Is Vaser Liposuction Best for Male Breast Reduction?

Great question! In my practice I offer combinations of liposuction techniques and excision of the breast bud. Understand the degree and classification of the gynecomastia is the first stage in determining the plan for surgery. In most cases I offer a tri lipo combination. I start with the VASER (low wattage ultrasonic liposuction) for the dense fibrous breast tissue and fat, followed by Smart Lipo Triplex (32 to 40 watts on wave lengths 1064,1320,1440 up to 20,000 joules per side) for further fat melting and skin contraction. Finally, I clean out with traditional or PAL power assisted lipo using a 3 mm cannula. If there is a small sub areolar breast bud than I do a circum areolar excisional removal. So do I ever use VASER alone? No I use a combination of liposuction technologies. Best of luck. 

Thank you for the question.

 

Gynecomastia comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males.  The diagnosis can be made by physical examination where relatively firm tissue  (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue).
Breast prominence due to excessive adipose tissue is called pseudo-gynecomastia or lipomastia.  The differentiation of true  gynecomastia  from adipose tissue is important because the surgical treatment may differ. Usually  physical examination by a well experienced board-certified plastic surgeon is sufficient to make the diagnosis  and to determine the best course of treatment.
I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.
I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. You will find that this recommendation will be more important than any specific “miracle technology” that you will undoubtedly hear about.
 
I hope this helps.