Which Gynecomastia Technique for a Thin Male?

In my practice, I often combine both direct excision to remove the thick subareolar gland and liposuction to help contour the chest.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

If you truly have gynecomastia then you have glandular tissue present.  Liposuction no matter what type will not remove this and direct excision is necessary Thirty-five percent of my gynecomastia practice is revision surgery.  Liposuction only is the most common reason.

Vaser assisted liposuction works great for gynecomastia.  It removes the fat around the glandular tissue and makes it easier for the surgeon to find and remove the glandular tissue.  Vaser works better in the male breast than other types of liposuction because it passes through the fibrous tissue with less trauma and bleeding, especially in thin people.

The treatment for gynecomastia, weather it be a direct excision, liposuction, and/or both, is directly related to the patient's anatomy. If a patient is thin and has a discrete gland under the areola, then direct excision is the treatment of choice. If there is a lot of fatty tissue, liposuction will work and, sometimes, patients need both. The treatment is very effective and has a very high patient satisfaction with minimal downtime.

Gynecomastia is a condition seen in many men.  There are different techniques that surgeons use to treat this condition.  Enlarged male breasts can be reduced by liposuction and/or cutting out excess glandular tissue.  Men of any age who are healthy, can be considered good candidates for this procedure.  Often liposuction is tried first, but if the breast tissue is not removed well as it sometimes occurs in thin people, then it will have to be excised directly.  The best way to really determine which technique would be best for you, is to have a scheduled appointment with a board certified plastic surgeon.