Between 2018 and 2023, Dr Ivan Puah treated over 550 cases, addressing unique challenges in Singapore's multi-ethnic population. His study included diverse case profiles. Results revealing no complications and high satisfaction prove the need to adapt surgical techniques for variations in skin type between Asian and Caucasian patients.
SINGAPORE - Media OutReach Newswire - 3 June 2026 - The evaluation and management of surgical treatment for gynecomastia primarily focus on Western populations. However, Amaris B. Clinic's decades of experience in Singapore highlight specific considerations for Asian patients.
Dr Ivan Puah, Medical Director at Amaris B. Clinic and the lead researcher on a recent study, has offered new insights into treating gynecomastia, a condition characterised by male breast enlargement, in Singapore.
The research paper titled 'Surgical Management of Gynecomastia in Asian Men - Clinical Experience and Considerations for Different Patient Types' provides detailed, important considerations, including the management of the consultation process, addressing varying patient expectations, and tackling the surgical aspects necessary to achieve desired aesthetic outcomes.
Between 2018 and 2023, Dr Puah treated over 550 cases at Amaris B. Clinic and presented six representative patient cases that illustrate the demographics and unique challenges faced by this multi-ethnic Asian population.
The typical patient profiles included obese, overweight, and lean adults, as well as adolescents. Common causes of gynecomastia observed in the patients included hormonal changes during puberty, drug-induced gynecomastia from anabolic steroids, and conditions related to weight loss.
Dr Puah's proprietary surgical methods involve making a single incision along the areola to minimise scar visibility while effectively excising glandular tissue, performing liposuction to remove excess fat, and tightening the chest skin.
Six case studies of diverse gynecomastia patient profiles
| Gynecomastia Grade | Demographic | Profile |
| Grade II | 17-year-old Chinese | - A history of bilateral breast enlargement since 13 years-old
|
| Grade II | 18-year-old Chinese | - A history of bilateral breast enlargement since 12 years-old
|
| Grade II | 22-year-old Malay | - Using anabolic hormone supplements for bodybuilding for 4 years
|
| Grade II | 46-year-old Chinese | - Took anabolic steroids for 5 years
|
| Grade IV | 28-year-old Chinese | - Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
|
| Grade IV | 21-year-old Indian | - Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
|
- A history of bilateral breast enlargement since 13 years-old
- A history of bilateral breast enlargement since 12 years-old
- Using anabolic hormone supplements for bodybuilding for 4 years
- Took anabolic steroids for 5 years
- Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
- Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
At the 3-month follow-up after surgery, 5 of 6 patients reported no complications, highlighting the effectiveness of the tailored surgical approach. They expressed high satisfaction with the aesthetic results of the procedure, rating it a perfect 7 out of 7, and reported relief from emotional distress.
Only one patient experienced mild keloid formation at the edges of both areolae where incisions were made, which were not easily noticeable, and reported no complications or dissatisfaction.
Dr Ivan Puah emphasises, "It is important to adapt surgical techniques to address issues such as scarring and hyperpigmentation, which can be more pronounced in Asian patients due to their skin types. The differences in skin quality and glandular tissue characteristics between Asian and Caucasian patients with gynecomastia necessitate distinctions in treatment planning, particularly regarding careful incision placement."
The full paper is available via World Journal of Plastic Surgery at https://pmc.ncbi.nlm.nih.gov/articles/PMC12843043/
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ABOUT AMARIS B. CLINIC
Amaris B. Clinic, established in 2004 in Singapore and led by Dr Ivan Puah, focusing on medical aesthetics and cosmetic surgery.
The clinic offers facial and body sculpting services such as liposuction, gynecomastia surgery, and fat grafting, as well as non-surgical treatments like Ultherapy Prime, biostimulator injections, and hair loss therapy.
Amaris B. Clinic's Signature Treatments
ABOUT DR IVAN PUAH
Dr Puah, an MOH-accredited liposuction doctor with extensive training in various cosmetic procedures, is committed to providing personalised care with an artful eye and proven medical techniques.
- Dedicated surgical training in gynecomastia surgery in San Francisco
- Chairman of the Lipo Peer Review Committee in Singapore
- Trained in Vaser liposuction (fundamental and hi-definition) in Colorado and Argentina
- Trained in syringe liposculpture, fat grafting, and thread lift from renowned French plastic surgeon, Dr Pierre Francois Fournier
- Appointed trainer by Allergan and Merz for fellow doctors on cosmetic injectables
- Designated trainer for PDO thread lift and Picolaser from Venusys Medical
- Graduate Diploma in Family Dermatology from NUS
- Graduate Diploma in Acupuncture from TCMB
- Graduate Diploma in Sports Medicine from LKCMedicine, NTU
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Amari Pattaya, OZO North Pattaya and Amari Bangsaen recognised for integrating responsible operations, local engagement and measurable sustainability outcomes
BANGKOK, THAILAND – Media OutReach Newswire – 1 November 2026 – ONYX Hospitality Group, a leading hospitality management company in the Asia-Pacific region specialising in hotels, resorts, serviced apartments and luxury residences, has received three awards at the Ultimate Thailand Green Tourism Showcase 2026, organised by Thailand's Department of Tourism as part of the Chonburi Smart Green Tourism initiative.
Amari Pattaya and OZO North Pattaya were recognised in the Creativity & Innovation category, while Amari Bangsaen received the Unique WOW Experience award.
The three awards demonstrate how ONYX Hospitality Group is translating sustainability into practical, locally relevant action across its properties in Chonburi. Together, they reflect a holistic approach to sustainability management, covering energy and water efficiency, waste management, carbon reduction, community and stakeholder engagement, recognised environmental standards and measurable results.
These achievements bring ONYX for Planet to life at property level. ONYX for Planet is the Group's sustainability framework, integrating environmental, social and governance (ESG) principles across its business operations and hotel management.
Guided by its Sustainably Crafted Hospitality philosophy, ONYX treats sustainability not as a separate programme, but as part of how it operates, makes decisions, manages resources and creates experiences. This approach includes responsible resource management and procurement, support for local communities and producers, talent development, and guest experiences that connect travellers more meaningfully with the destinations they visit.
Sukamal Mondal, VP - Operations and Sustainability & Community Engagement at ONYX Hospitality Group, said:
"For ONYX Hospitality Group, sustainability creates real value when our principles are translated into meaningful, locally relevant action. Every hotel operates within its own community and environment, so our approach must respond to that context while remaining aligned with ONYX for Planet.
"These awards recognise the work our teams are doing to make responsible practices part of everyday operations and guest experiences. As our approach matures, we are moving beyond individual initiatives to demonstrate impact: what has changed, what value has been created and, wherever possible, how progress can be measured. This is how we strengthen transparency and accountability as we grow."
Beyond these property-level initiatives, ONYX Hospitality (Thailand) Co., Ltd. has achieved GSTC Hotel Multi-site Certification, demonstrating its alignment with internationally recognised standards for sustainable tourism. The certification was issued by Control Union Singapore Pte. Ltd., a GSTC-accredited Certification Body.
ONYX Hospitality Group has also partnered with CarbonWize to develop its ESG data management system and greenhouse gas emissions monitoring framework, strengthening the Group's focus on measurement, transparency and accountability.
Through its partnership with SP Group, ONYX is exploring energy efficiency and renewable energy solutions across suitable properties in Thailand. At Amari Don Muang Airport Bangkok Hotel, SP Group's Cooling-as-a-Service solution has been operational since April 2026 and is expected to reduce energy consumption by more than 40%, save approximately 900,000 kWh of electricity and reduce carbon emissions by around 449 tonnes annually.
Together, the awards and Group-level initiatives demonstrate how ONYX for Planet connects locally relevant action with recognised standards, stronger measurement and operational outcomes. As ONYX Hospitality Group expands across the Asia-Pacific region, this integrated approach will remain part of its long-term business strategy, supporting responsible growth and meaningful value for guests, people, communities and destinations.
Hashtag: #ONYXHospitalityGroup #ONYXforPlanet #GreenTourism
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About ONYX Hospitality Group:
ONYX Hospitality Group, a reputable force in the Asia-Pacific hospitality industry, operates a collection of comprehensive yet complementary brands - Amari, OZO, Shama and Oriental Residence - catering to the distinctive needs of discerning business and leisure travellers across the region where it has deep expertise. In addition to its brand portfolio, ONYX Hospitality Group also operates additional hospitality services across spa and food & beverage. With six decades of management experience, the company extends its innovative solutions throughout the region, upholding internationally recognised standards and ensuring optimal operational manoeuvrability. By fostering enduring relationships with like-minded business partners, ONYX Hospitality Group delivers unparalleled experiences in a dynamic and competitive market, meeting the ever-evolving demands of travellers.
More information: www.onyx-hospitality.com
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Three ONYX Hotels Win Green Tourism Awards, Bringing "ONYX for Planet" to Life in Chonburi
