Gynecomastia Surgery, I had this problem from my early 20’s, need recommendations for doctors.
Doctor Answers 33
Gynecomastia Surgery, Male Breast Reduction Surgery research your plastic surgeon and speak to other patients
The most common form of gynecomastia (‘mixed glandular/adipose’) requires ultrasonic liposuction and, in some cases, direct breast tissue excision as well.
My goal is to create the smallest incision wioth the smallest scar possible. My library of gynecomastia videos will help explain the different approaches I take to addressing different types of gynecomastia.
Take your time researching your surgeon. Look at several websites, go on several consultations, speak to other patients and of course view many many before and after photographs. Find a plastic surgeon who performs gynecomastia surgery often and with whom you feel comfortable.
Effective Technique of Male Breast Reduction or Gynecomastia Treatment in Los Angeles
Considering that gynecomastia involves growth of male breast tissue, Veser or other techniques of liposuction can NOT remove the actual breast gland. it might remove excess chest fat but it can not melt away or remove excess breast gland.
The truth about gynecomastia reduction surgery!
Gynecomastia correction primarily involves the reduction of glandular fatty tissue through surgical removal. This technique is used in conjunction with liposuction of any surrounding fatty tissue to achieve an ideal result. In some cases, the excision of excess skin may be necessary as well. The skin has a tremendous capacity to shrink and contract after surgery; much like a stretched rubber band retracting back to its original shape/size.
These are the basic elements of gynecomastia surgery, but each case is unique and is evaluated on an individual basis. There are many types of chest deformity that can appear. It can be as minimal as "puffy" nipples, or as significant as a C or D cup breast size. The treatment plan and results a patient can expect will differ depending on the situation.
Only performing liposuction will not typically have the best aesthetic results.
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Your Breast Enlargement May Not be “Gynecomastia”
However, another cause of enlarged male breasts is called “Pseudo-gynecomastia”, which is purely a fatty enlargement of the male breast, with no rubbery glandular tissue disc found beneath the areola.
In your question, you refer to your problem as being an “enlarged male breast and excessive fat tissue”. This sounds more like “Pseudo-gynecomastia”, which is best treated solely by liposuction, since there is no “gland” to be removed.
If your BMI or Body Mass Index is more than 25 and the condition has come on after puberty, you are more than likely dealing with more of a fatty enlargement of the breast region and not true “Gynecomastia". However, this would be best sorted out by a well-qualified Plastic Surgeon who has experience with such conditions of the male breasts.
I hope this answer helps you with your problem. Good luck!
Thank you for your post. The best advice I can give a prospective patient is to be evaluated by a board-certified plastic surgeon who is experienced in gynecomastia surgery. This is one of the surgeries that can have very long lasting results but can also have poor outcomes when not performed by experienced individuals. I also recommend seeing more than one surgeon. Typically three consultations should be enough to be able to make a reasonable and informed decision on whom to choose.
Surgical Management of Gynecomastia Surgery
The surgical management of gynecomastia varies from patient to patient. This variation depends on the severity of the problem and the type of gynecomastia present.
When glandular tissue is present surgical excision is usually necessary. This is usually accomplished through a peri-areolar incision. The breast tissue is first separated from the skin and subcutaneous tissue. Once this is accomplished the breast tissue is separated from the underlying muscles and removed as a single unit.
When the breast tissue is predominately made of fat, liposuction can be utilized. This technique involves passing a canula through the breast tissue repeatedly while suction is applied to the canula. Cores of fat are removed and the area is effectively sculpted.
In some cases glandular and fatty components are present, and combination procedures are necessary. Following surgery patients wear a compression garment for four to six weeks. This helps remodel the tissue and minimize complications.
It’s important to realize that no two patients are alike and treatment should be individualized. If you’re concerned about gynecomastia, consultation with a board certified plastic surgeon would be appropriate.
Used Vaser LIPO !! Your best results are with combination of Surgery and liposuction
Gynecomastia surgery techniques
Gynecomastia procedures vary patient to patient. Gynecomastia can range from liposuction only techniques to treat a mostly fatty chest area, to a combined procedure with limited subareolar incision to directly resect glandular tissue not removed by liposuction (this includes laser and vaser assisted), to full breast reduction/amputation with free nipple grafting for men who have breasts that would qualify for a female breast reduction!
The goal of gynecomastia surgery is to flatten the chest mound into a more normal contour, which for men is nipple flush with the skin above the inframammary fold. Liposuction can contour the chest about the nipple areolar complex, however, if there is a lot of glandular tissue, you need to either resect it or bring it out piecemeal as described by Dr Rohrich and his colleagues at UT Southwestern. In chests where you can perform liposuction +/- direct excision, you can achieve more normal results. Unfortunately if someone has gynecomastia that is so severe that a breast reduction technique has to be employed, there will be tell tale long scars about the chest, and depending on the technique, there can be loss of normal anatomic boundaries such as the inframammary fold.
At the end of the day, the key is not to overresect this tissue which can lead to a more difficult problem to fix and to go over with the patient that as with any bilateral procedures, there will be some minor asymmetries.
In terms of picking a surgeon, do your basic research ie. board certification, and then take the next step and go for a consult. You should ask your surgeon what his or her experience is with this procedure and what techniques he or she uses. As with any procedure, I would like whomever I would choose to be well versed in a variety of ways to treat you as an individual case rather than as a peg for a square hole (you could be round, oval, octagonal, etc.)
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.