Question for Dr. Jacobs

[macman213]

I’ve noticed that you’ve mentioned in a couple of posts that there have been times were you’ve removed gland tissue with lipo/sharp cannulas. Under what circumstances do you decide that vs excision? Are you equally successful in getting the same look?

[Dr. Elliot Jacobs]

I have a step-wise or graduated technique.  Since I am well aware that most guys want their gyne removed with the least possible scars, I start with a small incision (3-4 mm long) on the side of the chest.  I have a variety of instruments, some of which are quite sharp, which can in many cases remove most of the fat and breast tissue from that single incision.

However, there are times when the tissue is just too tough and too large -- and in these cases, I make a small incision around the edge of the areola and am able to sculpt the remaining breast tissue this way.  In most cases, I remove virtually all breast tissue under the areola and then move some fat underneath to prevent a crater from forming.

I can never predict what incisions will ultimately be made when I begin the operation.  I always tell my patients that I try to get the best result with the least amount of scars -- but if a peri-areolar incision is needed, then I have no hesitation in doing so.

One way or another, the end point is a smooth, buff and contoured chest -- and I don't stop until that's what I get.

Dr Jacobs