Is Laser Surgery the Most Effective Form of Male Breast Reduction?

The answer is not really.  Gynecomastia does not respond well to medical therapies, and there is no FDA approved medical therapy.  Sometimes the appearance of gynecomastia can be more or less apparent; that is, "camouflaged" by surrounding chest fat or muscle tissue.  Some patients will be more satisfied with their chest shape when they lose or gain weight, develop their pectorals, etc.  This does not really treat their gynecomastia, but may make it less visible.  In most patients with gynecomastia there are both glandular and fat components, and effective treatment addresses both. Dense, firm glandular tissue does not respond well to liposuction alone, whereas fat can be treated nicely with liposuction. If the glandular component is fairly small and the fatty component is larger, liposuction alone can make a worthwhile impact in selected cases. In most patients, both components need to be addressed. Typically this means partial resection of the glandular component combined with liposuction for the fatty component, as well as to feather out the edges of the resection cavity.

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.

I know of no FDA approved non surgical/non invasive treatment for gynecomastia. If you are seeking non surgical options for mild gynecomastia, I think that Vanquish which uses RF energy, or UltraShape that uses ultrasound rather than Cool Sculpt would be the best option though all are off FDA usage. Surgery is the best option for the vast majority of patients with gynecomastia.#gynecomastia#malebreastreduction

Exercising and dieting can firm up the area by reducing the amount of fat, however if the problem is excess glandular tissue or loose skin, then surgery is your best option.

There are no effective non-surgical treatments for gynecomastia.  Best that you consult with a board certified plastic surgeon for your evaluation.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

I am ask this question frequently.  If you have true gynecomastia it will not resolve after its development unless you are in the  teenage years. Diet and exercise will reduced the fat tissue but the breast gland will not resolve.

There is no treatment (non-surgical) that can give the results that surgery can for male breast reduction. Gynecomastia (excess male breast tissue) is typically treated with a combination of liposuction to removes excess fat plus direct excision of breast tissue through a small areolar incision. Non-surgical treatments can not remove the breast tissue, which is quite firm. I recommend consulting with a board certified plastic surgeon for an evaluation to see which approach is best for you.

Best wishes,

Dr.Bruno

Traditional tumescent power assisted liposuction (PAL) has beenvery effective in my hands in the treatment of gynecomastia, especially whencombined with a “Stealth” excision.  Additionof a laser to the liposuction protocol certainly makes it more "high tech", but also adds extra expense and increased therisk of complications such as inadvertent burns.  In surgery, as in most other aspects of life,”keep it simple” is a good rule of thumb.

Hi,Unfortunately there is no non-surgical treatment for gynecomastia.  Gynecomastia is due to excess breast tissue and only surgery can effectively and predictably remove it. Excess fatty tissue that can give the chest a more feminine look can be treat non-surgically with diet and exercise. However, breast tissue excess needs to be surgically removed.Sincerely,Dr. Dadvand

A laser is either a cutting tool, substituting for a scalpel, or a method for skin resurfacing. Gynecomastia requires either skin and glandular resection, liposuction, or both. At this time, there are no pharmacological substitutes for surgery.