lipo done through underarm vs beneath the areola?

[dav242]

does anyone have any thoughts on which is better/effective?
i've seen 4+ doctors for consultations, all of whom told me that i'd just need lipo (none of them felt any major glandular/breast tissue) -

a few of them mentioned that they'd make the incisions and insert the cannula beneath the areola (sub mammary, i guess), which would definitely leave an obvious mark.

one doctor mentioned going through the underarm, which i'd definitely prefer for aesthetic reasons, but i followed up with another doctor about this who said that lipo through the undearm isn't as effective in getting the fat sucked out

at this point, i'm not sure what to think - does anyone have any advice?

thanks

[DrBermant]

does anyone have any thoughts on which is better/effective?
i've seen 4+ doctors for consultations, all of whom told me that i'd just need lipo (none of them felt any major glandular/breast tissue) -

a few of them mentioned that they'd make the incisions and insert the cannula beneath the areola (sub mammary, i guess), which would definitely leave an obvious mark.

one doctor mentioned going through the underarm, which i'd definitely prefer for aesthetic reasons, but i followed up with another doctor about this who said that lipo through the undearm isn't as effective in getting the fat sucked out

at this point, i'm not sure what to think - does anyone have any advice?

thanks

Each surgeon used the tools and techniques he / she prefers.

The problem is that gynecomastia comes in so many different forms.  I prefer to let what I find during surgery help guide what needs to be done.  An incision at the edge of the areola opens up for me an artist's palette of tools not available when using the armpit approach.  That is why I prefer my Dynamic Technique.

I have also seen patients from other doctors 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.  

This approach permits me to maximize the removal of the firm gland and sculpt the remaining fat.  

The areola chest skin interface is a great place to hide a scar.  Check out the many before after pictures of this Areola / Nipple Gallery here, here, and here.  These results are typical for my sculpture of my patients.

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.  Limited view demonstrations can pick the best angle to hide deformities and problems.  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 and Chest Sculpture