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

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.

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