Incision for excision of glandular formation after Vaser Lipo?

First I would determine if you are dealing with a Plastic Surgeon. Second I would ask if he /she has any experience with gynecomastia. If the answer is no I would cut my loses and see someone who has experience with your problem. It is exceedingly unusual to utilize any incision other than a periareolar incision.

Periareolar incisions would give the best results. I would wait until the post operative inflammation subsides to allow for a softer, less bloody operative field. Good Luck. Peter A Aldea. MD, FACS http://www.cosmeticsurgeryspecialists.org/bodyprocedures/manbreastssurgery.html

Peri-areolar scars are usually used to remove glandular tissue. Most scars will heal in nicely as the scar blends in with the areolar. It is especially useful in those males who have little chest hair to help conceal a scar elsewhere on the breast.

In my experience, glandular tissue virtually always needs to be excised.  I prefer to carry out the excision via a periareolar incision, because the resultant scar tends to be less visible since there is already a color contrast present.

In many instances I prefer the incision placed beneath the areola to excise the glandular tissue. I have found that the scar in this location tends to heal with a more favorable outcome compared to the breast crease.