Popcorning technique for gynecomastia revision?

The majority of patients getting gynecomastia surgery probably wish their results were better than what they get.
There are three tissue variables that can limit the outcome. These are skin laxity, excess subcutaneous fat or residual glandular tissue.
The easiest way to differentiate is to put the pectoralis muscle and skin under tension by one at a time stretching your arms behind your head. with the skin and pectoralis muscle under tension with one arm behind your head you can easily palpate the thickness of subcutaneous fat and see the contour of the glandular tissue. you can also watch the contour change as you slowly put your arm back down and see the impact that skin laxity has on the chest contour.
Any man who’s had any significant weight fluctuations or men over the age of 35 will have some skin laxity that will inherently limit a high-quality outcome. that is not to say there can’t be improvements and often the procedure may not have been done sufficiently. The best way is to assess which tissue component is causing the problem and that is best done by putting the skin under tension.
I watched the YouTube video on the popcorn technique and left a comment. I don’t think that is going to work in the female patient and it makes no sense whatsoever for gynecomastia surgery.
The key to any successful operation is to first and foremost have a clear understanding of what the problem is. Make an accurate diagnosis before prescribing an operation.
Good luck,
Mats Hagstrom MD