Gynecomastia: Excision vs Liposuction

Gynecomastia is a condition that causes enlargement of the breast tissue in men. Enlarged breasts in men are normally due to excess fat deposition in and around your chest area or due to an abnormal increase in glandular tissues of the breast commonly referred to as “man boobs”. Gynecomastia usually occurs in both breasts, but patients may have asymmetric or biased breasts. Common causes of gynecomastia include puberty, excess weight gain, use of anabolic steroids in bodybuilders, and use of marijuana. A number of other medications also cause male breast enlargement. Enlargement of the male breasts can occur due to an increase in breast tissue caused by a hormonal imbalance in the body. Excessive fat deposits around the breast, on the other hand, can be caused by an unhealthy diet, lack of exercise, and a sedentary lifestyle. 

Gynecomastia or excision surgery is indicated when excessive growth of glandular material or the presence of excess skin around the breast results in breast enlargement, giving it a female breast-like appearance. It involves removing excess glandular tissue and skin around the breast through an incision around the nipple-areola complex. After removing excess skin, the nipple and areola complex can be rearranged to give the breast a masculine look. Excision surgery allows the surgeon to remove excess glandular tissue and/or excess skin that liposuction alone could not adequately address.

You may be a good candidate for Gynecomastia surgery if you experience the following:

• If you want an aesthetic proportion for your body
• You have issues related to self-image and your confidence is hit because of the feminine appearance of your chest.
• You want to reduce social anxiety caused by man boobs, as these are usually difficult to hide.
• Psychological or emotional distress related to abnormally sized breasts.
• Unhappy with their breast contours or experience physical discomfort because of their oversized breasts.
• Seek to enhance their social confidence and masculine chest definition

Similar to excision, liposuction is a cosmetic surgery used to remove excess deposits of fat tissue that do not disappear after using traditional weight loss methods such as dietary management and exercise. Fluid penetrates the breast tissue and a thin cannula is inserted through two small incisions. Moving the cannula back and forth through these incisions removes the fat cells and sucks them out. Liposuction is usually the ideal way to improve the appearance of the breast if excess fat deposition results in a feminine appearance of the breast. It is an excellent treatment for removing fat, but sometimes excision is required.

Whether you undergo gynecomastia surgery or liposuction you will require some incisions. The incisions of liposuction and excision surgeries are hidden in the natural contours of your body or in the nipple-areola complex.

At MyBodyMD Plastic Surgery, Dr. Rafi Bidros uses a specialized minimally invasive technique that reduces scarring and speeds recovery. Dr. Bidros will take into consideration the size of the nipple and areola, excess skin, density of the tissue, and overall appearance of the chest through careful examination and layout of the best surgical plan. Schedule a consultation by visiting MyBodyMD or contact us at 832-209-7827 now!