Is this gynecomastia surgery correct?

[gyne28]

Recently i have met a doctor for my gynecomastia concern. He says he has done more than 700 operations on gynecomastia.
After seeing my case he told that first he will do liposucution by making a hole below the arm. After that, he will insert a special cutting instrument through same hole made during liposuction & remove the gland tissue. He says that he performs this method on 7 out of 10 patents (those who have softer gland tissue). He told that the advantage is very less scar, no carter & nipple deformations.He also told that he will not perform any draining after the surgery.

If this surgery method so good then why many doctors are not performing it?
Please reply doctors.

[Dr. Elliot Jacobs]

Yes, I am familiar with this technique and indeed use it on occasion -- it does require some special instruments.  However, many of my patients have rather large gyne and this technique doesn't allow good treatment for them -- it usually requires a peri-areolar incision to complete the job.  Also, I use the peri-areolar incision to perform fat flaps if necessary in order to avoid any possible crater deformity.

Finally, since no peri-areolar incision is performed, it is impossible for the surgeon to check if there are any bleeding vessels and give him a chance to stop the bleeding.  While this technique works many times for very mild gyne, in my opinion it is limited for major and/or complicated cases.  However, every surgeon has his own preferences and comfort zone for doing a particular operation.  What counts, ultimately, is the final result.

Dr Jacobs

[DrPensler]

Without any photos or an evaluation I cannot definitively comment. I would say that over 99% of the cases I see ,and the patients come from all over, require an incision in the areola to optimize the final result