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Lipo vs. Excision for Gynecomastia

Lipo vs. Excision for Gynecomastia

Postby babyboy99 » Mon Jul 16, 2007 7:25 pm

Hi Dr. Silverman,

I wanted to know if JUST LIPO would at least improve my gynecomastia. I'm fairly lean (155 lbs on 6'0 tall body), except for love handles, belly, and big man boobs.

I've been told by other people on message boards that if my problem is glandular, only excision will do the job 100%. But what I want to know is, will LIPO *improve* my situation. I don't need perfection, just an improvement and I'll be fine.

My reasons for wanting only LIPO:
1) LIPO in the clinic i want to use is done using only local anaesthesia. I prefer local.
2) The surgeon i trust the most does only LIPO.
3) I don't want TOO MUCH of a reduction in chest size because it also makes me look like i have a good chest under a t-shirt. I just want to get rid of the sagginess.

Please let me know if I can expect an IMPROVEMENT with Lipo.
Posts: 1
Joined: Tue Aug 17, 2004 9:17 pm

Lipo for gynecomastia treatment

Postby Litlriki » Fri Jul 20, 2007 6:36 pm

It's difficult to comment on this without examining you. My general sense is that in cases of gynecomastia where glandular tissue is present, a combination of liposuction and excision are required. I'd be suspicious of a surgeon who will only use liposuction to treat gynecomastia, since in the majority of my patients, this would be only half of an operation. I would say that I use both modalities in at least 80% of my patients! If you're going to the trouble to have the condition treated, I'd suggest having it treated completely, or you won't be satisfied.

Rick Silverman
Richard Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458


Certified by the American Board of Plastic Surgery
Posts: 94
Joined: Thu Feb 22, 2007 1:52 pm
Location: Boston, Massachusetts

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