Would lipo only make the gland stand out more?

[49er]

I've been to see 4 plastic surgeons.  The most impressive and experienced said that lipo would reduce it by 75%.  The remaining 25% from excision.  Even though lipo would remove 75% would this still result in unevenness?  The gland is concentrated more around the nipple while the fat is usually more spread.  I'm worried that if I got just lipo then it would make the gland around the nipple stand out more.  I understand that just by feeling the area it is difficult to determine the composition and sonograms are needed and that pictures are even harder to judge.  Despite that, I am wondering what you would go for from the pics?

Edit:  If pics do not upload right click on them and open up in new tab/window.  

[Dr. Elliot Jacobs]

Yes, lipo only would tend to make the gland stand out more.  It just depends on how aggressive the surgeon is with his lipo.

I don't even bother with sonograms or mammograms unless I consider something suspicious.  Otherwise, the decisions on what to do are made at the time of surgery, based on what is found clinically during the operation.

Dr Jacobs

[Litlriki]

The pictures don't seem to load for me, but I'll second Dr. Jacob's motion.  I make the decision about excision at the time of the procedure, and as I've said before, I excise some tissue along with liposuction in 90 to 95% of cases.  Liposuction alone has left many a patient with persistent prominence of the nipples.

Rick Silverman

[49er]

Thanks for the answers.  Dr. Silverman, the photos don't come up for me either but load when I right click and open up in new tab/window.