43 year old male patient following his gynecomastia repair
Gynecomastia surgery is performed based on the composition of your breast tissues contributing to gynecomastia. The three components of gynecomastia include the discoid glandular tissue, the excess fatty tissues, and skin redundancy. The degree of each component of the excess breast tissue that contributes to your gynecomastia will determine the best gynecomastia surgery for you.
The discoid glandular component of gynecomastia
The discoid glandular breast tissue feels like a firm mass shaped like a disk. This firm glandular disk is why it is called a discoid tissue, and it requires removal based on how thick it is. It can be removed using liposuction with ultrasound energy if it is minimal to moderate in thickness. Ultrasound energy allows liposuction cannulas to remove this tissue even though it is tougher than fatty tissues. If the discoid tissue is moderate to severe in thickness, then a formal direct excision of the tissues is required. Direct excision requires the use of an infra-areola incision that is placed just below the areola shaped like a semicircle.
The fatty component of gynecomastia
The fatty component of gynecomastia requires the use of liposuction for removal. The fatty component surrounds the glandular component located centrally and extends into the periphery of the breast. Removal of the fatty tissues has two roles. First, it serves to debulk the fullness of the broad chest, making it flatter and more masculine in appearance. Second, feathering out the fat allows for a smooth transition between the excised glandular tissue centrally in the periphery. Creating a smooth transition is critical to ensure that a crater deformity is not created.
The skin redundancy component of gynecomastia
The excess skin is the final component determining the best treatment option for your gynecomastia surgical technique. Loose skin is typically the least concerning excess breast tissues unless you have experienced massive weight loss. Gynecomastia patients that present with extra skin will require either Renuvion J plasma treatment or excisional surgery. Renuvion J plasma is reserved for treating gynecomastia that presents with skin laxity. Excision surgery is reserved for breast reduction when the ski is redundant.
How is gynecomastia surgery performed conclusion?
In summary, gynecomastia surgery requires the removal of both discoid glandular tissue and simultaneous liposuction. When designing your gynecomastia surgery, you must gauge the degree of discoid component of your gynecomastia. The degree of discoid tissue thickness will determine if a direct excision or liposuction alone will suffice for your gynecomastia surgery. If you are curious about which gynecomastia surgery is best for you, we encourage you to consult with one of our Surgisculpt surgeons today.