Author Topic: does lipo get rid of glandular tissue?  (Read 9008 times)

Offline bigbiffa

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I am a body builder and have two 20pence piece size lumps under each nipple, not a major case but enough to make me feel self concious. Surgeon examined me yesterday and said it was mostly fatty tissue and lipo should do the trick, i asked him about the glands and he said the lipo tools they use now are really strong and it will remove most of the gland any way but if he was not happy at the end he would make incision around my nipple and cut out te remaining gland for same price as lipo which was £2500

what do you guys think of this, do you think lipo will remove some glandular issue?

GynO_DuDe

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Yup, the method my surgeon used was Lipo and that removed gland aswell ...

Offline bigbiffa

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Thanks Gyno-Dude! was yours a minor case?

GynO_DuDe

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Nah it was a major case, but their was no excision or anything, just a little whole on the side and using a cannula he extracted glandular tissue as well as fat.

Im just saying, not all methods need excision, with technology NOW its possible to do it with minimal scarring and through Lipo.

Offline bigbiffa

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thanks mate, wasnt sure if it was bullshit or not as heard alot of guys on here had lipo that didnt work.

anyone else had lipo to remove gyno?

Offline Bigdom

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I did, although i believe a tool originally meant for shaving cartilage operations was also used, however the same hole.  The resulting scar is just slightly larger than the 'O' on a standard keyboard.

Offline rockstar6181

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out of intrest mate who offered you the op for 2500? I also have 20p size glands and also bodybuild.
cheers

DrBermant

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I am a body builder and have two 20pence piece size lumps under each nipple, not a major case but enough to make me feel self concious. Surgeon examined me yesterday and said it was mostly fatty tissue and lipo should do the trick, i asked him about the glands and he said the lipo tools they use now are really strong and it will remove most of the gland any way but if he was not happy at the end he would make incision around my nipple and cut out te remaining gland for same price as lipo which was £2500

what do you guys think of this, do you think lipo will remove some glandular issue?

Liposuction Is Great for Sculpting Fat

Various types of ultrasonic, power assisted liposuction (UAL and PAL), and sharp cutting cannula have been around for quite some time.  Each surgeon uses the tools and techniques he / she prefers.

There are studies claiming that ultrasonic liposuction does not break down gland cells, these were done to justify the safety in female liposuction breast reduction surgery.  Ultrasonic energy cannot be both ways, good for gland breakdown and safe not harming gland unless there is a difference between male and female breast gland tissue which has not been proven to my knowledge.

Tumescent liposuction is a form of anesthesia where fluid is placed in the tissues to be sculpted.  You can see very graphic pictures of the tumescent technique here.

Liposuction such as ultrasonic, VASER, power assisted, and sharp cutting cannula preferentially remove fat over gland.  Gland tends to exist under the nipple areola region.  When fingers of fat extend between fingers of gland, breast reduction can come from removing the fat and leaving gland behind.  On animation such as flexing the pectoral muscles or putting the arms over head, gland does not compress or move like fat.

Even if a tool could cut gland from a remote incision, I have seen many patients from other doctors with alayer of remaining gland after gynecomastia surgery.  Roll your cursor over that text or image and you can see a drawing of gland that can be left behind after surgery.  I have seen many examples of gland adherent to the muscle areola complex, that is why I prefer to target the gland first with a tiny incision near the areola.

When gynecomastia is from fat, liposuction works very well for contouring the chest.  I have seen many patients from other doctors who tried to use liposuction alone techniques that left gland behind that the patients just did not like for Revision Gynecomastia Chest Sculpture.

Here is an example of Revision Surgery after Liposuction alone.   Here is another revision after liposuction alone.

The problem is picking the right method for what actually is that patient's problem.  That is why I prefer my Dynamic Technique that permits what I find during surgery to guide my sculpture.  The incision at the edge of the areola  opens up my entire spectrum of artist's pallet of tools for my sculpture.  A remote incision robs me of many options and just does not looks as nice.

I have also seen patients with channel problems between remote access sites and the areola / nipple.  Scars, adhesions, and depressions can look terrible.  Check out the lateral (side views) and posterior oblique (side from the back views with and without muscle flexion here to see what I mean.

Ultrasonic liposuction uses energy to help emulsify fat.  Power assisted liposuction uses mechanical vibrating devices to rapidly move the cannula back and forth.  Both PAL and Ultrasonic methods have been around for several years.  Many do not prefer what they do to the tissue.  Others like what they offer.  Both still preferentially remove fat over gland.  Both make the work of the surgeon easier.  Some feel ultrasonic liposuction can cause more swelling, bruising, and the increase the need for drains.

For a liposuction cannula to remove gland, it can also remove connective tissue and other structures which can lead to more bruising and scars.  I have seen so many patients who were unhappy from doctors that used "special cannula to remove gland," that I just prefer to go directly to the problem itself.  Primary surgery is usually better than needing a revision.  All male breasts have gland.  With access to the gland directly, I can peel it off the areola muscle, minimize bruising and bleeding with direct control of the tiny blood vessels, and then reconstruct the contour.

For me however, they also both remove the feel of the tissue sculpture.  I like the much better control I get with my cannula selection and personally I do not like either ultrasonic nor power assisted techniques.  None of the cases on my website used either PAL, Ultrasonic, nor sharp cutting cannula techniques. 

As any artist, I take my cannula selection very seriously and have evolved what permits me to achieve my results.  I have considered and evaluated many, many technologies.  The many different types of cannula I use have their own advantages and qualities.  I pick a subset of these cannula that varies for the many different types of gynecomastia male chest sculpture that I see.

Gland removal by any technique can still leave a depression when  a major part of the problem is from gland.  For gland removal, I prefer the greater precision of removal under direct visualization and feel.  This also give me access to many more elements for my artistic palette of my Dynamic Technique to sculpt the remaining tissues.

This approach permits me to maximize the removal of the firm gland and sculpt the remaining fat.  How tissues move is important.  The human body is beautiful in animation.  That is why I show pictures of the chest with arms up, down, and with muscles tight / relaxed in addition to the results from multiple views.  Such analysis of the results as well as how tissues evolve, the possible need for drains, comfort level after surgery, are important factors in picking your doctor.  It is like an artist selecting a paint brush.  The results are what matters, not with what tool they sculpt.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia Surgery

Offline bigbiffa

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Thanks guys so it is possible to remove the gland through lipo! The surgeon said if there was any gland left after lipo he would remove the gland through incision so suppose he is pretty confident of doing it with lipo.

GynO_DuDe

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Yeah, so in other words, he's using a tool that removes gland as well as fat, and any bits that didnt get out with the tool he'd cut out manually with an extra incision.

Offline bigbiffa

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Offline bigbiffa

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how long after lipo do you need to wear a compression vest usually? would a nike compression vest be ok?

belfastmale

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i think most surgeons advice between 2-4 weeks wether its lipo or lipo/excission

GynO_DuDe

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how long after lipo do you need to wear a compression vest usually? would a nike compression vest be ok?

Nike vests aren't tight enough apparently ... (never used one).

Best to get one strictly made for Gynecomsatia ... im sure someone will come along with some website links to order one online.

Offline ineedhelp

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hey big biffa, who quted you 2500 and where are they based? seems very cheap for this  surgery?


 

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