Ideal incision points for liposuction to perform gynecomastia surgery?

3 surgeons, all have proposed tissue removal with a semi circle incision on the areola, however liposuction incisions suggestions vary (1) Single incision in the armpit crease area (2) No further incision, use the areola incision (3) Two incisions on each side around the crease of the chest to allow proper "cross channelling" and full access to the target fat which may not be precise enough with options 1 & 2. This makes sense but its at the cost of 4 head on scars. Any views from surgeons?

Doctor Answers 4

Surgical Techniques and Gynecomastia

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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.

Lastly, it is crucial you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Difference of Opinions on Incisions

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There are no standards concerning the placement and/or number of incisions for gynecomastia surgery.  It depends on what needs to accomplished  Additionally, the experience of the surgeon with his or her techique to produce consistent results is crucial.  

gynecomstia Islington, GB

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As a rule liposuction is not enough to treat gynecomastia,the most important part is excision of the gland,or it will reoccure .
How should I choose a surgeon?
Choose carefully. The decision is yours. Advice to assist in making your selection.Only a board certified plastic surgeon 1. Experience matters. Choosing a surgeon increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience. 2. Results matter. The more before-and-after pictures, the better. Pay attention whether the surgeon is confident enough to show multiple angles of the same patient. 3.Only gynecomastia Reviews matter. 4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Have they authored books or medical journal articles regarding your surgery? Be realistic about your expectations. Also, revision surgery tends to be significantly more difficult than initial surgery.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 89 reviews

Ideal incision points for liposuction to perform gynecomastia surgery?

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Thank you for the question. There is no "ideal"; practices will vary from one surgeon to another. My best suggestion: select your plastic surgeon carefully based on significant/demonstrable experience  safely achieving the types of outcomes you will be pleased with.  Working together, you will come up with the best plan to achieve your goals, preferably with as minimal scarring as possible. Best wishes.

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.