Correction of enlarged male breasts (Gynecomastia)
If excess glandular tissue is the primary cause of the breast
enlargement, it will be excised, or cut out, with a scalpel. The excision
may be performed alone or in conjunction with liposuction. In a typical
procedure, Dr. Hunstad makes an incision in an inconspicuous location – either on the
edge of the areola or in the underarm area. Working through the incision,
the surgeon cuts away the excess glandular tissue, fat, and skin from around
the areola and from the sides and bottom of the breast. Major reductions
that involve the removal of a significant amount of tissue and skin may
require larger incisions that result in more conspicuous scars. If
liposuction is used to remove excess fat, the cannula is usually inserted
through the existing incisions.
Dr. Kortesis
talks about: Gynecomastia
If your gynecomastia consists primarily of excessive fatty tissue, your
surgeon will likely use liposuction to remove the excess fat. A small
incision, less than a half-inch in length, is made around the edge of the
areola – the dark skin that surrounds the nipple. Or, the incision may be
placed in the underarm area. A slim hollow tube called a cannula which is
attached to a vacuum pump, is then inserted into the incision. Using strong,
deliberate strokes, the surgeon moves the cannula through the layers beneath
the skin, breading up the fat and suctioning it out.
Dr. Hunstad's patients may feel a
vibration or some friction during the process, but generally no pain. In
extreme cases where large amounts of fat or glandular tissue have been
removed, skin may not adjust well to the new smaller breast contour. In
these cases, excess skin may have to be removed to allow the remaining skin
to firmly re-adjust to the new breast contour.
Gynecomastia with
Ultrasound-assisted liposuction, gland excision and Pursestring
mastopexy
