Male Breast Reduction: Q&A
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Unusual Approach to Gynecomastia?
I am a 32 year old male who had Liposuction of breasts about a year ago. Also, my surgeon chose to address the gynecomastia through incisions below and medial to my nipples. Is this an unusual approach?
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17 Doctor Answers |
Asked by
asbestos
in London, UK
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Areola Incision for Gynecomastia Treatment
What you are describing is not unusual.
Your surgeon must customize the procedure to give you the best result. There are many different incision approaches we use on a regular basis.
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Gynecomastia can be treated with several different methods
Patients suffering from gynecomastia or male breast enlargement can be treated with several different surgical modalities. These include:
Liposuction only (preferably power-assisted liposuction)
Liposuction along with surgical excision
Excision of the glandular tissue (subcutaneous mastectomy) only.
Surgical excision can be performed using semicircular incisions along the lower border of the areola or small 'stab' incisions along the areola. The appropriate method chosen will depend...
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Gynecomastia surgery: Choice of Liposuction Incision Sites
Gynecomastia can occur in young children, adolescents, and seniors. It also persists into adulthood in some males.
Liposuction is a valid treatment option for gynecomastia without excessive skin redundancy.
In choosing liposuction incision sites, the ideal incisions should be placed at points which provide safe exposure to all aspects of the treatment area and which are relatively inconspicuous. In certain patients, based on anatomic characteristics of the chest wall, the incision sites...
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Gynecomastia treatments
Gynecomastia is the growth of glandular tissue in male breasts. It is usually a benign condition that can cause significant psychological distress. Patients present with an increase in breast tissue, which is unilateral in one third of cases. Enlargement is usually central and symmetric. Gynecomastia associated with medications is usually unilateral; however, in pubertal and hormonal cases, the changes are often bilateral. The most common cause in the US is obesity.
The Simon...
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Scars for gynecomastia
I see that in all of the posts no 1 mentioned the"Scarless". This uses a tiny incision in the armpit And liposuction is performed first With the gland Being removed using a special instrument To liquify it so it can be suction out through that same small incision. this totally eliminates the scar around the areola which in some skin types can be very visible.
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Gynecomastia. Is the location of the incision important?
The best possible and barley visible incisions will be on short(About 1 inch) and in the lower part of the areolas(nipple) .The excision and liposuction can be done from the same incision, and therefore there is no need for more incisions.Scar is important to men and a surgeon will try to minimize it. Of course everyone heals differently but there are a few important points ,like location, size and numbers of the incisions that can improve the results.
see video
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Most gynecomastia can be treated with tiny scars.
Hi.
1) When treating gynecomastia in New York City, we use only small incisions inside the lower nipple in 95% of men. These scars fade to near invisibility.
2) In very few cases, there is loose excess skin which must be removed. This requires more scarring. For these patients, we use either an incision all the way around the nipple, or, in extreme cases, longer incisions.
see video
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Surgical planning is paramount
On a case-by-case basis, different incisions are required to either address the tissue in its entirety or to make the incision more covert. In some scenarios, an incision like that would be appropriate.
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Typical case of gynecomastia
In the majority of my cases of gynecomastia, I perform liposuction and make an incision inside of the pigmented area below the nipple referred to as the areola to remove the glandular tissue.
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Gynecomastia surgery incisions
There are many different patterns of incisions used for removing excess male breast tissue. These range from tiny liposuction scars, to scars along the lower border of the areola, to scars on the areola plus lateral or medial "tennis racket" extensions, to scars in the crease below the breast, to full inverted "T" breast reduction scars. It al depends on your own anatomy and the experience of the surgeon. You should know up front what scar pattern will be used on...
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Scars from Man Boob (Gyno, Gynecomastia) Repair Surgery
The surgical approach and resulting scars will depend on just how severe the Gynecomastia / Man Breast condition really is and what is required to flatten the breasts.
For mild cases, a short scar along the areola will suffice while as the condition worsens and gets more prominent the scar will need to get longer along the curvature of the areola to allow removal of persistent breast tissue. Finally, in extreme cases (nipples close to belly button for example) mastectomy scars may be...
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Gynecomastia
I gather from your question that you may be unhappy with the scar. Scars placed on the skin of the breast may not heal to a persons satisfaction. They may become raised, thicken, wide and discolored. Generally, the lncision to perform liposuction of the breast to treat gynecomastia is made at the border between the areola and the skin. The scar is placed in this location because it heals very well in most cases. Within several months a scar placed at this location may be imperceptible....
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Liposuction incision placement less important than the result.
The choice of site for incisions for liposuction of gynecomastia really depends on the extent of breast tissue that exists. Truth is, that the contour that you have afte surgery is probably more important than the exact location of the incisions. Occasionally I will make additional access incisions during liposuction of gynecomastia if I think it will allow me to obtain a better final contour.
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Incisions for gynecomastia
As long as the incisions border the areola, this is quite common. Occasionally I encounter patients who have had incisions on the breast skin itself and not on the border of the areola. I find this to be less common.
In most instances, they should be barely visible unless looking directly and closely at the areolar border.
see video
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Gynecomastia options
Gynecomastia may be treated surgically by direct excision (removal) of breast tissue, liposuction, and in some cases by removal of breast skin, when indicated. The majority of patients have at least some degree of glandular tissue proliferation immediately behind the nipple and areola, which is usually removed through an incision placed at the inferior border of the areola. The incision can be limited, in many cases, from about the 4 o'clock to the 8 o'clock position of the...
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LIposuction is one way to treat gynecomastia
Various techniques can treat gynecomastia depending upon what is needed. Some patients that have good skin tone and excess fat can have liposuction. The access sites for the cannulas can vary. If there is some excess skin and excess fat, sometimes liposuction can be done alone. Sometimes a skin excision may be required at the same time or at later time. If there is a lot of excess skin and alot of fat, then more likely an excision of skin and fat is required. If there is a breast bud or...
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Gynecomastia Treatment by removal of breast gland through small incision
Treatment of Gynecomastia usually requires removal of brreast gland tissue in addition of liposuction of the breast. Insteased of making the standard incision below the areaola as your doctor has done, I now use a very small 1/2 inch stab incision within the areala and with a small instrument remove the breast gland tissue. the advantage of this is that the scar is much smaller and less noticable than the standard incision.
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