Broadly speaking, there are 2 types of surgical Gynecomastia correction options that the doctor will choose from:
- Using Liposuction
- Surgical excision
Please note that there are also non-surgical methods of treating gynecomastia, such as through ultrasound (often referred to as “ultrasonic liposuction”), or lipolysis, or even exercise, but on this page we are focusing only on surgical treatment of gynecomastia
At Cocoona, we have the expertise across all these options, and that is one of the reasons that we conduct the most number of successful gynecomastia surgeries in Dubai.
Let’s look at what these surgical options are and when they are used:
Liposuction Gynecomastia correction:
This technique works well when the correction needed is small sized and the skin elasticity is good. The process is similar to liposuction of any other part of the body, with expertise needed for getting the correct shape and contours on the chest.
In this process, the surgeon will make a tiny incision is made along the side of the areola, and using thin hollow metal cannula, attached to a suction, will drain out the excess fat (liposuction). After the liposuction technique has been used to remove fatty tissue from the breast structure, the surgeon will pull the underlying glandular tissue through this incision, hence the popular name for this technique – “PULL THROUGH TECHNIQUE”. Finally, the incisions are closed very carefully to ensure that the scars are scarcely visible.
This is also the preferred method for treating Pseudo-gynecomastia.
Based on the amount of tissue present on your breast area, the desired shape and physical condition, your surgeon will determine if this method suits your case.
Surgical Excision of Male Breast Tissue (Gynecomastia surgery):
For men requiring more extensive gynecomastia correction, especially when the skin elasticity is not good, the surgeon will need to perform a more invasive breast reduction surgery. This is usually conducted using general anesthesia, and can last about 2 – 3 hours. The main objective of the surgery is to restore the normal shape of the male breast by removing excess tissue and skin. The chest structure is a blend of glandular tissue, adipose (fatty) tissue, fibrous tissue, muscle and skin. The bone structure, proportion and symmetry of the chest has an impact on its overall appearance. So, this needs an artist’s mind to visualize the end result correctly and a skilled surgeon to implement the changes well.
The gynecomastia surgeon will also decide on the type of incision needed to get the best results. The most common approach is known as the WEBSTER incision; in medical terms it is also known as ‘Intra-Areolar incision’. In this method, the incision is made in the lower hemisphere of the breast, along the circumference of the areola. The surgeon will then excise the tissues around the breast area to give it the desired new shape.
Depending upon the body’s need, the surgeon may decide to choose to use the ‘Transverse Nipple-Areola’ incision, or the ‘Triple V-incision’. For massive gynecomastia, a resection of excessive skin and breast tissue, with a nipple grafting may be recommended, though this is a rare case.
The new approach is to minimize the size of incision to 2-3 cm and remove the entire gland piecemeal through this “keyhole”. This is popularly termed as ‘keyhole surgery’ for gynecomastia.
During your initial consultation, our expert male breast reduction surgeons in Dubai will evaluate your condition and make the best recommendation for your long-term benefit.
Please feel free to discuss the benefits of each type of option before deciding which is good for you. Our surgeon will recommend the best option suitable for you, his experience and training will guide you to the best possible results.
Come and talk to any of our specialist plastic surgeons to see which method will give you the desired chest contours.