Which would you recommend; chest lipo or glandular tissue removal? (photos)
Doctor Answers 6
About the Gynecomastia Surgical Techniques
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 excision technique is used on cases of #gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. The incision patterns are determined by the specific condition of the patient. The doctor will recommend this procedure which combines the liposuction technique and excision technique to create a natural look. Patients are given specific instructions for the recovery period.
Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.
The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.
Appropriate treatment of gynecomastia
Glandular breast tissue is firmer and more difficult to remove with liposuction equipment. Certain forms of liposuction, such as VASER, or power-assisted liposuction, such as MicroAire, can be quite effective at removing glandular tissue.
Since the male chest typically has firm glandular tissue, two forms of treatment are typically ideal. Plastic surgeons who have experience and access to more powerful equipment, such as power-assisted liposuction or VASER, can often accomplish a complete resolution using liposuction only. Using a combination of liposuction and direct open excision works best at times.
My practice is almost exclusively devoted to body contouring using liposuction and fat transfer. My treatment of choice for gynecomastia or male chest fullness is liposuction using either power-assisted liposuction or VASER with consent for possible incision with direct excision of glandular tissue if needed during surgery.
Two important key concepts in the treatment of the male chest include keeping fullness on the upper pectoral area to maintain the look of a full pectoralis muscle as well as having a well-defined transition between the breastbone or sternum and the pectoralis muscle. This transition area should be liposuctioned. Most of the volume that needs to be removed is over the gland and all towards the sides.
Best of luck,
Mats Hagstrom, M.D.
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