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

Thank you for your question.There are three main surgical options for #gynecomastia #treatment: #liposuction, #excision of excess skin and #glandular tissue, and the combination of the two.  #Results are usually #permanent.  You need to contact a #boardcertified #plasticsurgeon for an in-person consultation to discuss the best plan of action for your specific case.

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.

                  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.