Will Laser Liposuction remove the glandular tissue from Gynecomastia?

Question

I recently had a consultation with a board certified plastic surgeon to correct my Gynecomastia. He claims that the Laser Liposuction will remove the breast tissue. Then, he'll use traditional Liposuction to contour the chest. From what I've read online, the only way to remove the breast tissue is through excision. I specifically asked about having the tissue removed via excision, but he said the Laser will take care of it. I'm not quite sure what to believe.

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

It all depends. If the unwanted tissue is firm (often seen with anabolic steroid use) then liposuction does not go a good job at removing it and a direct surgical removal is required. On the other hand if it has the consistency of fat it can be removed easily with liposuction.Most important is going to a board certified Plastic Surgeon for an exam and the best way to take care of your concerns.

Kenneth Hughes, MD · Answer

A combination approach may produce the best result, but an exam is always helpful in this regard.Kenneth Hughes, MDLos Angeles, CA

Jeffrey Umansky, MD · Answer

Thanks for your question. I have found laser lipo helpful in breaking up glandular tissue that can then be suctioned out of the chest.  Often times, however, the glandular tissue is too thick, and excision is necessary. It is best to determine this with an in person exam. A recommend you get a second consult from a reputable board certified Plastic Surgeon. Good luck!

Jason Emer, MD · Answer

Laser liposuction does not remove glandular tissue.  This is a true face and if you have glands that are enlarged they need to either be removed with surgery or if they are small can be partially removed with VASER.  Laser works great for contouring the chest, this is something I do very often.  I suggest a second opinion from someone who does a lot of chest contouring and gynecomastia treatment.  I wish you the best, Dr. Emer.

Stephen M. Davis, MD, FACS · Answer

Laser liposuction will remove glandular tissue from the breast, but it is dependent on how much is there. If it is a little amount it's usually no problem. If however there is a lot of gland than sometime a combination procedure is necessary. I can't tell you any more without a good physical examination. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Steven Wallach, MD · Answer

Depending upon how glandular the chest is will determine if liposuction alone would be a viable procedure to achieve the desired results. Best to be seen in person.

Mats Hagstrom, MD (license on probation) · Answer

I have performed over 2,000 laser liposuction procedures. Many of those were for gynecomastia.A few things. First of all, it's very individualized. I have seen cases where the tissue is like a solid block of wood. In these cases, any form of liposuction other than VASER will leave limited results.The laser part of laser liposuction is not what works best for breast tissue. At least in my experience, it's the other way around. Liposuction is by far a more powerful tool than the laser.If done correctly, liposuction by itself is sufficient to treat almost all cases of gynecomastia.There are certain cases where I get better results if I make a small skin opening and surgically remove the firmest part of the tissue. These represent less than 10% of the gynecomastia cases I perform.Experience is the most important part of getting these procedures done correctly.I personally like power-assisted liposuction, such as the MicroAire or Tickle lipo equipment, for gynecomastia surgery. I use those in conjunction with laser liposuction.If your plastic surgeon is experienced and does good work, they will most likely be able to take care of you with the techniques they worked out themselves to get the best results.This procedure is dependent on the operator.Some patients are also better candidates than others to have spectacular outcomes.It's up to the surgeon to differentiate who is going to get a great result and who isn't. It is critical that these communications are done thoroughly and clearly prior to embarking on the procedure.A procedure done perfectly can lead to an unhappy patient if expectations were not set correctly from the beginning.Best of luck,Mats Hagstrom, M.D.

Will Laser Liposuction remove the glandular tissue from Gynecomastia?

Answers (7)

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