Gynecomastia removal (complete or leave a little bit for nipple structural integrity)?

Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. 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.The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

It is important to leave a small cuff of tissue behind the areola to prevent depression contour deformity. Seek a specialist in your area

Thank you for the question. It is important, in my opinion, to NOT  remove all of the glandular tissue;  a few millimeters of glandular tissue left intact below the nipples/areola complexes will help prevent contour depressions ( "saucer deformities").   Ultimately, careful selection of your plastic surgeon will be key. Best wishes.

It is always better to leave a little tissue under the nipple areolar complex during gynecomastia surgery, so there is not a contour depression in this area.

Hello,  thank you for your question.   Correction of gynecomastia should leave some breast tissue under te nipple/areola complex in order the have natural outcome.  Removing all breast tissue under the nipple will only create distortion to the area and should avoided.  Have a great day. 

How should I choose a surgeon?Choose carefully. The decision is yours. Advice to assist in making your selection.Only a board certified plastic surgeon1. 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.So be extremely careful choosing the right Plastic Surgeon at the beginning.