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Can True Gynecomastia (Glandular Tissues) Be Cured by Liposuction?

asked 1 year ago by ihategyne in Singapore, 00
Latest answer by Tom J. Pousti, MD
Question viewed 1,354 times
Tags: gland

I have puffy nipples and I went to see a government plastic surgeon. After scanning she told me that the glandular tissue is about 2.5cm. She recommended that I skip the surgery as it is very mild. And if I really insist on doing it, it will be removed by liposuction and a "divider" to shave the tissues. No incision will be done. 1. Should I do the surgery? 2. Can liposuction really remove glandular tissues? 3. What is the size of the normal male breast tissue? 4. will there be scars?

21 answers to Can True Gynecomastia (Glandular Tissues) Be Cured by Liposuction?

+1

Excision of true Gynecomastia

You should have a consultation with an experienced gynecomasia/plastic surgeon . If it is True Gynecomastia liposuction is not be enough to correct this problem and there will be a need for glandular excision.I agree with most of the comments by the other plastic surgeons see video
Mordcai Blau, MD

New York Plastic Surgeon

www.cosmetic-md.com

+1

Liposuction for gynecomastia?

The fibrous glandular tissue cannot be removed by liposuction, only fat can be removed. Excision is necessary for removal of the breast tissue, however the incisions which are placed around the areola will fade with time and be almost imperceptible.
Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

www.dr-delgado.com

+2

Gynecomastia or growth of breast gland can NOT be treated only by liposuction

True gynecomastia involves excess growth of breast gland tissue. liposuction, even ultrasonic or other types can only remove fat, and can NOT remove glandular tissue. Therefore, it is essential to actually excise breast tissue. This can be done via a small inicision over the areola at the time of chest liposuction.
S. Sean Younai, MD

Beverly Hills Plastic Surgeon
+2

Gynecomastia (male breast tissue) can be treated with liposuction and/or excision

Male breast development, or gynecomastia, can cause feelings of self-consciousness and embarrassment for some men. Gynecomastia can be treated by a number of methods, primarily liposuction and/or excision of excess breast tissue. Gynecomastia is "graded" from Grade I (mild) to Grade III (significant breast development, including droop and excess skin). The type of treatment is dictated by the extent of the condition and its severity. To answer your specific... more
Karen M. Horton, MD

San Francisco Plastic Surgeon
+2

Gynecomastia

Typically fat is removed via liposuction and glandular tissue is removed via direct excision.To optimize the result both components need to be addressed.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Gynecomastia Surgery

Thank you for the question. I have found that gynecomastia is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice. I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. I hope this helps. more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Technique for removal of male glandular breast tissue

If you have glandular breast tissue, then liposuction will not remove it. If the glandular component is relatively small when compared to the fatty tissue, then what your surgeon may be suggesting is liposuction to alleviate rather than completely resect the condition. While this is less expensive, it will not produce optimal results.
Robert L. Kraft, MD

New York Plastic Surgeon
+1

True gynecomastia is not amenable to liposuction

True gynecomastia basically means that the enalrged breasts are due to acual growth of breast tisue and not fatty tissue. This type of condition needs a procedure called subcutaneous mastectomy which is performed under general anesthesia. A cut is made at the lower border of the areola and the actual breast tissue is cut out and sent to the laboratory. Drains are inserted for 3-4 days to allow any acumulation of blood to be removed. Most patients can return to... more
George Lefkovits, MD

New York Plastic Surgeon

www.drlefkovits.com

+1

Is liposuction adequate treatment for gynecomastia?

There are reports of successful treatment of glandular gynecomastia with a combination of liposuction and excision through one of the liposuction portals using an arthroscopic shaver.  I am guessing that this is what you mean by a divider.  If your surgeon has experience with this technique it is definitely reasonable and will avoid a periareolar scar.
Neal Goldberg, MD

Westchester Plastic Surgeon
+1

Treatment and incisions for gynecomastia

If you have true glandular gynecomastia then direct excision would be warranted. Liposuction doesn't remove glandular tissue - only fat. The direct excision is typically performed with an incision involving the lower portion of the areola. Most of the time, the scar is fairly inconspicuous and the trade off for the results well worth it. If the gynecomastia is noticable and evident (as described with a 2.5 cm size) and bothers you, then its removal is most likely reasonable. I... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon
+1

Gynecomastia removal with liposuction

True gynecomastia caused by glandular tissue is not able to be adequately improved with liposuction. The breast tissue will not be able to be suctioned through the cannula. It will require a direct excision generally with an incision placed at the edge of the areola.
George Weston, MD

Reston Plastic Surgeon
+1

Gynecomastia treatment options

I would agree with most of what has been stated here.   Fatty breast tissue Soft (feels like fat on the upper hips) Not generally confined to the tissue below the nipple Patient is often a little over weight Generally does great with liposuction Glandular tissue Firmer (rubbery consistency) Generally confined to a few centimeters beyond the borders of the nipple Generally requires excision Many patients have a... more
York Jay Yates, MD

Salt Lake City Plastic Surgeon
+1

Modern treatment of Gynecomastia

I have been correcting Gynecomastia using Liposuction for more than 20 years an have taught my approach to many other plastic surgeons. Liposuction alone is successful in 90% of my patients. Lipo alone requires 3 tiny ( 3mm) incisions for both breasts. If there is true glandular, fibrous breast tissue, Liposuction is combined with open excision of the real breast tissue in contrast to the fatty tissue. An incision that goes about 1/3 around the areola is used to remove the true glandular... more
Richard L. Dolsky, MD

Philadelphia Plastic Surgeon
+1

GYNECOMASTIA

Seems to me that  you have a important  grand component in your chest , just for the pictures therefore  direct excision can be necessary.
Alejandro J. Quiroz, M.D.

Mexico Plastic Surgeon
+1

Glandular Gynecomastia Requires Excision

In my experience gynecomastectomy almost always consists of excision and liposuction.  I do not feel that the glandular portion can be adequately removed by liposuction.  The scar usually can be hidden be placing at the junction of areola and skin where there is a contrast in color already.
John Whitt, MD

Louisville Plastic Surgeon
+1

Gynecomastia removal

True glandular hypertrophy cannot be removed by liposuction alone. It requires cutting it out. This, however, can be done with a knife through a traditional incision or by use of a sucker/shaver device. The latter is most commonly used by orthopedic surgeons endoscopically to remove tissue from injured joints. This method will leave a very small incision.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Correction of "Man Boobs" (Gynecomastia)

Regarding: "Can True Gynecomastia (Glandular Tissues) Be Cured by Liposuction? I have puffy nipples and I went to see a government plastic surgeon. After scanning she told me that the glandular tissue is about 2.5cm. She recommended that I skip the surgery as it is very mild. And if I really insist on doing it, it will be removed by liposuction and a "divider" to shave the tissues. No incision will be done. 1. Should I do the surgery? 2. Can liposuction really remove... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Gynecomastia

If you have true glandular gynecomastia, then liposuction alone will  not help you. More than likely you will need some sort of surgical excision as well.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Direct excision of the glandular tissue is required for optimal results for gyecomastia breast reduction.

True gynecomastia breast reduction will typically require direct excision of the glandular tissue with liposuction of the fatty tissue to achieve optimal results.
Craig Mezrow, MS, MD

Philadelphia Plastic Surgeon
+1

Breast shaving tool for gynecomastia (male breast reduction)

I am not sure what a "divider" is? I have heard of surgeons using a device similar to a cartilage shaving instrument with reportedly good results but I have no immediate personal experience with the technique.. in my opinion, to get the best result, you must excise (cut out) the breast tissue in addition to liposuction. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

True Gynecomastia (Glandular Tissues) Be Cured by Liposuction

If you truly have glandular breast tissue than NO liposuction will not correct fully. You will need a operation with an incision. Seek in person other opinions. Best of luck from MIAMI Dr. Darryl J. Blinski, 305 598 0091
Darryl J. Blinski, MD

Miami Plastic Surgeon

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