Liposuction Without Excising Glandular Tissue for Gynecomastia?

It's difficult to answer without photos or a one-on-one consultation. The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect #men of all different body types. There are different types of #gynecomastia.According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast #enlargement.Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

It all depends. If the unwanted tissue is firm (often seen with anabolic steroid use) then liposuction does not go a good job at removing it and a direct surgical removal is required. On the other hand if it has the consistency of fat it can be removed easily with liposuction.Most important is going to a board certified Plastic Surgeon for an exam and the best way to take care of your concerns.

Pictures would be very helpful.  The answer is sometimes yes, but maybe not. In most patients with gynecomastia there are both glandular and fat components. Dense, firm glandular tissue does not respond well to liposuction alone, whereas fat can be treated nicely with liposuction. If the glandular component is fairly small and the fatty component is larger, liposuction alone can make a worthwhile impact in selected cases. In most patients, both components need to be addressed. Typically this means partial resection of the glandular component combined with liposuction for the fatty component.  You should consult in person with an experienced board certified plastic surgeon.

Liposuction will remove the excess fatty tissue, but it excision is required if you have glandular tissue for a better result. 

Liposuction is a great option for addressing mild to moderate gynecomastia.  It does not address any loose or sagging skin of the breast though.  See a board certified plastic surgeon for more details.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon