sequence, the realistic rate of loss and the full cost before anything begins.
Reduce
A supervised GLP-1 programme with nutrition support, titrated over three months with review appointments built in.
Contour
Once weight is stable, targeted cryolipolysis for the areas that don't respond — or surgery where the tissue is glandular.
Maintain
Habits, training and hormone status reviewed, so the result holds after the medication stops.
Why Men Choose MENHANCE
Sequenced
Appetite before contouring. We won't sell you both at once.
Supervised
Prescribed and monitored by a physician, with screening first.
Diagnostic
Chest tissue scanned before surgery is ever recommended.
Medically Supervised
Dr. Sinthu Kosasih — “Dr. K”
Functional and anti-ageing physician focused on metabolism, longevity and sport performance, ABAARM-certified. GLP-1 medication is prescribed and monitored with metabolic and hormone screening as part of the workup. Surgical correction is led by our senior urologist in our own licensed operating room.
Frequently Asked Questions
What are the side effects of a GLP-1 pen?
Nausea is the common one, particularly during dose increases, along with reduced appetite, constipation or reflux. Most settle as the dose stabilises. There are less common but more serious risks we'll go through properly before you start, and reasons some men shouldn't take it at all — which is why it's prescribed rather than sold.
Will I regain the weight when I stop?
Frequently, yes, unless the programme changed your eating and training alongside it. The medication reduces appetite; it doesn't rebuild habits. We include nutrition planning for that reason, and we'd rather be upfront about it.
Why can't fat freezing treat gynecomastia?
Because gynecomastia is glandular tissue, not fat, and cryolipolysis only affects fat cells. That's why we ultrasound the chest first — the scan tells us whether you need fat reduction or excision, and those have very different answers.
How long until I see results from fat freezing?
Treated fat cells are cleared gradually by the body, so change appears over roughly eight to twelve weeks rather than immediately. Most areas need more than one session.
Do I need to stop training?
Not for the non-surgical treatments — there's no downtime with either the pen or cryolipolysis. Gynecomastia surgery does require a recovery period, which your surgeon will set out clearly.
Take the First Step
Fill in the form and we'll confirm within one business day. Private and confidential, at all three clinics.
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