Follow up - What's the right procedure to use to remove excess fat and contour sagging skin? (Photo)
Doctor Answers 8
Surgical Options That Treat Gynecomastia
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.
Best Gynecomastia Procedure
Thank you for the post and the photos. You have asymmetric gynecomastia with one side being larger and the nipple being lower than the other side. Without examining you it is difficult to tell how much your skin will retract. In my experience, this type of gynecomastia requires both liposuction and glandular excision. I prefer to stage borderline cases to see how much skin retraction they get so as to not commit them to any excess scars unnecessarily. However, without examining you it is difficult to advise any more specifically. I strongly recommend that you be evaluated by an experienced gynecomastia surgeon.
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Gland excision plus chest lipo
Male chest and excess skin
Remove the fat and be left with sagging skin.
Gynecomastia with skin excess
The first step in the procedure is to remove the excess volume - via either liposuction alone or in combination with direct glandular excision - depending on the effectiveness of liposuction alone. There will be some residual skin laxity - how much depends on your age, how overweight you had been and your overall skin elasticity. It appears that removing the excess skin via a periareolar incision (dougnut) should be enough to give you the chest shape you desire. I hope this opinion helps.
James P. Anthony, M.D., FACS
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.