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Is it standard to remove all of the gland tissue in gynecomastia surgery?

Tartanic
My doc advised he had to remove all my gland tissue due to it having a chance to return and that it would have left a hard lump if he didn't. However, when I flex/tense my muscle my nipples depress/cave inwards - this has me feeling fearful and discouraged. I read some surgeons leave some of the gland tissue remaining in order to prevent this very issue - what is the standard? Could this possibly be due to scar tissue tethering the nipple? Thank you in advance.

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Dr. Jeffrey D. Wagner, MD
Answered on Jan 10, 2016
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Dr. Jeffrey D. Wagner, MD
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Dr. Jed H. Horowitz, MD, FACS
Answered on Oct 8, 2016
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Dr. Jed H. Horowitz, MD, FACS
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Dr. Nelson Castillo, MD
Answered on Dec 17, 2015
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Dr. Nelson Castillo, MD
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Dr. Tim Neavin, MD
Answered on Dec 16, 2015
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Dr. Tim Neavin, MD
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Dr. Stuart A. Linder, MD, FACS
Answered on Dec 16, 2015
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Dr. Stuart A. Linder, MD, FACS
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