Shaver device?

[calibrn]

I was curious about this new cartilage shaver device being used to remove the gland. Does anyone have an opinion on this / or use this?  Looks like a good tool without making an incision on the side of the aureola.

Thanks.

[Litlriki]

I have never used this device to excise the gland.  I have found direct excision through a small peri-areolar incision to give me the best control, and I have therefore stuck with that approach.  Poor scarring is rare, and I'm certain of how I've done the resection. 

Rick Silverman

[DrPensler]

I am not sure what type of "new" device you are talking about.To expand a bit on Dr. Silverman's comment whatever tool one uses to remove the glandular tissue an incision in the skin must be made.To perform direct excision a small incision in the areola is used which heals well as a general rule.

[Dr. Elliot Jacobs]

I am familiar with the device -- it is used by orthopedic surgeons to shave cartilage from a joint.  Although it is theoretically possible to use it to remove sub-areolar gland tissue, I tend to agree with Drs Silverman and Pensler and prefer a peri-areolar incision in which I can visually check and feel the tissues to make sure it is as smooth and uniform as possible.  It also provides me with an opportunity to stop any small bleeding vessels directly.  And finally, a properly sutured peri-areolar incision heals in time with a very inconspicuous scar.

Dr Jacobs

[calibrn]

Thank you.