How We Treat Gynecomastia

For glandular tissue only surgery can get rid of it as far as we know. And the way we treat gynecomastia depends on what you’re presenting with, the grade of your gynecomastia, it ranges from puffy nipples to large pendulous breasts with excess skin.

That means the treatment can just mean removal of gland or just liposuction only or both, which is more common in our practice ie both gland removal and liposuction for contouring.

Some patients need debulking and chest contouring. If the skin is not taut or it is slightly loose, skin tightening modality like BodyTite or jplasma may be a worthwhile approach or if the skin excess is severe then skin excision is an option.

My approach is to do these procedures using local anaesthesia because I feel it's safer and in my hands it's more efficient and quicker so patients don't have to stay in a hospital and they don't have the downtime they have with general anaesthetic. Also the patient somehow participates in the treatment, is aware of what is happening and can communicate to patients what exactly is happening during the surgery.