I am about to sign to do gynecomastia surgery. The surgeon wanted to do smart lipo originally. After research I am concerned about scarring. The other option is incision with traditional lipo. He already stated he will make extra incisions for the lipo, although I’ve seen a lot of procedures go through the areola. I also have very pale skin and wounds heal Slowly. What are recommendations for the best procedure? Is smart lipo safe and scarring rare or no? Thank you
March 2, 2022
Answer: I am a huge fan of Smartlipo but NOT for gynecomastia I am a huge fan of Smartlipo. It is one of the most common procedures that I do. I have done over 1,300 Smartlipos (we stopped counting at that point!) because it does an excellent job and I do them all in the office under local with oral sedation. You can return to work the next day. however, I almost never do Smartlipo for gynecomastia!!! The reason is that the breast fullness is almost never due to fat alone,. It is almost always due to a mixture of fat and glandular/fibrous tissue. the latter will not be affect by any type of liposuction. Almost all of the men that i treat for gynecomastia, are very self conscious and will not (or if they take their shirts off and if they do, they hate it) take their shirts off in public. They need an aggressive treatment. The smartlipo will only give a minor improvement and they will not be satisfied. This is why for a general chest fullness, I almost always take them to the OR and under general anesthesia, using a periareolar incision, will directly excise most of the fibrous/glandular and fatty tissue. the scars from surgery, usually heals extremely well, with a very hidden scar that gets better over time. make sure you see a board certified plastic surgeon and not some wannabee plastic surgeon that calls himself a "cosmetic surgeon.". They are not at all the same. best of luck david berman md, frcsc
Helpful
March 2, 2022
Answer: I am a huge fan of Smartlipo but NOT for gynecomastia I am a huge fan of Smartlipo. It is one of the most common procedures that I do. I have done over 1,300 Smartlipos (we stopped counting at that point!) because it does an excellent job and I do them all in the office under local with oral sedation. You can return to work the next day. however, I almost never do Smartlipo for gynecomastia!!! The reason is that the breast fullness is almost never due to fat alone,. It is almost always due to a mixture of fat and glandular/fibrous tissue. the latter will not be affect by any type of liposuction. Almost all of the men that i treat for gynecomastia, are very self conscious and will not (or if they take their shirts off and if they do, they hate it) take their shirts off in public. They need an aggressive treatment. The smartlipo will only give a minor improvement and they will not be satisfied. This is why for a general chest fullness, I almost always take them to the OR and under general anesthesia, using a periareolar incision, will directly excise most of the fibrous/glandular and fatty tissue. the scars from surgery, usually heals extremely well, with a very hidden scar that gets better over time. make sure you see a board certified plastic surgeon and not some wannabee plastic surgeon that calls himself a "cosmetic surgeon.". They are not at all the same. best of luck david berman md, frcsc
Helpful