Will I Get Good Results Removing Only Man Breast Tissue Without Liposuction?

hi i am a young male who is not obese or anything at all and my doctor recently said i would benefit from a male gynocamastea surgery. what i would like to know is that is it ok to just have the tisue removed instead of liposuction. the doctor that i want to have it done with who is another person said that he doesnt do liposuction only removal. will that be okay to get the results i want. i only have very slight projection of the nipple area..

Doctor Answers 6

Treating the Various Types of Gynecomastia

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There are different types of #gynecomastia. Some require treating for improvement while others do not.
#Normal Gynecomastia usually apparent in boy between the ages of 12 to 15 years old and older men 65 years old or more who experience a drop in their testosterone levels. This type of Gynecomastia takes about one to two years to regress on its own.
#Pure Glandular Gynecomastia is particularly seen more commonly in body builders and is caused by steroid use. Surgical removal of the gland is required for treatment.
With Adult Gynecomastia, fat deposits are apparent in the glandular tissue. This type of gynecomastia is the most common and doctors may recommend surgery for treatment of the condition.
Adolescent Gynecomastia is hereditary and usually appears in 30% to 60% of boys between the ages of nine to fourteen. Many cases of adolescent gynecomastia resolve on its own as the boy grows into adulthood. Some may choose to undergo surgery to correct the situation, this usually happens at the age of 18 or above. In severe cases in young boys, the physician and child development specialists will need to speak to the parents regarding the severity of the gynecomastia and if surgery is an option before the age of 18.
#Assymetric or Unilateral Gynecomastia appears in either one or both breasts at different degrees. In many cases one breast appears larger than the other. Surgery is a common treatment for this type of gynecomastia.
#Pseudo-Gynecomastia is composed of adipose tissue instead of glandular tissue. This type of gynecomastia can be treated with diet, liposuction or surgery
Severe Gynecomastia commonly affects those who have lost skin elasticity at an older age and those who have been obese or overweight at one point in their life and lost weight may have saggy skin and breasts that are severely enlarged. Surgery is the recommended treatment for severe gynecomastia.
There are three types of surgical #treatment #options available that treat gynecomastia. A board-certified plastic surgeon will recommend the type best suited for a patient based on their personal condition.

Gynecomastia Surgery?

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Thank you for the question.
Gynecomastia comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males.  The diagnosis can be made by physical examination where relatively firm tissue  (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue).
Breast prominence due to excessive adipose tissue is called pseudo-gynecomastia or lipomastia.  The differentiation of true  gynecomastia  from adipose tissue is important because the surgical treatment may differ. Usually  physical examination by a well experienced board-certified plastic surgeon is sufficient to make the diagnosis  and to determine the best course of treatment.
I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.
I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. You will find that this recommendation will be more important than any specific “miracle technology” that you will undoubtedly hear about.
I hope this helps.


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Either liposuction or direct excisiion of male breast tissue can be performed. If the tissue is mostly fibrous, direct excision is easier. You will need an examination since the decision can only be made based on that.

Open Excision For Areolar Gynecomastia

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If the amount of excess breast tissue is limited only to underneath the areola or slightly beyond, then an open excision by itself will work just fine. This does sound like what you are describing with projection limited to the nipple area.  The one concern when doing an open excision is to not remove too much tissue. This can create a nipple inversion problem. This is a finesse operation not a tumor removal procedure so you are best served to have it done by a board-certified plastic surgeon.

Male breast reduction

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Without an exam it is hard to tell. Many general surgeons do variations of what a palstic usrgoen would do.  If you have mainly breast tissue, then perhaps excision is required. If it is mostly fatty tissue, then liposuction is often beneficial.  A common complications is that a depression under the areola forms in some cases.

Gynecomastia and liposuction

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Excess male chest development can be only breast tissue (true gynecomastia) or partially breast tissue mixed with fat (gynecolipomastia) or all fat (lipomastia). If there is a fatty component then some liposuction  is generally helpful but if there is only breast tissue present surgical excision alone usually suffices. Hope this helps!

Marcel Daniels, MD
Long Beach Plastic Surgeon

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.