well at least you have choice
Iam going through the NHS at the mo, and my surgeon has told me that she will only do lipo first as mine is mainly fat with gland on one side as indicated by ultrasound.
She then said if I am not happy she will cut the gland out at a second op but apparenly she only does it first time if she is sure it will show.Because of scarring and infection (nhs hospitals aren't the cleanest of places.
I would prefer to have the choice personally.To your question I think it all comes down to you and what you are prepared to put up with. No one can know how your chest will look if you just have lipo. If you just have the lipo and you get fat there again I guess you will be bac to square one. So you would have as you said to make sure it doesn't happen.
If you have the gland out you may well get a better result and if you do put on a little weight again it may be less of a problem. However scarring may be a problem here. i was told I will be left with scars and really I don't now how good your surgeon is and some people don't have a problem with scars and others do.
i think it depends as well how bad you think your gyne is mine is minor on one side so I am debating whether to have surgery at all even though I have been told I can have it.
What does your surgeon think ? have they given an opinion on what they think is best for you. Bit tough for you to decide all this on your own.
From what i have read on the site some have had lipo only and been pleased with the results others not so.
Personally if it was me I would just have the lipo first you are getting it free anyway and see how it looks. Will they let you have the gland out if you are not happy? As I said this is what they are doing with me as my gyne is quite minor and they are concerned about scars as I have BDD.Anyway I expect other people will give you some info as well maybe someone who has had lipo only.Good luck.