Which would you recommend; chest lipo or glandular tissue removal? (photos)

have been proposed lipo but am worried about the gland which will be left behind. according to my surgeon they are the size of an almond.

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.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews


Hi there. Liposuction is effective at removing the majority of excess breast tissue in men and is a good option when scarring is a concern or an issue. A good improvement in chest wall contour can usually be expected with liposuction alone. However, there is usually a small deposit of firm glandular tissue not accessible to liposuction that is best treated by excision if you are looking for the optimal improvement. It is difficult to comment more accurately on your individual situation from photos alone without an in-person examination. Good luck!

William Townley, MD, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 53 reviews

Appropriate treatment of gynecomastia

The male chest is always made up of fatty tissue and glandular tissue. This is true for all people, men and women.

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.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 18 reviews


Hi there and thanks for the question. Simply said, the majority of men who seek gynecomastia surgery prefer direct excision of the gland in addition to liposuction of the surrounding fatty tissue. Book a consultation with a BCPS.  Good luck to you. 

Dr. Burnett

Carlos Burnett, MD, FACS
Westfield Plastic Surgeon
4.9 out of 5 stars 37 reviews


Thank you for your question. It will be hard to guide you from pictures. Most of the time lipo and excision of the gland works, unless they have only fat with no palpable glandular tissue. In that situation only lio may work. You need to be physically examined, before final decision. Pl see a board certified PS

Ven Erella, MD
Austin Plastic Surgeon
4.9 out of 5 stars 30 reviews

Male gynecomastia

According to the photos, it appears that you have grade I gynecomastia.  Benign enlargement of the male breast can be successfully treated with liposuction, surgical excision of the glandular tissue, or a combination of both procedures.   Discuss your concerns with your plastic surgeon.   For most cases, I perform a combination... excision of the breast tissue and then liposuction around the periphery for improved contour.   Best of luck.  

Joseph Franklin, MD
Durham Plastic Surgeon
5.0 out of 5 stars 8 reviews

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.