Can liposuction alone cure gynecomastia?
A. Gynecomastia consists of varying amounts of excess fatty and glandular tissue. If there is only fatty tissue, a condition more properly called pseudo-gynecomastia or false gynecomastia, liposuction alone will offer the improvement. Despite the claims of some, liposuction will not accurately remove the glandular tissue. Either it will create a hole for the glandular tissue to temporarily drop into, or it will chip away at the edges. To contour properly, the majority of the glandular tissue has to be removed by direct vision, leaving behind the right amount to prevent collapse of the nipple or anchoring to the muscle. This leads to the next question. Q. Why can’t you take out all the glandular tissue so there is never a recurrence? A. If all the glandular tissue is removed, the raw surface of the skin beneath the nipple would scar down to the surface of the muscle, creating a crater. Even if this were not evident when you were standing still, you would see it when you flexed. In some
