Normal for lypo and no fat?

[Ottawagyno]

Just had a consult with a Dr,  I'm very low b.f and have some glands, he wants to use lypo to loosen the glands rather than just incise the areola as he said it will cause less bleedING and will be easier to menauver the gland once he incised the areola. 


Is this a common practice?
I was wondering because I had accepted the incision but not will have additional scarring due to lypo incision?

[Dr. Schuster]

I use lipo almost all the time even in patients who are very lean. It's not so much to remove much fat but help the skin to retract better. You will probably need BOTH lipo and direct excision.

[Dr. Elliot Jacobs]

Totally agree with your original doctor and Dr Schuster.  Realize that the lipo instrument (cannula) does much more than remove fat.  Sometimes I use it without suction, so no fat is removed at all on a lean patient -- but the skin has been mobilized and will re-distribute better.

Dr Jacobs

[DrPensler]

I almost always use a combination of liposuction and excision. To be clear the incision I utilize for liposuction is around 1 to 1.5 mm in length and in a crease or stretch mark over the pec tendon in the anterior  armpit. The incision is just not a cosmetic issue postoperatively for my patients. I do not know who you saw but a properly placed incision for liposuction in surgical cases for gynecomastia is not significant. Having said that I have seen multiple incisions in the middle of the chest wall in conspicuous locations performed by surgeons with minimal experience secondarily. Once the incision is in the wrong location there is not a lot that can be done.