Should male gynecomastia surgery include both glandular tissue removal and liposuction?
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
in their 30s |
88kg |
178cm |
28 |
Surgical site
gynecomastia
2-A
When diagnosing patients who come in for gynecomastia surgery, it is true that many patients believe that simply removing the glandular tissue will be enough to create a flat chest.
This is often the case because gynecomastia is usually caused by excessive growth of glandular tissue.
As a result, many patients who come in seeking surgery have attempted to reduce the size of their chest through dieting and chest exercises but have not seen any significant results. Eventually, they come in to be diagnosed for true gynecomastia, which requires glandular tissue removal.
However, when performing gynecomastia surgery, if only the overgrown glandular tissue is removed, the underlying cause will be addressed, but the shape and symmetry of the chest may not be fully corrected.
Therefore, during the consultation for gynecomastia, additional procedures may be recommended to refine the overall shape of the chest.
In addition to removing the glandular tissue that contributes to the chest volume, liposuction and tissue repositioning of areas such as the upper chest, axillary area, and sides of the chest can help sculpt a more masculine and natural chest contour.
I will explain this in more detail by showing before and after photos of the patient’s gynecomastia surgery
This patient mentioned that they had breast protrusion since their teenage years, and even after losing some weight as an adult, there was no change in the size of their chest.
Before coming to our clinic, they experienced weight gain again, and the volume around the chest increased, causing discomfort in daily life due to gynecomastia.
Ultrasound results showed that not only was there glandular development, but the patient also had a mixed type of gynecomastia, with a significant amount of fat in both the front and side areas of the chest.
[before gynecomastia surgery]
The chest protrusion was visibly noticeable, and the patient was diagnosed with stage 2-A on the Simon grading scale, which indicated true gynecomastia requiring glandular tissue removal.
Therefore, I explained that the patient would need glandular tissue excision to remove the overgrown tissue, as well as tissue repositioning to fill the space left behind and correct the chest contour to a more masculine shape.
Additionally, liposuction of the side chest and axillary area would be performed to reshape the overall chest appearance, addressing the gynecomastia effectively.
[before&after gynecomastia surgery(Taken under the same conditions 2 months after gynecomastia surgery.)]
In the case of this patient, the skin elasticity was moderate, but I informed them that through consistent follow-up care after surgery, it would be important to monitor the surgical site for stable healing and check for any skin sagging.
At the 2-month follow-up, we observed stable recovery, and the shape of the chest had also transformed smoothly and more masculine.
The patient also diligently wore compression garments for about a month after the gynecomastia surgery to prevent skin sagging and ensure that the areas where the glandular tissue and fat had been removed settled properly without any irregularities.
[before&after gynecomastia surgery(Taken under the same conditions 2 months after gynecomastia surgery.)]
[before&after gynecomastia surgery(Taken under the same conditions 2 months after gynecomastia surgery.)]
In the case of this patient, looking at the surgical results, we can see that before the surgery, the presence of excess fat in the axillary and upper chest areas not only caused bulging from gynecomastia but also added volume from the fat, making the chest line appear more pronounced.
After the glandular tissue excision and liposuction, the volume was reduced, and the chest line was naturally corrected, resulting in a more masculine and smooth contour.
[Lesarts gynecomastia surgery(Image for better understanding.)]
In the before-and-after photos with a t-shirt, you can clearly see how resolving the chest protrusion, which had been a concern since their teenage years, has allowed the patient to confidently wear a t-shirt and show off a smoother fit.
If, as mentioned earlier, the gynecomastia surgery had only focused on removing the glandular tissue that caused the chest protrusion, the result could have been a sunken or aesthetically unpleasing chest line.
However, by considering the surrounding fat, overall body balance, and the body’s natural contours, the gynecomastia surgery was performed to correct the chest line, resulting in a much more satisfactory improvement.
It’s also important to remember that not all gynecomastia patients undergo the same surgical approach. The most crucial aspect is carefully evaluating each patient’s individual skeletal structure, fat distribution, and skin elasticity before planning the surgery.
