Gynecomastia, also known as enlarged male breasts emerges during puberty and is quite often. In true gynecomastia the actual breast tissue is enlarged in either one side or both. False gynecomastia (pseudogynecomastia) is when the enlargement is due to fat accumulation and not the enlargement of the actual breast tissue. Either case causes psychological and social problems in adolescent individuals.
Although typical liposuction treatment is adequate in false gynecomastia where there is no sagging, true gynecomastia requires the removal of the hard breast tissue through a crescent shaped incision made around the nipple. In cases where sagging is prominent, the excess tissue is removed through incisions on the breast and this results in visible scars.
Vaser liposuction can be applied in both true and false gynecomastia cases and the excess fat and breast tissue can be removed without additional incisions. The incision in this case is made on the natural crease under the breast and healing is quicker since the procedure is less invasive and causes minimal bruising and tissue damage.
Gynecomastia surgery can be performed under both local and general anesthesia. The procedure takes on average around 1.5 hours and the patient can go home within the same day. Compression garments are used for around 3 weeks after the surgery and strenuous physical activities must be avoided.