How much tissue should be left after gynecomastia surgery?
Doctor Answers 6
Should I have Undergone Excision?
Difference Between Fat and True Gynecomastia
I think it is first important to understand the difference between fat deposits in the chest and true gynecomastia. Medicine and surgery are easy once you have the correct diagnosis. Gynecomastia means that the breast bud present in every man and woman at birth has been stimulated with estrogen-type circulating hormones. This can be distinguished from fat because it is firm to touch and palpation as opposed to the soft fat of the abdomen. If you had true gynecomastia, liposuction will not correct that and excision should have been done. Granted you are only five days from surgery, and it may be hard to distinguish a difference right now because of the swelling. Once the majority of the swelling is down, which should be the case in six weeks, then I suggest the following: Tense your chest muscles. Feel the thickness of fat that is between the skin and the muscle one inch below your collarbone. That is the same amount of thickness that should be under your nipple and areolae at six weeks’ time. If it is larger than that then there is likely glandular tissue left behind that should still be excised.
I hope this has been helpful.
Robert D. Wilcox, MD
Just enough and not too much
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