the Differences in Male Gynecomastia Surgery Techniques

Differences in Surgery for Gynecomastia in Males

Hello, doctor.
I have been planning to undergo surgery for gynecomastia, which is classified as grade 1-2.
I consulted several clinics and learned about two surgical techniques.
The first technique involves making an inverted Ω incision below the areola to remove the glandular tissue and perform liposuction simultaneously.
The second technique involves making a U-shaped incision below the areola to remove the glandular tissue, while the liposuction is performed through a separate small incision in the axilla.
I would like to inquire about the differences between these two methods and which one you would recommend.
Additionally, will the postoperative appearance and scar care be similar, or are they significantly different due to the surgical techniques? Thank you.

Shengcai shala, 20~29 year old female. Ask Date: 2021/07/20

Dr. Zhou Hongzhang reply Plastic Surgery

1.
In most cases, the postoperative appearance and scar care are quite similar, differing mainly in the surgical technique used.

2.
The choice of surgical technique varies based on each physician's experience, as well as the patient's preferences and physical condition.
Currently, there is no definitive optimal method available.

Reply Date: 2021/07/20

More Info

When considering surgery for male gynecomastia, it is essential to understand the different surgical techniques available, as well as their implications for recovery, aesthetics, and potential complications. Male gynecomastia, characterized by enlarged breast tissue in males, can be addressed through various surgical approaches, primarily depending on the severity of the condition and the specific anatomical considerations of the patient.

Surgical Techniques
1. Periareolar (Ω-shaped) Incision: This technique involves making an incision around the lower half of the areola, which allows the surgeon to remove excess glandular tissue and perform liposuction if necessary. The advantage of this method is that the incision is well-concealed within the natural contour of the areola, minimizing visible scarring. This approach is typically recommended for patients with moderate gynecomastia where glandular tissue removal is required.

2. U-shaped Incision: This technique also involves an incision around the areola but extends in a U-shape, allowing for more extensive access to the underlying tissue. This method can be beneficial for patients with more significant tissue excess or those requiring more extensive liposuction. The U-shaped incision may provide better access for the surgeon but can result in a more noticeable scar, depending on the extent of the incision and the healing process.

Comparison of Techniques
Both techniques aim to achieve a flatter, more masculine chest contour, but they differ in terms of incision length, potential scarring, and the extent of tissue removal. The choice between the two often depends on the surgeon's preference, the patient's specific condition, and the desired aesthetic outcome.
- Scarring: While both techniques can result in scarring, the periareolar incision generally offers a more discreet scar. However, individual healing responses vary, and some patients may experience more prominent scarring regardless of the technique used.

- Recovery: Post-operative care is crucial for both techniques. Patients are typically advised to wear compression garments for 4-6 weeks to support healing and minimize swelling. Not wearing these garments can lead to suboptimal aesthetic outcomes, as they help maintain the shape of the chest during the initial healing phase.

Post-Operative Considerations
1. Wearing Compression Garments: As mentioned, wearing a compression garment post-surgery is essential. It helps reduce swelling and supports the newly contoured chest. Not wearing it can lead to complications such as fluid accumulation and may affect the final aesthetic result.

2. Exercise and Activity: After surgery, patients are generally advised to avoid strenuous activities, including chest exercises, for at least 4-6 weeks. This allows the surgical site to heal properly. Once cleared by the surgeon, patients can gradually return to their regular exercise routines, but they may need to modify their chest workouts initially to avoid strain on the healing tissues.

3. Heart Conditions: For patients with pre-existing heart conditions, it is crucial to consult with a healthcare provider before undergoing surgery. A thorough evaluation will determine if the surgery poses any risks and if any special precautions need to be taken.

4. Pre-operative Assessments: If consulting with a general surgeon, expect a comprehensive evaluation, which may include physical examinations, imaging studies, and blood tests to assess overall health and suitability for surgery.

Conclusion
In summary, both the periareolar and U-shaped incision techniques for male gynecomastia surgery have their advantages and disadvantages. The choice of technique should be made in consultation with a qualified plastic surgeon who can assess the specific needs and conditions of the patient. Proper post-operative care, including wearing compression garments and following activity restrictions, is vital for achieving the best possible results. Always ensure that any underlying health conditions are addressed prior to surgery to minimize risks and complications.

Similar Q&A

Understanding Male Gynecomastia: Laser Treatment vs. Surgery Options

Hello Dr. Wu, I would like to ask if gynecomastia in males can be treated with laser therapy, or is surgery the only option? If surgery is necessary, what is the approximate cost? Will there be any complications or scarring after the procedure?

Dr. Wu Jingtang reply Breast and Thyroid
Hello: 1. Currently, laser treatment for gynecomastia in males is not available; the usual management involves surgical excision or liposuction. 2. Patients often request surgery due to aesthetic concerns, psychological factors, or pain, and the National Health Insurance does pro...

Understanding Gynecomastia Surgery: Anesthesia Options and Costs

Gynecomastia has troubled me for many years. I see that most cases have bilateral symptoms, but I only have unilateral gynecomastia, approximately grade II. Will the surgery be performed under general anesthesia or local anesthesia? What is the estimated cost? Is the cost for uni...

Dr. Zhou Hongzhang reply Plastic Surgery
1. Unilateral male breast reduction surgery is less expensive than bilateral surgery. 2. It can be performed under local anesthesia or general anesthesia, depending on the volume of breast tissue and the patient's pain tolerance.

Understanding Male Gynecomastia: Key Questions and Surgical Insights

Hello Doctor: I have a few questions regarding gynecomastia. 1. In terms of "surgery," what are the differences between plastic surgery and general surgery? 2. Some doctors say that after surgery, one must wear a compression garment for 4 to 6 weeks. If this is not wo...

Dr. Wu Jingtang reply Breast and Thyroid
No content.

Understanding Gynecomastia: Treatment Options and Costs in Taiwan

Hello, Dr. Ke. Since elementary school, my breasts have looked very much like those of a female. I am now 28 years old, and they still appear the same. Is there any treatment available? Does health insurance cover it? How much would it cost out of pocket? Would I need to be hospi...

Dr. Ke Fangxu reply Surgery
Hello: In response to your question, gynecomastia in males is a common issue. If there are no liver function abnormalities, it is often seen in overweight men. The only treatment option is surgical removal, which can be performed by a general surgeon and is covered by health insu...