Hidden Scar Gyno Operation - Does It Really Not Exist?

[ladiesman69]

After researching gyno for a bit I'm still unsure as to whether or not a gyno operation (for puffy nipples) exists that doesn't involve an incision under the areola.

I've found places like cosmedlcal claim, quote " We utilize state-of-the-art technology for this remarkable procedure, which allows us to break up hard glandular tissue and remove it through the suction cannula used to perform liposuction."

What are they talking about here? Does anyone have experience with it?

I really want to fix my gyno once and for all, but I shiver at the idea of having even a slightly visible scar underneath each of my nipples. Surely there exists a way to remove glandular tissue with an incision under the armpits or something.

[McGilli]

I've read surgeons on this forum saying if it is glandular tissue you want removed - an incision must be made to correctly remove it.

However I'm sure you'll hear it from them soon!

Good luck!

[Dr. Elliot Jacobs]

Surgery involves making a cut in the skin (somewhere) in order to get instruments under the skin.  IN some cases, depending upon the amount and type of tissue present, this can be accomplished via a small remote incision (ie on the side of the chest or near the armpit).  Other times, if there is very firm tissue, the best course of treatment is with a small incision at the edge of the areola.  All scars tend to heal well over time.  Most guys find the trade-off of a scar for a better contour to be a trade they are willing to make.

I think that most guys are afraid of what a scar would look like -- and many times it is because they simply do not know or have not seen a scar.  If you wish to see some typical peri-areolar scars, go to my website below, check out the photo gallery in which I have a whole section on peri-areolar scars.  Some of the scars heal to be virtually invisible.

All plastic surgeons are trained to suture wounds in order for them to heal in the best possible way.

Dr Jacobs

[ladiesman69]

Thank you Dr Elliot Jacobs for your response. Having people like you to give this advice out for free does a world of service to people like me

I went onto your website however I couldn't find the section specifically for areola incisions. For me I find a lot of clinics take the same mid-range type photos, but I've yet to see a close up, high-def picture of the areola and scarring. I want to know what it REALLY looks like! Are you aware of any such photos?

My particular case is simply "puffy nipples" from puberty as a teen. Therefore I believe I could be a suitable candidate for one of these remote-incision surgeries you mention.

If I may ask, what do these incisions look like? I'd love nothing more than to be able to fix my puffy nipples via an incision and scar in my armpits, as oppose to under the areola. I'm a real perfectionist, and I hate having the ultimatum between puffy nipples or scarred nipples. (And yes, I know the scar isn't bad!)

Thanks again!

[Dr. Elliot Jacobs]

If you go to my website (listed below) and then to the photo gallery, scroll down to patient 139 and beyond.  You will see close-up photos of peri-areolar scars.

I understand that you are a perfectionist -- as I am.  But you must also realize the limitations of surgery.  It has been my experience, based on thousands of cases, that the best treatment for puffy nipples would involve a peri-areolar incision.  Would it be to you liking to have a small scar hidden in the armpit but not have proper treatment of the puffy nipple?

A word of caution to you:  pursuit of perfection is admirable but attainment of perfection (particularly in surgery) is extremely rare if not impossible.  If you will be satisfied with nothing short of perfection for your surgery, I would advise you not to have surgery for you will undoubtedly be disappointed.

Dr Jacobs

[Paa_Paw]

We hear too often from people who are unhappy because their result is not perfectly symmetrical.

I would urge you to do the following.

Take a frontal photograph of a person you think is very attractive.

Draw horizontal lines across the tops of the ears, The bottoms of the ears, Through the center of each eye, through the mouth, across the tops of the brows. The lines are not parallel are they?

Measure the size of each eye. They are different, Right?
 
Mark the center of the brow line, the tip of the nose, the center of the upper lip and the center of the chin. You cannot draw a straight line through these center points can you?

Perfect symmetry is actually not natural.

[ladiesman69]

Ah, the website didn't load properly, that was the problem! Those photos are just what I was looking for.

I'm aware that perfection isn't possible with surgery, but if there's even a 50% CHANCE of me achieving my goals without peri-areolar scarring I think it's something I would take. Because a scar under the armpit means nothing to me, so if it fails and I have to get a peri-areolar incision then so be it.

Is my thinking wrong?

Do non-peri-areolar incisions to remove the gland have a higher rate of failure or poorer outcome? Are there (aesthetic) risks involved if it fails and I need revision in the form of a peri-areolar incision?