Liposuction Without Excising Glandular Tissue for Gynecomastia?

  The best modality for the correction of gynecomastia depends on the quality and the location of the fat on your chest. If the fat is diffuse and not located in just one area, liposuction may be the best option for you. If you have a small amount of fat and it is located centrally or just below the nipple, a simple excision through an incision around the areola may be the best option. In many of our patients, we performed both of these procedures to treat the centrally located... more

Hi. 1) There is an occasional exception. But you will probably not be happy after an attempt to correct gynecomastia just with liposuction. Believe me, I have tried it. 2) There is almost always a hard disc of breast tissue under the nipples, which CANNOT be removed with any kind of liposuction. If this breast tissue is not removed, you will not have a flat chest. 3) The good news is that male breast reduction is pretty easy surgery with a tiny scar inside the nipples.... more

The common condition known as gynecomastia is characterized by enlarged breast tissue and affects an astonishing 40 to 60% of men. Fortunately, the condition is easily reversed with liposuction just by making a small incision under the nipple.

As long as you fully understand that liposuction (REGARDLESS of the technique) can only remove fat and NOT breast gland tissue you can answer your own question. If your gynecomastia is mostly "fat-based", liposuction alone will get you a GREAT result. If it is largely "gland based" , liposuction alone will result in a sub par result. If, as is commonly the case it is a combination of both, then the result will not be great but acceptable which sounds like the result you... more

This depends on the extent of the subcutaneous fatty deposits in your breasts relative to the glandular tissue. IF the bulk of the fullness is due to fat, then you may experience a dramatic improvement with liposuciton alone. Alternatively, laser lipolysis or ultrasound assisted lipoplasty may provide additional benefits for particularly fibrous fat. Occasionally small amounts of glandular tissue can be removed without excisions after agressive ultrasonic assisance and is known as the... more

Gynecomastia may be due to fatty tissue and / or glandular tissue. If you have all fat it would not be a problem, if you have all gladular tissue liposuction alone would be a waste of time and money.

In my practice, true gynecomastia usually involves both excision and suction.  If you are absolutely opposed to an incision, you can certainly see if you are happy with the results of suction alone.  If not, you can always have the glandular tissue excised secondarily.

Most gynecomastia surgery I do involves liposuction alone since a good part of gynecomastia is secondary to fatty deposits. Breast tissue is not amenable to liposuction and other methods must be employed to remove significants amounts of it. Once liposuction is completed and there is still residual breast tissue, I actually use a different device that "chews" up the breast tissue through the same small liposuction incision. Once the breast tissue is free, I then perform... more

Yes, liposuction alone works, but you need to be fully evaluated. With an exam, we can determine if there is significant glandular tissue that would look more prominent after liposuction. That said, in my experience, many men have been able to get a good result from liposuction alone.