I'm 36 and would like gynecomastia breast reduction. Would it require fat suction as well as tissue removal? (Photo)
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Doctor Answers 11
The treatment is partial excision of the gland and liposuction of the chest/breast area for proper contouring of the chest.
Sensation changes expected are numbness for months. Most if not all returns.
Yes. Weight loss will help reduce the fatty tissue. But the glandular tissue, that will not got away.
I make one incision at the bottom of the areola. In the vast majority of my patients I am able to remove the gland and perform all the lipo through that one incision.
Definitely make an in-person consultation to evaluate your and discuss your options.
Hope that helps some and best wishes!
What Type of Gynecomastia Surgery is Necessary?
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By your pictures, you have true gynecomastia. This can be easily ascertained by squeezing the tissue in noting that it is very hard like dense scar tissue as opposed to the fatty tissue underneath the skin of your abdomen. It is important you go to someone who has experience in this procedure. I developed a technique over the last 10 years involving no scar on the chest and do the entire procedure through a small incision in the armpit with no drainage tubes. You will have numbness in the area which should return 100% by six months’ time. The glandular tissue is removed as well as some of the fatty tissue in the periphery such that the thickness of fat in your upper chest should match the thickness of fat in the lower chest by six months’ time.
Paradoxically, weight loss usually makes the gynecomastia more prominent because the subcutaneous fat layer is reduced leaving the unchanged glandular tissue more prominent.
I hope this has been helpful to you.
Robert D. Wilcox, MD
Breast fat and gland
Excision +/- liposuction for gynecomastia
The surgical excision is performed through a small incision that follows the lower border of the areola. Complete numbness of the areola is not a complication that I have encountered before.
In addition, liposuction will help to contour the chest and highlight the borders of the pectoralis muscle.
Without examining you, it's difficult to comment on the effects of a 7-10kg weight loss. I suspect that there would still be a significant amount of glandular tissue.
Fat removal as well as tissue removal is required for successful gynecomastia surgery
Weight loss will not work by itself.
Surgery will be needed. Your chosen doctor will need to discuss risks associated with surgery.
Gynecomastia breast reduction
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.