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Gynecomastia Surgery

asked 4 years ago by HOGLOVER in NEW YORK, ny
Latest answer by Larry S. Nichter, MD, MS
Question viewed 8,330 times
Tags: liposuction alternative

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. 

26 answers to Gynecomastia Surgery

+1

Gynecomastia Surgery using Vaser lipo alone YES OR NO

Prior to an important decision of having surgery you have to do your homework. In the US the number of Gynecomastia procedures is about 18,000 a year which is not a big number compare to breast augmentation(500,000) or other plastic surgery procedures. It mean that you should find experienced board certified plastic surgeons. The main cause is enlarged breast glands which in my experience is present in 90% of the gynecomastia patients suffer from,for this reason liposuction alone,regardless... more
Mordcai Blau, MD

New York Plastic Surgeon

www.cosmetic-md.com

+1

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... more
Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

www.dr-delgado.com

+2

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

Beverly Hills Plastic Surgeon
+2

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.... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+1

Gynecomastia - Best Surgeon and Surgical Options

Gynecomastia is NOT just Liposuction (but it can be). Know who is doing it and what is involved. Most important is not the technology but the surgeon: • Verify Board Certification by American Board of Plastic Surgery (do this online) • Member of American Society of Plastic Surgery (requirements beyond Board Certification) • Member of American Society of Aesthetic Plastic Surgery (indicates extensive experience in aesthetic surgery - see below link) • Look... more
Larry S. Nichter, MD, MS

Orange County Plastic Surgeon
+1

Gynecomastia

In my experience liposuction alone is rarely adequate to treat gynecomastia. Gynecomastia is due to increased tissue in the male breast.The increased tissue may be fat or glandular tissue.The fat is amenable to liposuction while the glandular tissue is not.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Male Breast Reduction

With the introduction of liposuction in the 1970’s, the treatment of gynecomastia has also evolved to utilize liposuction techniques. Through small incisions located at the periphery of the breast tissue, liposuction cannulas are introduced and traditional liposuction or ultrasound-assisted liposuction (click here to learn about Liposuction) is performed to remove excess fatty breast tissue. Because fibrous, glandular breast tissue is stronger and more compact than fatty breast tissue,... more
Jaime Perez MD

Tampa Plastic Surgeon
+1

Gynecomastia options...

Gynecomastia is a common condition in men, and is usually treated with great results. If you are interested in having male breast reduction and have not consulted with a surgeon first, you should definitely see a board certified plastic surgeon. Laser liposuction or regular liposuction are excellent ways to improved male breast enlargement, but often times some direct excision of the breast tissue is needed, thus the need for a visit for a consultation. Ask friends or... more
Shain A. Cuber, MD

Marlboro Plastic Surgeon

www.AssociatesinPlasticSurgery.com

+1

Appropriate treatment for gynecomastia

If you have both glandular tissue and excess fat, the appropriate procedure would be formal excision of the glandular tissue. This cannot be performed using Vaser or liposuction alone. Liposuction can be used in combination with resection of the glandular tissue. The operation is not known for being very painful because it does not involve the muscle. To find a doctor with proper credentials, you can access the website of the American Society of Plastic Surgeons... more
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Gynecomastia?

Thank you for the question. Gynecomastia comes from the Greek meaning "gyne" meaning woman and "mastos" meaning breasts. It refers to abnormal development of large mammary glands in males. The diagnosis can be made by physical examination where relatively firm tissue (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue). Breast prominence due to excessive adipose tissue is called pseudo-gynecomastia... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Vaser for gynecomastia?

Hello, Gynecomastia in most cases consists of tough fibroglandular tissue and not fat. Vaser lipo or other lipo systems can help but it will not remove all of the tissue if it is fibroglandular in nature. The only way to get rid of all of the tissue is to excise it. This can be done by making a small incision at the border of the areola and chest skin. The url below is a before and after photo of one of my patients that underwent direct excision. All the best... more
Remus Repta, MD

Phoenix Plastic Surgeon
+1

Here's Some Good Advice

About 10% of all men suffer from gynecomastia, so you are not alone! Many men undergo gynecomastia surgery and are delighted with their results. If you are a typical male, you would require some liposuction + excision of the breast gland. Use of liposuction alone is going to be unsuccessful if you have much in the way of excess breast tissue. That needs to be cut out, although a variety of techniques can be used that produce small incisions. To find a good doctor, look for a... more
George Sanders, MD

Los Angeles Plastic Surgeon
+1

A very satisfying procedure

You are on the right track to consult with a plastic surgeon (or a few) with experience treating gynecomastia who can show you results and discuss all risks, consequences and expectations.  VASER liposuction can be a very effective method of removing at least some of the excess (fatty) tissue, however it is usually not suficient alone.  There is often a combination of fatty and glandular breast tissue which is more dense and tough. Sufficient removal can require a... more
David J. Levens, MD

Coral Springs Plastic Surgeon
+1

VASER for gynecomastia

VASER can be a good option for patients that minimal skin excess, predominantly fatty tissue in the cheat and minimal to moderate glandular tissue. Following VASER liposuction, if glandular tissue remains, an incision around the areolar can be used to remove excess glandular tissue and skin to give the optimal contour.
Joseph Michaels, MD

Bethesda Plastic Surgeon
+1

Male breast reduction: liposuction versus gland excision: How to choose

IF your gynecomastia condition is primarily due to fat then Vaser liposuction alone may be avery good option. However, in my experience the vast majority of patients have a glandular and fatty composition that is best treated with BOTH liposuction and direct excision. I believe most plastic surgeons do this because they want satisfied patients and not because they are credit card machines. However, if you are unwilling to undergo both procedures, you can certainly start with the Vaser... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Liposuction alone will not correct gynecomastia.

Hi. Most men also need the small amount of breast tissue under the nipple removed ( through a tiny incision ) in order to have a flat chest. If you go to the bottom of my profile, you will find a detailed article I wrote about how to find a good plastic surgeon.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Liposuction for gynecomastia - SmartLipo vs. VASER vs. Tumescent

Gynecomastia can be very well treated by liposuction alone in patients where all or most of the excess breast tissue is fat. Although there are many different forms of liposuction, including laser or ultrasound assisted, I have yet to see a study that confirms any advantage of these techniques over "classic" tumescent liposuction. VASER and SmartLipo do add extra costs for the patient, however, as these devices are quite expensive. I use a very aggressive form of... more
Arie Benchetrit, MD

Montreal Plastic Surgeon
+1

Gynecomastia

I use a combination of liposuction techniques and possible sub areolar breast gland bud excision. I first start with Smart Lipo  MPX 35 watts around 10,000 to 15,000 joules delivered to each breast. Than I use Vaser ultrasonic liposuction on 5 watts for 5 to 8 minutes. Followed by SAL to removed all the melted dissolved fats and breasts tissues. If there is a breast bud gland sub areolar I than excise that through a inferior sub areolar incision. Drains are 50 / 50 if I use them.... more
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Best Liposuction Method for Gynecomastia (Man Boobs)

The best procedure would depend if the male breasts are made mostly of fat VS. fat and breast gland (which cannot be vacuumed) as well as on the amount and condition of the breast skin. The vast majority of Man Boob (Gynecomastia) patients have a combination of BOTH excess fat and excess breast gland. In these cases liposuction by itself is not sufficient and the excess glandular tissue is removed through a tiny incision (4 to 7 o'clock) around the areola. If the breast contains... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Different types of liposuction for gynecomastia

  Liposuction is an excellent technique for the correction of gynecomastia. There are many different flavors of liposuction. In the thick male chest that is very fibrous, ultrasound liposuction works extremely well. In this technique, the ultrasound cannula is first applied to the chest and helps melt the fat. Once this is been performed a regular liposuction cannula is then used to treat the areas and remove all the fat and liquefied tissue. The most important aspect to ensure good... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Vaser is a fine way to treat gynecomastia

One can obtain great results using the VASER liposuction system, but it is more important that you choose a qualified surgeon to perform the procedure. Any liposuction machine can remove fat, but there is more to the male breast reduction procedure than that. Tough, glandular tissue needs to be removed and or contoured. Some additional skin may need to be tailored. Be sure to ask: How many procedures has the surgeon performed Where will the procedure be performed What... more
Emily Pollard, MD

Philadelphia Plastic Surgeon
+1

Ultrasound Assisted Liposuction for Gynecomastia

Gynecomastia can be reduced or treated using liposuction techniques, including laser assisted and ultrasound assisted liposuction. In most cases, ultrasound assisted liposuction works well on gynecomastia as it removes excess tissue as well as tightens the overlying skin envelope.
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

There are many types of lipo currently being hyped...

There are many types of lipo currently being hyped (Vaser,PAL, UAL, Smart Lipo, etc). These are expensive machines and the surgeons have to charge "nice" fees to cover the costs. I utilize standard (and very safe) liposuction with my own specially designed custom cannulas (instruments)which are able to remove both fat AND breast tissue. After that, I decide if direct excision of any remaining breast tissue is indicated.
Elliot Jacobs, MD

New York Plastic Surgeon
+1

VASER® Liposelection is the ideal approach

VASER® Liposelection is the ideal approach for the treatment of excess breast tissue in men, termed gynecomastia. VASER® LipoSelection is a form of liposuction that uses ultrasonic energy in a deliberate controlled fashion to assist the surgeon in the selective removal of fat in body contouring surgery. The VASER® is a 3rd generation ultrasound device that has been engineered to eliminate many of the complications which were seen with other ultrasonic devices as it employs a... more
Stephen A. Goldstein, MD

Englewood Plastic Surgeon
+1

Liposuction alone usually isn't enough

Liposuction alone (whether it be SmartLipo, VASER, or PAL) is usually not adequate alone to treat true gynecomastia (meaning there is some glandular breast tissue). This tissue is too dense to be treated with any form of liposuction - I perform a fair amount of this type of surgery, and in 90% of case, I have to directly excise the tissue. Yes the lipo helps contouring and debulking some of the chest, but it's best done in conjunction with excision. I have performed VASER, UAL, PAL,... more
Vishal Kapoor, MD

Beverly Hills Plastic Surgeon
+1

SmartLipo is an excellent choice

SmartLipo is an excellent choice for male gynecomastia. The new SmartLipo MPX is even better with more power and more ability to melt and remove the tough fat that causes gynecomastia.
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon

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