Is It Right Procedure to Remove All Tissues and Fat Under Nipple Area with Vaser Gynecomastia Surgery?

My plastic surgeon told me that in gynecomastia surgeries they use Vaser and try to remove all the tissues and fat under the nipple area and a small amount from above the nipple area. He said with this procedure male breasts would look well built. It doesn't sound aestheticly correct to me.

Doctor Answers 6

Vaser and Gland Removal

Hi yagmursiyah,

Thanks for the post. I will first of all say that the goal of cosmetic gynecomastia surgery is not to remove all of the breast tissue in every patient. This is not a cancer operation. Some tissue needs to remain, whether it is fatty or glandular, in order to support the nipple and areola. this will prevent crater deformities. That being said, in my experience no liposuction procedure, whether it is tumescent, smart lipo, or vaser can predictably and accurately remove glandular tissue. Glandular tissue is best treated with direct excision.


Dr. Dadvand

Los Angeles Plastic Surgeon
5.0 out of 5 stars 21 reviews

9201 W. Sunset Blvd.
Los Angeles, CA 90069

Gynecomastia repair with ultrasonic assisted lipoplasty (VAZER or LYSONIX)

Although the breast gland can be significantly reduced with Ultrasonic assisted lipoplasty (VASER or LYSONIX), it is not likely that ALL can be removed. Typically this requires an incision and direct removal of the breast tissue following the VASER.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 58 reviews

880 W Central Rd
Arlington Heights, IL 60005

VASER Treatment of Man Boobs (Gynecomastia)

The best treatment for Gynecomastia - "man boobs" depends on the EXTENT of the disorder. Obviously a minor male breast would require a lesser treatment than hanging, empty down to your tummy rock in a sock man breast. Often times, man breasts can be improved with Liposuction and breast gland excision under the nipple complex.

I AM a VASER user and do a fair amount of Male Breast surgery. The VASER is superior in melting fat in the very fibrous male breast and in getting an even reduction of the breast mound. However, the purpose of the operation is NOT a mastectomy but to take a female shaped breast and sculpt it into a male shaped breast. I have a hard time agreeing with the summary your surgeon gave you and would urge you to get at least another second opinion. Your city has several internationally known surgeons and you should be able to get excellent care.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 81 reviews

6401 Poplar Avenue
Memphis, TN 38119



See another plastic surgeon. Vaser is a Gymmic to sell you the procedure

gynecomastia may need liposuction for excess fat, and direct excision of breast tissue

Samir Shureih, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 5 reviews

10 East 31 Street
Baltimore, MD 21218

Correction of gynecomastia

Gynecomastia is almost always a combination of two problems, and, occasionally, a third. First is actual hypertrophied breast tissue, and, second, a various amount of fat. In some men, there is also too much skin. Vaser, or any other liposuction method, can remove the excess fat. This is generally done from circumferentially around the nipple so that there is an even amount of fat left everywhere. It is the pectoralis muscle that gives the bulge in the chest.

Trying to mimic this by leaving some fat superiorly and removing it inferiorly is difficult, and probably not a good idea. In most men, in order to get a reasonable result, the breast tissue, which is very thick, must be removed by cutting it out. If you have too much skin so that it will not shrink after surgery, it will have to be reduced also.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 4 reviews

209 Hospital Drive
Highlands, NC 28741

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.