What is the PEXsculpt® Procedure?

The traditional surgical treatment of Gynecomastia, involving significant surgical gland excision resulting in potential moderate deformity and requiring prolonged recovery along with significant cost, has made the treatment prohibitive for many men.

Dr. Edwin Ishoo has developed an innovative, minimally invasive technique for effective treatment of Gynecomastia with significant reduction in surgical and recovery time while achieving excellent cosmetic results without infra-aroelar scar or nipple inversion which are common in traditional technique. Dr. Edwin Ishoo, utilizes, VASER liposelection, the most advanced form of ultrasound-assisted fat emulsification with Power-Assisted Liposuction to achieve a masculine contour of the chest. Once the fat is reduced from front, lateral and inferior borders of the chest and a masculine contour is achieved, the breast gland is precisely reduced and sculpted using a surgical microdebrider / shaver introduced through the same small punctures used for liposuction, thus achieving a sculpted appearance without significant surgical dissection of the chest tissue. The skin envelope of the chest remains intact which results in faster recovery and better contraction against the contoured chest.

At Boston Gynecomastia Specialists, Dr. Edwin Ishoo performs this revolutionary, minimally invasive Male Breast Reduction procedure to improve the contour and shape of the chest for a more masculine appearance. If you suffer from gynecomastia with enlarged breast gland with or without fatty chest and have been avoiding physical activity, the beach or intimacy, the PEXsculpt / CHESTsculpt procedure may be an option for you to regain your confidence and your enjoyment of an active life.

Surgical treatments

Reduction mammoplasty (breast reduction surgery) has been used for decades as the definitive treatment of gynecomastia, or in cases in which drug therapies have not been effective. Dr. Ishoo has extensive experience in surgical treatment of gynecomastia and has developed PEXsculpt / CHESTsculpt, a highly effective minimally invasive surgical treatment of gynecomastia with a highly masculine appearance. 

PEXsculpt / CHESTsculpt is an innovative and advanced procedure for treatment of gynecomastia or male chest / breast enlargement. Combining innovative Hi Definition body sculpting technique with advanced technologies such as VASER Liposelection, the PEXsculpt / CHESTsculpt procedure is able to provide remarkable results with minimal recovery time at an affordable price in a safe, comfortable, outpatient setting. Dr. Edwin Ishoo, is a board-certified surgeon with extensive experience with liposuction, body contouring and gynecomastia procedures.

Gynecomastia literally means “woman breast.” This increase in breast glandular tissue usually occurs at times when the male is having hormonal changes, such as during infancy, adolescence, and aging. There are many causes for this condition including genetics and environmental; however, the majority of cases are of unknown etiology. Pseudogynecomastia, fatty chest with no or minimal glandular enlargement, is common among males whose bodies store fat readily in the chest or pectoral region.

Although a big muscular chest is always desired, large fatty and glandular breast on a man’s chest is not. This is a common source of stress and embarrassment causing a low self-esteem for up to 50% of men of all ages. These men avoid wearing form fitting shirts or taking their shirt off which limits physical activity, socialization and even intimacy. For many men treatment of this condition is well worth the cost as it enables them to be less self-conscious and regain confidence on the beach, at the gym and in intimate situations. PEXsculpt / CHESTsculpt procedure was developed by Dr Ishoo changes lives by restoring confidence and self-esteem to men who are held back by the appearance of their chest as a permanent, one-time procedure.

Liposuction alone is often inadequate due to the presence of prominent glandular tissue. PEXsculpt / CHESTsculpt procedure combines Liposculpture and VASER LipoSelection with minimally invasive breast gland reduction procedure to remove excess gland tissue to provide definitive treatment of this condition. PEXsculpt is designed to address puffy-nipples alone or both gland tissue and fat in Grade I or II gynecomastia as needed to achieve not just a flat chest but a more masculine and aesthetically pleasing contour than traditional approaches without the risk of scarring, deformity and prolonged recovery time.