Various surgical procedures may be used to treat gynecomastia, utilizing ultrasonic or laser technology along with traditional surgical techniques. They are as follows:
1) Liposuction: Tumescent liposculpture is normally best for pseudo-gynecomastia, when only excessive fat removal is required.
2) LASER Liposuction: Also known as “Smart Lipo,” LASER liposuction is a technique that combines tumescent liposculpture with the use of Tri-Flex and blended mode lasers to not only dissolve the fat cells, but also to shrink the overlying skin. This technique is appropriate for patients that have excessive fatty deposits along with some loose skin.
3) VASER Liposuction: This “high definition liposuction” utilizes the power of internal ultrasonic VASER probes to break the dense fibrous tissues and disrupt the fat cells for optimal liposculpture results.
4) Thermi-RF: This procedure, which utilizes radio frequency energy, is used in conjunction with tumescent liposculpture to further tighten the loose skin envelope. This procedure is especially effective if excessive laxity of the skin is a problem. During the Thermi-RF procedure, a very thin probe is introduced under the skin through two or three tiny, inconspicuous incisions that are no larger than a needle point. The probe heats the undersurface of the skin via radio-frequency energy. The result is controlled skin retraction and tightening.
5) Excision of Breast Gland: Breast gland excision is a surgical procedure, during which a direct excision of abnormally large and excessive breast glandular tissue is performed. It may be accompanied by resection of redundant skin envelope around the breast. This is the final answer for true glandular gynecomastia.
The goal of all the aforementioned procedures is to diminish the “man boob” look and reduce the size of a male breast, along with contour and enhance chest definition. Surgical scars may slowly retract and become faint but will remain, hence, as all other cosmetic surgical procedures, the methods above are aimed at improvement and not perfection.