Glandular Tissue left behind after Vaser/Aquashape gynecomastia surgery. Was told Vaser got rid of enough of the gland. True?

Question

Hi, My gyno was from pro hormones that I took when I was about 18. Fast forward to now, at 25, I finally had the proceudre done on Tuesday. During my consultation, the Dr told me an excision (around the nipple) would be done and lipo to sculpt/contour. After the surgery he told me an excision was not needed, that VASER did enough, that removing more glad would have caused it to lose shape and be more flat. Ive read tons of articles and see mixed reviews on VASER helping the gland. Thoughts?

Scott W. Vann, MD, FACS · Answer

I do a lot of gynecomastia correction. I always start with aggressive liposuction. In about half the cases this is all that is needed for a nice result. In about half I make an incision along the lower aerolar edge to excise the small amount tissue left. If there is minimal tissue it is best to not open and maybe cause an inverted nipple. It takes a few weeks for all the swelling to disappear to see what your final result is. Good luck.

Miguel Delgado, MD · Answer

You will need to wait until your chest heals completely from surgery before you see your final results, and that may be several weeks or months from now. For my patients who have breast tissue and fat, I use liposuction and surgical excision to get optimal results. I use liposuction alone only for patients with "pseudo-gynecomastia" which is caused by fat only. Good luck.

Larry S. Nichter, MD, MS, FACS · Answer

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

Joseph Thomas Cruise, MD · Answer

Congratulations on having your surgery! At this point, since your plastic surgeon only used Vaser liposuction, you will have to wait a few weeks to see if you are happy with the final result. At my practice, when there is both fatty tissue and glandular tissue, I remove both using separate techniques; liposuction for fat removal and excision for glandular tissue removal. In my experience I get the best result when combining these two methods. Every surgeon will have their own opinion and preferred technique. It is possible that Vaser liposuction alone may accomplish the desired result.

Glandular Tissue left behind after Vaser/Aquashape gynecomastia surgery. Was told Vaser got rid of enough of the gland. True?

Answers (4)

Answer: Gland Removal

Answer: Gland Removal

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Everything you need to know about Gynecomastia Surgery

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Glandular Tissue left behind after Vaser/Aquashape gynecomastia surgery. Was told Vaser got rid of enough of the gland. True?

Answers (4)

Answer: Gland Removal

Answer: Gland Removal

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.