Hello Hello. I am 28. i have a grade II gynecomastia. The surgeons i saw said that the glandular component is rudimentary. The last Surgeon said that he will start the procedure first with liposuction and then assess whether he will need to do a surgical excision of the rudimentary gland. is this the regular sequence of treatment? should i just ask him to go ahead and remove the gland directly even its very small. i don't want to be disappointed with the result if he opts for liposuction only.
May 27, 2014
Answer: Lipo for gynecomastia While I'm generally underwhelmed with liposuction treatments for gynecomastia, the suggested plan of liposuction and a small direct incision of subareolar tissue looks pretty solid with the pictures you submitted. You have modest skin expansion and small amounts of excess tissue.
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May 27, 2014
Answer: Lipo for gynecomastia While I'm generally underwhelmed with liposuction treatments for gynecomastia, the suggested plan of liposuction and a small direct incision of subareolar tissue looks pretty solid with the pictures you submitted. You have modest skin expansion and small amounts of excess tissue.
Helpful 1 person found this helpful
May 27, 2014
Answer: Treatment for gynecomastia Your question is regarding the sequence of treatment for gynecomastia. Liposuction followed by excision as needed is not an uncommon approach to the problem. For you specifically, an examination would need to be performed to determine if the excess tissue you have is dense glandular tissue that would be difficult to remove with liposuction alone or if softer fatty tissue, liposuction may suffice. Again, it would require physical examination to better determine. I have had good success with initial direct excision in the office with difficult to notice scars. Understandably you want the best result first time, but a conservative approach will allow for the best result with less chance of developing a scalloped or overresected appearance, which is difficult to treat. Lastly, the consideration for removal of skin should be discussed. You are young and we can hope that the stretched out skin will retract on its own, but that can't be guaranteed and you should be prepared for that as well. Good luck.
Helpful 1 person found this helpful
May 27, 2014
Answer: Treatment for gynecomastia Your question is regarding the sequence of treatment for gynecomastia. Liposuction followed by excision as needed is not an uncommon approach to the problem. For you specifically, an examination would need to be performed to determine if the excess tissue you have is dense glandular tissue that would be difficult to remove with liposuction alone or if softer fatty tissue, liposuction may suffice. Again, it would require physical examination to better determine. I have had good success with initial direct excision in the office with difficult to notice scars. Understandably you want the best result first time, but a conservative approach will allow for the best result with less chance of developing a scalloped or overresected appearance, which is difficult to treat. Lastly, the consideration for removal of skin should be discussed. You are young and we can hope that the stretched out skin will retract on its own, but that can't be guaranteed and you should be prepared for that as well. Good luck.
Helpful 1 person found this helpful
