Gynecomastia Surgery, I had this problem from my early 20’s, need recommendations for doctors.

I am having Gynecomastia which is enlarged male breast and excessive fat tissue. I had this problem from my early 20’s. Now I am seriously thinking to remove this excess fat from my body.  If there is any one out there had this surgery or used VASER LIPO procedure, can you help me out to find honest and reasonable doctor/ s rather than treating you as credit card machine and not delivering the service correctly as they indicates at the beginning. I read many articles about this system. Most of the people indicated that surgery itself was not too painful which I am ready for the recovery time. Your feedback/ s and help greatly appreciated. 
To find doctors in your local area, please click here.

Doctor Answers 33

Have a question? Ask a doctor

Gynecomastia Surgery, Male Breast Reduction Surgery research your plastic surgeon and speak to other patients

So many gynecomastia patients have shared with me the self-consciousness, embarrassment, frustration and psychological stress that they have endured because of breast enlargement. Most never feel comfortable taking off their shirt at the beach or at the pool or wearing a snug-fitting shirt. Many use compression vests in an attempt to reduce the unsightly appearance of gynecomastia. Every patient I see feels that it has adversely affected his comfort and confidence in social situations. And many describe a feeling of discomfort and embarrassment with regard to sexual intimacy. If you have experienced any or all of these issues personally, I want to assure you that (1) you are not alone and (2) essentially every case of gynecomastia can be significantly improved, and most can be corrected completely.
The most common form of gynecomastia (‘mixed glandular/adipose’) requires ultrasonic liposuction and, in some cases, direct breast tissue excision as well. 
My goal is to create the smallest incision wioth the smallest scar possible. My library of gynecomastia videos will help explain the different approaches I take to addressing different types of gynecomastia. 

Take your time researching your surgeon. Look at several websites, go on several consultations, speak to other patients and of course view many many before and after photographs. Find a plastic surgeon who performs gynecomastia surgery often and with whom you feel comfortable.


Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 48 reviews

Effective Technique of Male Breast Reduction or Gynecomastia Treatment in Los Angeles

Considering that gynecomastia involves growth of male breast tissue, Veser or other techniques of liposuction can NOT remove the actual breast gland. it might remove excess chest fat but it can not melt away or remove excess breast gland.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 33 reviews

The truth about gynecomastia reduction surgery!

Gynecomastia correction primarily involves the reduction of glandular fatty tissue through surgical removal. This technique is used in conjunction with liposuction of any surrounding fatty tissue to achieve an ideal result. In some cases, the excision of excess skin may be necessary as well. The skin has a tremendous capacity to shrink and contract after surgery; much like a stretched rubber band retracting back to its original shape/size.

These are the basic elements of gynecomastia surgery, but each case is unique and is evaluated on an individual basis. There are many types of chest deformity that can appear. It can be as minimal as "puffy" nipples, or as significant as a C or D cup breast size. The treatment plan and results a patient can expect will differ depending on the situation.

Only performing liposuction will not typically have the best aesthetic results.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 39 reviews

Your Breast Enlargement May Not be “Gynecomastia”

In the medical literature, the term “Gynecomastia” is usually defined as palpable breast tissue (PBT) measuring more than 2 cm in diameter, which feels like a firm, rubbery disc-like fullness centered beneath the areola.  This condition is a result of abnormal overgrowth of breast glandular and fibrous tissue in a male.

However, another cause of enlarged male breasts is called “Pseudo-gynecomastia”, which is purely a fatty enlargement of the male breast, with no rubbery glandular tissue disc found beneath the areola.

In your question, you refer to your problem as being an “enlarged male breast and excessive fat tissue”.  This sounds more like “Pseudo-gynecomastia”, which is best treated solely by liposuction, since there is no “gland” to be removed.

If your BMI or Body Mass Index is more than 25 and the condition has come on after puberty, you are more than likely dealing with more of a fatty enlargement of the breast region and not true “Gynecomastia".  However, this would be best sorted out by a well-qualified Plastic Surgeon who has experience with such conditions of the male breasts.

I hope this answer helps you with your problem.  Good luck!

Gynecomastia Surgery

Hi Hoglover,

Thank you for your post. The best advice I can give a prospective patient is to be evaluated by a board-certified plastic surgeon who is experienced in gynecomastia surgery.  This is one of the surgeries that can have very long lasting results but can also have poor outcomes when not performed by experienced individuals. I also recommend seeing more than one surgeon. Typically three consultations should be enough to be able to make a reasonable and informed decision on whom to choose.

Sincerely,

Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 14 reviews

Gynecomastia

Vaser is a good instrument for gynecomastia if it is INCLUDED with glandular excision.  Glandular tissue is unlike fat.  It won't "melt" like fat melts.  While Vaser alone will help with reducing volume in the chest, it won't completely alone fix gynecomastia.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 10 reviews

Gynecomastia surgery

Usually the reduction of excess male breast tissue ( gynecomastia) can be done by liposuction (there are several types of liposuction technologies that can be used such as the MicroAire and Vaser)  and breast tissue excision thru a small peri-areolar incision. The surgery is done as an outpatient and a special garment made specifically for gynecomastia surgery is used post op to limit swelling and to encourage skin tightening. The garment is not visible under clothing and since the recovery is not bad , patients can return to work pretty quickly in 4-7 days... Good Luck!

G. Wesley Price, MD
Chevy Chase Plastic Surgeon
5.0 out of 5 stars 4 reviews

Surgical Management of Gynecomastia Surgery

                  The surgical management of gynecomastia varies from patient to patient. This variation depends on the severity of the problem and the type of gynecomastia present.

                  When glandular tissue is present surgical excision is usually necessary. This is usually accomplished through a peri-areolar incision. The breast tissue is first separated from the skin and subcutaneous tissue. Once this is accomplished the breast tissue is separated from the underlying muscles and removed as a single unit.

                  When the breast tissue is predominately made of fat, liposuction can be utilized. This technique involves passing a canula through the breast tissue repeatedly while suction is applied to the canula. Cores of fat are removed and the area is effectively sculpted.

                  In some cases glandular and fatty components are present, and combination procedures are necessary. Following surgery patients wear a compression garment for four to six weeks. This helps remodel the tissue and minimize complications.

                  It’s important to realize that no two patients are alike and treatment should be individualized. If you’re concerned about gynecomastia, consultation with a board certified plastic surgeon would be appropriate. 

Used Vaser LIPO !! Your best results are with combination of Surgery and liposuction

The best way to treat Gynecomastia is by a combination of a nearly complete mastectomy (breast tissue removal) and liposuction to remove the fatty tissue. Unless you have a case of pseudo-gynecomastia which is purely fat then liposuction alone may work.

Good luck

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.