Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

Question

well , i went to a surgeon we made tests and ultrasounds on both breasts , and yes i have gynecomastia , he said that he will do gland removal , my question is , should he do lipo beside the gland removal ? if the it's gland removal , will i look normal , will it come back ?

Jed H. Horowitz, MD, FACS · Answer

Thank you for your question.There are multiple types of #gynecomastia.  For Pure #glandular #gynecomastia, most common in body builders caused by steroid use, surgical removal of the #gland is all that is needed.Your condition will likely be corrected permanently with #surgery.  Unless you have excessive weight gain, it is unlikely that your #gynecomastia will recur.

Jeffrey D. Wagner, MD · Answer

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, as well as to feather out the edges of the resection cavity.

Frank Lista, MD · Answer

Excess breast development can be as a result of just excess glandular tissue or just excess fat. But most commonly it is a combination of both. Most common gynecomastia procedures will involve a removal of both fat and glandular tissue. 

	While it is possible for gynecomastia to return, a recurrence of your condition is unlikely to occur. It is important to keep your weight under control and avoid stimulating substances like steroids and marijuana.

Ashley Thorburn, MD · Answer

The approach to gynecomastia surgery depends on the individual case. In some cases, gland removal alone may be sufficient, while in others, a combination of gland removal and liposuction is recommended for optimal results. It’s essential to consult with a skilled plastic surgeon who can assess your specific situation and recommend the most appropriate treatment plan for you.

Babak Dadvand, MD · Answer

Hi rimo301,Thanks for the post. In certain cases removal of the gland only is sufficient. This is true in patients without any excess fat, such as body builders or very skinny patients. Sincerely,Dr. Dadvand

Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

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Answer: Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

Answer: Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

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Answer: GynecomastiaSurgery Technique

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Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

Answers (9)

Answer: Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

Answer: Do All The Gynecomastia Surgeries Need Gland Removal and Liposuction? Can It Be Gland Removal Only?

Answer: GynecomastiaSurgery Technique

Answer: GynecomastiaSurgery Technique

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Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.