Excision of the Male Breast Gland (Gynecomastia)
in Cambridge, Boston Massachusetts

The Gynecomastia Gland Removal Procedure

For the male patient with dense glandular tissue causing an enlarged breast appearance and puffy nipples, a direct excision of the gland will be required. Dr. Ishoo at the Boston Gynecomastia Specialists in Cambridge, will place a discreet incision in a small area around the nipple-areola region of each breast, resulting in an inconspicuous scar.

A combination of VASER / Ultrasound-Assisted Liposuction and a direct glandular excision may be required if a combination of excess fat and dense glandular breast tissue is noted during your initial consultation and examination.

Gynecomastia Correction usually involves some degree of gland removal…

• Vaser-Assisted or any other type of liposuction can’t remove the very fibrous breast and glandular tissue usually found just behind the nipple, so in cases of true gynecomastia, surgery will be liposuction combined with surgical reduction or removal of the enlarged breast glands.
• An incision is made at the lower margin of the nipple to gain access to fibrous male breast tissue behind the nipple. This is removed by careful dissection and cautery to minimize bleeding. 

Gynecomastia correction using surgery alone without liposuction…

• In some very rare cases such as “puffy-nipples”, usually in very lean, fit men or bodybuilders, there may be very little fat but primarily some mild to moderate gland tissue which can be palpated as a hardness behind the nipple. Usually in such cases the main complaint is not overall breast enlargement but protrusion of the nipple and areola over a well-developed pectoral muscle. In these situations, a simple gland removal on its own may suffice using a small incision at the edge of the nipple. These situations are particularly common in bodybuilder who have used steroids

Severe Gynaecomastia…

• Severe cases of gynecomastia are characterized by large rolls or excess skin. In most cases the best option is to stage the procedure by undertaking the VASER liposuction and surgical gland removal first and then leave the skin to retract over a 6 to 12-month period. After allowing the skin to contract, the scarring from any subsequent skin removal can be limited to a circular scar around the nipple.
• In the most severe cases of female-like breast development in men, then a formal female type of breast reduction is required with an inverted ‘T’ or ‘anchor shaped scar. However, this is a very rare situation and the scars from it are much more visible.