Is Gynecomastia Surgery Just Breast Liposuction?

Is gynecomastia surgery (male breast reduction) just a version of liposuction for male breasts?

Doctor Answers 50

Involves excision if necessary

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Male breast reduction can involve liposuction and excision of skin, glandular tissue and fat. Therefore, it can be a more complex procedure than liposuction alone.

Liposuction for Gynecomastia

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Gynecomastia (male breast growth) is an enlargement of normal glandular tissue and fat.  Liposuction is very helpful in tapering the excess fat to create a more male appearance to the chest, but it is not particularly effective for the harder glandular tissue beneath the nipple and areola.  Most of the time, liposuction is combined with incisions at the edge of the pigmented part of the areola in order to remove excess glandular tissue.  When the male breast enlargement has resulted in stretching of the skin it may be necessary to remove extra skin as well.  It is important to plan any incisions in the pattern that hides them best.

Mary Lee Peters, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 117 reviews

Gyecomastia Treatment includes both excision of breast tissue as well as liposuction

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Gynecomastia treatment or male breast reduction includes both liposuction of the chest, as well as excision of male breast gland, which is mostley located under the areola. liposuction alone is not enough to remove the fibrous breast tissue under the nipple. 

Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.3 out of 5 stars 51 reviews

Gynecomastia surgery often improved by liposuction

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Many others have already described this condition that is quite common and is very amenable to correction. A thorough examination and appropriate investigations are needed to look for medically reversible causes of male breast enlargement. In the absence of a medically treatable condition, gynecomastia surgery is the only effective treatment.

In most instances it is very important to be near your ideal weight before considering male breast reduction. Enlargement of the male breast can be primarily fat, primarily glandular tissue or a combination. Glandular tissue must be excised while fat tissue can be effectively reduced with liposuction. Some forms of liposuction, particularly Vaser and SmartLipo may offer some advantages for reducing the excess male breast fat. Although some novel instruments and strategies have been developed to remove glandular tissue through a small scar, most patients with excess glandular tissue require a scar along the edge of the areola for access. Excellent results are common with gynecomastia surgery performed by experienced Plastic Surgeons but recurrence, scar indentations and other complications occur occasionally.

Most patients who have this surgery regret not exploring their options earlier and are very happy with the results from surgery. Enlarged and dilated areolae can also be corrected at the time of this surgery when necessary. Patients are back to work in a few days for liposuction only procedures and 1-2 weeks when excision is required.

Dr. Mosher

Mathew C. Mosher, MD
Vancouver Plastic Surgeon
4.5 out of 5 stars 34 reviews

Liposuction is One Technique for Male Breast Reduction

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Liposuction is one technique for Gynecomastia removal.  With use of ultrasound or laser to dissolve the breast tissue, liposuction can be very effective by itself.

Sometimes, liposuction may be used in combination with cutting. Some cases of Male Breast Reduction may be done with cutting, alone.

The determination of the best techniques is based upon your surgeon's judgment and experience.

Think of liposuction as a technique or tool used in a procedure, not as an operation, per se.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 46 reviews

Surgery for Gynecomastia

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Gynecomastia is enlargement of the breast tissue in males. In the adult male it can be caused by several things such as obesity, alcoholism, certain medication, unresolved adolescent gynecomastia and others.

Correction involves creating a smooth chest contour. So I liposuction the chest thoroughly then make an incision on the skin/areolar junction from the 3:00-9:00 positions and remove the residual breast tissue. A small amount, approximately 1cm, is left on the areola to prevent a concave appearance. With the use of small liposuction cannulas and appropriate excision of tissue it is not difficult to get an excellent result.

Gynecomastia can be treated with liposuction or open surgery

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This is a good question, since many men have gynecomastia but do not know that there are surgical options. The treatment really depends on the severity of gynecomastia and the density of the tissue. In many cases, all that is needed is traditional liposuction.

However, if the tissue is dense, then the addition of Smartlipo (laser) or ultrasound-assisted liposuction may help break up the tissues. Is some cases, however, it is necessary to actually cut out the tissue. Additionally, if there is a large amount of excess skin, then more incisions may need to be required to remove the skin.

I hope this is helpful.

Gynecomastia Surgical Techniques

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There are three types of surgical treatment options available that treat gynecomastia. The doctor will recommend the one that is best suited to each individual case.

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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

What is gynecomastia

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GYNECOMASTIA = Breast Enlargement in Men, below are some basic information to know about the procedure and if it is for you:
Gynecomastia or breast enlargement in men can be corrected by a variety of plastic surgical techniques. This condition often creates a psychological poor self perception and many males of all ages do not take their shirts off because of this stigma. Candidates are men who have over-developed or enlarged breasts which may occur as the result of hormonal changes or hereditary conditions.
Candidates are healthy men, whose condition cannot be corrected through exercise, weight reduction or other non-surgical treatments. Appropriate preconditions for surgery are the stabilization of breast development (no further breast enlargement) and localized areas of excess breast tissue and fat.
Intended Result
The procedure intends to reduce the breast size and redundant breast tissue to enhance the contours of the chest. The surgery often reduces physical discomfort associated with the area, as well as physiological and emotional dissatisfaction with the area.
Procedure Description
General, Intravenous or local anesthesia are used for this procedure depending on the severity and type of procedure(s) selected by your plastic surgeon. It is performed on an outpatient basis. For males with very large breasts staged procedures (more than one procedure) may be required. For example, the first procedure may be liposuction, then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.
Oftentimes, specific types of liposuction cannulas are used and often in conjunction with direct removal of excess breast glandular tissue through small incisions for mild to moderate gynecomastia. Other specific techniques can reduce the areola when needed or reposition the nipple to create the appearance of a more natural contour.

Gynecomastia Surgery Depends On The Patient

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A male breast reduction depends on what the tissue of the breast is comprised of: fat or glandular breast tissue. In some cases there is also excess skin to be removed. It's a complex issue that I explain more in the video.

David B. Reath, MD
Knoxville Plastic Surgeon
4.9 out of 5 stars 111 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.