Libby Copeland-Halperin, MD

Thank you for your question and for sharing your photographs! I would need to examine you to best answer your question. Gynecomastia is often an inherited condition that cannot be improved without surgery. Fortunately, the condition can be treated with liposuction. With this technique, I make a small hidden incision in the areola (the colored area around your nipple) and use a combination of liposuction techniques with very fine cannulas to recontour the chest. This combination of liposuction techniques also helps to tighten the skin and create a smooth contour. I perform gynecomastia surgery in our office's fully-accredited operating room with IV sedation administered by board-certified anesthesiologists. For patients with more skin laxity, I sometimes combine liposuction with Thermage, a non-invasive, radiofrequency (RF) treatment that is clinically proven to help smooth, tighten and contour skin and can be done at the same time as surgery or during an office visit. I recommend you meet with a fully-trained plastic surgeon to discuss your goals and treatment options.

Thank you for your question and for sharing your photos! I would need to examine you in-person to best answer your question. It depends on your goals, but based on your photos, you may be a good candidate for liposuction of your stomach/abdominal area. In a tummy tuck, the skin from the rib cage down to the pelvic area is tightened, the navel is repositioned, and your core muscles can be tightened. However, this requires a larger scar and longer recovery time. With liposuction, fine cannulas are inserted through small incisions to remove fat, but no skin is removed. I use a combination of liposuction techniques, including laser Smart lipo, ultrasonic liposuction and power-assisted liposuction, which can also help to tighten the skin. This could be performed at the same time as your gynecomastia. When performing gynecomastia surgery, I use small incisions hidden in your areola (the pigmented area around your nipple) to recontour the chest. I perform these procedures in our office's fully-accredited operating room under IV sedation administered by board-certified anesthesiologists. I recommend you meet with a fully-trained plastic surgeon who can review which treatment options can best meet your goals. Good luck!

Thank you for your question and for sharing your photos! I would need to examine you in-person to best answer your question. However, based on your photos, you may be a candidate for a breast lift with fat transfer to the cleavage area. A breast lift (mastopexy) helps give a perkier, more lifted breast. During this surgery, excess skin is removed, the nipple is repositioned, and the skin is re-draped and tightened to support the breast. This can be combined with transferring your own fat from another part of your body (like your stomach, thigh or hip areas) to your breasts to add fullness. These techniques can be performed with minimal scarring as an outpatient procedure under IV sedation without the need for general anesthesia. I recommend speaking with a fully-trained plastic surgeon to discuss your options in more detail.

Thank you for your question. While I would need to examine you in-person to best answer your question, I regularly remove lipomas in our office's fully-accredited operating room under local anesthesia without the need for general anesthesia or IV sedation. I perform lipoma removal using a minimal-scar technique using a combination of liposuction and direct excision. While lipomas are considered "benign" (meaning not cancerous), they have a tendency to increase in size over time and do not go away on their own. I recommend you meet with a fully-trained plastic surgeon to discuss treatment options. Good luck!

Thank you for your question. I would need to examine you in-person to best answer your question. However, I regularly remove lipomas in our office's fully-accredited operating room under local anesthesia without the need for general anesthesia or IV sedation. I perform a minimal-scar technique for lipoma removal using a combination of liposuction and direct excision. I find a smaller scar helps patients recover quickly and is also more aesthetically pleasing. While lipomas are considered "benign" (meaning not cancerous), they have a tendency to increase in size over time and do not go away on their own. I recommend you meet with a fully-trained plastic surgeon to discuss treatment options.