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.

 

 

 

The appropriate treatment for gynecomastia is dependent on whether the tissue is fatty or glandular. Even if you are thin, the question is the composition of the breast tissue and it is possible for even a slender individual to have fatty deposits in the breasts. The technique needs to suit the diagnosis and this can be elucidated during a consultation.

Gynecomastia usually involves a combination of breast glandular and fatty tissue in men. The fatty tissue is often amenable to removal with liposuction but the thicker, denser gland beneath the nipple may require surgical excision with a small scar within the areola.

Gynecomastia is a condition where males develop enlargment of the breasts causing males for to be self-conscious of their chest appearance. The technique utilized depends on the severity and complexity of each specific case. The glandular tissue must be removed. This may be done using a small peri-areolar incision. In some cases, it is helpful to use liposuction to remove some adipose tissue, which may surround the ductal tissue.

In this surgery, first fat is removed in layers with Liposuction.  This leaves behind gland tissue, which now is more clearly defined. Gland is then removed under visual control.  This gives the best ourcome. Prior to advent of   liposuction, all gynecomastias were excised and results were not as good. 

Gynecomastia is enlaged breast tissue in the male. It is some times associated with more fat in the breast and the chest.

Breast tissue can not be taken out by liposuction therefore it has to be removed surgically. If there is fat in the breast and the chest then we add liposuction to the fat to reduce the size of the breast evenly.