Author Topic: Do I need an excision or just liposuction (gynecomastia)  (Read 2932 times)

Offline Talal77

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Hi I have rise in the chest area and as especially behind the nipple and the region is a little bit hard and firm even when I nearly loose 100lb the chest area change just a little so I asked my surgeon if I need a excision and he told me that I don't need excision I just need liposuction so my question from the picture do you think I need excision or just liposuction..this is the photo..

Offline Miguel Delgado MD

  • Miguel A. Delgado,MD,FACS
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  • Miguel Delgado,MD
    • Gynecomastia Specialist San Francisco, California
Nice job in losing the weight.  You most likely have a gland component to your chest unless you have psuedogynecomastia which is fat only.  It is difficult to say without an exam but my feeling is that liposuction alone would be incomplete.
Miguel A Delgado,MD,FACS
American Society of Plastic Surgeons
American Society for Aesthetic Plastic Surgeons
Fellow,American College of Surgeons
450 Sutter, San Francisco, California

Offline Dr. Schuster

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You really need an exam. If there is a hard, dense area of thickening beneath the nipple, direct excision is probably required in addition to the lipo.
Dr. Schuster
Chief, Division of Plastic Surgery Northwest Hospital
Private practice in Baltimore, Maryland
10807 Falls Road
Lutherville, Maryland 21093

Offline Dr. Cruise

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Congratulations on your weight loss. You look great! From what you are describing, I would be inclined to say excision of the glandular tissue would be necessary. An in-peson examination is really necessary to determine the components of your gynecomastia (fatty vs glandular or both). I rarely perform liposuction only, because it doesn't usually achieve the best result. 
I would recommend getting more than one opinion. Be sure you are seeking out the advice from board-certified plastic surgeons who truly specialist in male breast reduction surgery. 
Best of Luck!
Dr. Cruise
Board Certified Plastic Surgeon
2081 San Joaquin Hills Road
Newport Beach, CA 92660
Before and After Pictures
Types of Gynecomastia

Offline Litlriki

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Congratulations on your weight loss.  To answer your question, I use a combination of liposuction and excision in nearly all cases in order to provide complete treatment.  Liposuction alone may not be adequate to eliminate any glandular component, and this would be more prominent after suctioning of the surrounding fat.  You should consult with a surgeon who does gynecomastia surgery on a regular basis.  
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458

Certified by the American Board of Plastic Surgery


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