Gynecomastia expert Dr. Robert Caridi is in the gynecomastia surgery operating room with a patient that exhibits a common gyno disposition – puffy nipples, widened areolas and a well demarcated area of gyno tissue. Dr. C explains the four steps of gynecomastia surgery treatment that also involve gyno removal and puffy nipple treatment.
The four steps of gynecomastia surgery treatment are:
Step 1: Infiltration of the gyno affected areas to prepare for liposuction.
Step 2: Vaser liposuction to break-up as much gynecomastia tissue and closely adjacent fatty tissue.
Step 3: Traditional vacuum-assisted liposuction removal of the effluent produced by the Vaser.
Step 4: Excision removal of the remaining gyno tissue glandular mass and post-excisional surgical techniques to properly shape the chest without depressions.
Want more information about the four steps of gynecomastia surgery, gyno removal or puffy nipple treatment? Read the information from the Austin Gynecomastia Center here:
Step one of gynecomastia surgery treatment and puffy nipple treatment is infiltration of the gyno affected areas to prepare for liposuction. Infiltration is the injection of a fluid – a saline and epinephrine solution – into the areas affected by gynecomastia. This will reduce bleeding during the liposuction removal.
For step two of gyno treatment and puffy nipple treatment is Vaser liposuction. Vaser is an ultrasonic liposuction technique which uses sound energy to reduce the size of the fibrofatty glandular tissue that is responsible for gynecomastia and dissolve the fat surrounding the tissue so that it can be removed with a smaller incision and a less invasive procedure. It is only used on and around areas where gyno tissue is present and serves to reduce the amount of tissue needing to be excised later.
See before and after photos of gynecomastia treatment here:
Following step two, Vaser liposuction, step three of gyno surgery treatment involves utilizing traditional vacuum-assisted liposuction to remove the effluent produced by the Vaser treatment. Vaser uses ultrasonic waves to dissolve gynecomastia and fatty tissue, which is converted into a liquid termed effluent. Traditional vacuum-assisted liposuction is used to extract this effluent from the body and provides unencumbered access to the gyno tissue that causes puffy nipples and was not able to be removed using Vaser.
Finally, step four of gynecomastia surgery treatment and puffy nipple treatment is the removal of the remaining gyno tissue glandular mass by surgical excision and the use of post-excisional surgical techniques, such as internal flaps, to properly contour the chest without depressions. Excision is the surgical removal of the remaining gynecomastia tissue that was too dense to be dissolved with Vaser and is performed with a scalpel, surgical scissors or other tool. To ensure all the gyno tissue is extracted without leaving a depression or excessive space for fluid to collect in, post-excisional techniques, such as internal flaps in the case of this patient, are employed. This will make sure that gynecomastia does not return and leave puffy nipples, all while contouring a flat and even chest.
If you have puffy nipples, need gyno removal treatment or think you may have gynecomastia, and want my free opinion, submit an online consultation here:
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