How VASER Lipo® works

VASER Lipo uses the revolutionary technique called LipoSelection® to target unwanted fat and gently remove it from the body. To begin, the target area is injected with a saline solution known as “tumescent fluid.” The tumescent fluid numbs the target area while shrinking local blood vessels. The fluid also expands the volume of the targeted area, making it easier to gently remove fat cells. Small-diameter probes are inserted into the body through tiny incisions. The probes resonate a high ultrasonic frequency which literally shakes the fat cells loose, while leaving blood vessels, nerves and connective tissues intact. Once the loose fat cells mix with the tumescent fluid, they are removed from the body by using gentle suction.

VASER Lipo is an extremely precise, gentle procedure where patients typically report dramatic reshaping with very little downtime. Cosmetic surgeons recommend VASER Lipo because of its precision and ability to produce predictable results, as compared to traditional liposuction which can result in lumpy and uneven areas.

In virtually all cases, gynecomastia cannot be corrected with liposuction alone. Liposuction removes excess fat cells, so it will be a component of the male breast reduction procedure because extra fat contributes to the condition. In most cases, gynecomastia is also caused by excess glandular tissue, which is dense tissue that lies beneath the nipple area. While liposuction is very good at removing fat, it is not designed to remove glandular tissue, which must be excised (cut away). Dr. Ishoo expertly performs all of these techniques in a single procedure. 

Removing the fat only, with liposuction, is unlikely to yield results that you’ll be happy with if you have true gynecomastia and not just pseudogynecomastia. The dense glandular tissue will still be there, causing the pectoral area to look breast-like. The size and amount of this glandular tissue varies from man to man, so it’s important to choose an experienced gynecomastia surgeon like Dr. Ishoo. He knows how to build a procedure that addresses your chest tissue. Techniques may include a combination of:

Types of Liposuction: Ultrasonic & Power-Assisted

Liposuction is the process of suctioning excess fat tissue through a thin metal tube known as a cannula. Incisions are minimal and virtually invisible after the healing period. UAL and PAL are two different methods of fat removal. PAL refers to Power-Assisted Liposuction, while UAL refers to Ultrasonic-Assisted Liposuction.

What is PAL Liposuction?

With Power-Assisted Liposuction (PAL), the “power” lies in the cannula. The cannula utilizes rapid vibrations to break up fat cells before suction. This allows for a smooth contour and removes fat at a faster rate. This method is ideal for patients with large amounts of fat as well as more precise contouring because it is more effective for complete removal.

What is UAL Liposuction?

Ultrasonic-Assisted Liposuction (UAL) uses ultrasound energy instead of vibration to emulsify, or loosen and release fat cells. This method specifically targets fat cells. The ultrasound energy releases all the fat cells evenly and allows for comprehensive and smooth fat reduction. VASER liposuction also stimulates more skin-tightening and addresses concerns with post-surgical sagging skin.

Is it possible to do both types of liposuction?

Yes! Both PAL and UAL techniques used together achieve smoother curves, tighter skin, and significant fat removal. Dr. Ishoo usually uses both devices and techniques in his patients to achieve the perfect contour, reduce bruising, and create more impactful results.

Interested in which liposuction technique would most benefit you? Schedule a consultation! Our surgical team is happy to chat about options and help guide you in the right direction. Give our office a call at 888-380-3222 to schedule.

How is it performed?

Most gynecomastia is currently treated by the use of liposuction (preferably with ultrasonic liposuction such as VASER®). The incisions are hidden at the margins of the areolas or in the armpits. Liposuction is performed in the area of fullness as well as along the margin of the pectoralis major muscle and also toward the back as this area is often enlarged in gynecomastia. The goal is not only to get rid of the excess breast tissue but also to enhance the shape of the male chest. Along those lines, fat can be injected into the muscles at the same time to enhance the muscles’ shape instead of a pec implant.

Removal of glandular tissue is often required to prevent recurrence and also smooth the appearance of the chest. The details of the operation depend on the patient’s preference, goals and anatomy. With proper planning, gynecomastia treatment can offer a superb result with no signs of surgical intervention. With Dr. Ishoo’s skill and experience, and his attentive and compassionate staff, we exceed our patients’ expectations.