Can you use a cartilage shaver in gynecomastia?

Thank you for your excellent question, you have been doing your research!  In most cases of gynecomastia complete glandular removal is best performed through a lower areola incision as this allows complete, direct visualization of the glandular tissue.  A cartilage shaver can be used in very small cases of gynecomastia that are glandular and do not demonstrate a significant fibrofatty component.  Hope this helps.

Some surgeons may use a cartilage shaver to remove gynecomastia tissue but there are risks like hematomas that can develop because often this is done blindly( meaning without direct visualization). I prefer direct excision often combined with liposuction.