Do I need liposuction as well?

[skelly26259]

Ok I want to know would I get good results with just an excision around the nipple and no liposuction. I have emailed the pictures off to the surgeon and waiting on a reply. The reason I dont want liposuction is because I have seen after surgery pictures and the incisions are on the front on the chest. I think this might be for 'fatty' gyno tho. In my case do they use the incision where they make the excision?

[Dr. Elliot Jacobs]

You have puffy nipples as well as additional excess tissue on your chest.

If you were my patient, I would perform both lipo and excision.  However, you should discuss this with your own surgeon.

Dr Jacobs

[Litlriki]

I agree with Dr. Jacobs--a combination of liposuction and direct excision would be my treatment of choice as well.

Rick Silverman

[DrPensler]

I typically perform liposuction in 99% of the cases I see.The lipo smooths the transition from the resection into the surrounding tissue. The incision I utilize is not in the middle of the chest,but rather along the tendon for the Pectoralis Major virtually in the armpit.

[skelly26259]

Thanks guys the surgeon was saying they where going to make their incision for the lipo on the front of my chest and I don't want this. I know other surgeons do this threw an incision in the armpit.  

[Dr. Elliot Jacobs]

Surgeons make incisions where they feel most comfortable to be able to perform the surgery.  True, various surgeons use different locations -- all of the locations are acceptable.

You should ask your surgeon if he could modify his technique to use an incision on the side of the chest or the armpit.  If he is unwilling to do so, then it comes to your choice of accepting it or choosing another surgeon.
Good luck!

Dr Jacobs

[skelly26259]

Ok I have sent the surgeon an email asking him could he modify his technique to use an incision on the armpit for the liposuction. Should I be worried tho that this technique could be new to the surgeon?

[Litlriki]

I wouldn't insist that the surgeon do the procedure in a way that is not normal for him, presuming he gets good results with the technique he uses.  You should ask to see photos that include the scars he's proposing, and make your choice based on the surgeon and results rather than a specific incision choice.

RS