Could I get liposuction for pseudo gynecomastia on my left side?

Question

Could i get liposuction to even out both sides of my chestI have unilateral pseudo gynecomastia on my left side and I would just want an amount of fat to be removed so that its even with my right. Im aware that fat cells dont come back after being removed so wouldn't it be possible to remove the excess fat cells on my left so that its even with my right

Daniel Careaga, MD · Answer

Generally, I would recommend to perform liposuction on both sides. There are two main reasons I have for this. First of all, when you perform liposuction area, you are physically removing the vast majority of fat cells. If you were not to treat the other side and you later gained weight, that side may grow disproportionately. Additionally, when an area gets treated with liposuction, there can be very minimal skin changes, which would probably not be noticeable if they were on both sides, but if it was just one side, they may very well be. Most cases will have some degree of asymmetry. A good surgeon will be able to correct for this and still be able to liposuction both sides.

James M. Economides, MD, FACS · Answer

Depending on the amount of skin, liposuction for unilateral pseudogynecomastia would be possible to make you more symmetric. You would have to have true pseudogynecomastia as liposuction would be ineffective for glandular tissue. It is best to consult with a board certified plastic surgeon who can examine you.

Ronald Schuster, MD · Answer

Most cases of gynecomastia need a combination of liposuction and direct excision of glandular tissue. Sometimes patients want just one side treated so the goal is to make that side look like the other. This can be done however there might always be a bit of a difference between the two sides.

James Lee, MD · Answer

Thank you for submitting your question. If it truly is pseudo gynecomastia where there is only excess fat tissue (and no gland) then yes, liposuction alone can help correct this. It is also not uncommon to have some differences from one side to the other. Be sure to consult with a board-certified Plastic Surgeon for an in person physical exam since often times there is a gland component, and if a gland component is present liposuction alone may not be enough to adequately treat the gynecomastia. Hope this helps.

Tim Neavin, MD · Answer

Thank you for your question.  It is difficult to answer this question without either seeing a photo or examining you.  It is impossible to create a perfect symmetry, but generally speaking, quite easy to improve asymmetrical chests with surgery.  Be sure to see a plastic surgeon that performs a lot of gynecomastia surgeries.

George Bitar, MD · Answer

The short answer is, yes. It is possible to correct unilateral gynecomastia with liposuction. The longer is whether that would adequately correct your condition. It is hard to tell without pictures or examining you.

I correct gynecomastia by liposuction only, or liposuction with excision. The incision is commonly made around the nipple and heals nicely. It is possible to operate only on one side, but it's difficult to achieve perfect symmetry. Consult a board certified plastic surgeon today for full assessment.

Daniel Barrett, MD · Answer

Dear EdgeFlied1,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Hello! You may be able to get liposuction for your condition. You would need to speak with a board-certified plastic surgeon who performs these procedures. They will evaluate your condition and give you advice regarding what they think is the best option for you.
Liposuction is one of the most effective ways to reduce the appearance of gynecomastias. It is performed by removing unwanted fat cells and not breast gland tissue. When you consult a physician, he/she will explain to you the risks and benefits associated with each procedure.
They will also suggest certain exam techniques to confirm it is pseudo-gynecomastia and not true gynecomastia. Some of the medical exams that can be used to diagnose your condition include:
• Ultrasound
• MRI
• X-ray
• Mammogram
• Biopsies
We hope you found our answer helpful. Please let us know if you have any other questions.

Karthik Ram, MRCS, DNB · Answer

Yes . For pseudo gynaecomastia the treatment is same as gynaecomastia,  surgical removal of both gland and fat. With only Liposuction the gland part will remain and it is very difficult to say if it will match with the opposite side.

Andrew M. Ress, MD · Answer

Any enlargement of the male breast is gynecomastia whether it be all fat or fat and breast tissue. Only an in person assesment can determine exactly is going on in your case. Treating both sides with liposuction will equalize each side and allow any changes with weight gain or loss to be symetric.
Fat on the sides of the breast along the rib cage is not gynecomastia per se but just 'lipodystrophy' and is also treated with liposuction.

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