Gynecomastia Planning the procedure
During the consultation your surgeon will try to establish whether there are any medical conditions that may have determined the overdevelopment of breast tissue, or indeed that may create problems in relation to the treatment plan. If you have not had an endocrinology examination prior to the consultation for surgery, it is advisable to undertake one.
Assessment
At the time of the consultation assessment, the breast volume and shape as well as the skin excess are evaluated as they have individual impact on the treatment plan. Previous surgery will also have led to some scarring in the chest region both inside the breast as well as on the skin, and may influence further treatment.
Liposuction
Liposuction sometimes leads to correction of the periphery of the chest fullness but not sufficient correction of the central part where the breast tissue is dense. In this case, an open correction can be added in the second part of the surgical treatment, and involves an incision in the areola for accessing the breast tissue. The breast tissue is not normally removed in its entirety, but rather shaped so that the breast contour is improved.
Open correction
Open correction for gynaecomastia is sometimes carried out without liposuction, but the main concern related to, is that it does not address the peripheral tissue sufficiently and may over correct the central part, leading to the problem defined as “dinner plate" deformity.
Skin reduction
If there is significant skin excess in the breast, skin reduction may be necessary in association with the reduction of the areola. The intervention may also involve repositioning of the nipple as a skin graft.
Additional treatments
Overall when gynaecomastia tissue is generally soft, and there is minimal or skin excess, liposuction, often in one of the energy assisted varieties, can be helpful.
Questions?