Best practices for gynecomastia treatment and results

A Downers Grove plastic surgery practice outlined a minimally invasive approach to gynecomastia treatment for mild to moderate cases, emphasizing local anesthesia, liposuction and small incisions. The guidance highlights how the technique aims to improve contour and reduce scarring.

Why it matters: - Gynecomastia treatment is often judged by both chest contour and scar quality. - Combining fat removal with breast tissue removal can reduce the sunken-in appearance associated with older techniques. - A less invasive approach can shorten recovery time for patients with mild to moderate gynecomastia.

What happened: - Dr. Robert Paresi Jr. of Contour Plastic Surgery and MedSpa in Downers Grove, Illinois, outlined best practices for achieving stronger gynecomastia treatment results. - The guidance focused on Grade 1 and Grade 2 gynecomastia, which are mild to moderate cases. - The procedure can be performed under local anesthesia. - The treatment typically takes about an hour. - Patients receive an oral sedative and narcotic before the procedure. - Patients are often discharged home within 30 minutes after the procedure.

The details: - Liposuction should be used as an adjunct procedure in every gynecomastia case, according to the guidance. - Gynecomastia includes both breast tissue and surrounding fat. - Liposuction removes fat around the breast tissue and helps isolate the tissue for later removal. - Combining liposuction with breast tissue removal helps avoid contour deformities that were more common with older techniques. - The procedure can be done through a 5-7 mm incision. - The incision is placed on the lateral chest or in a periareolar location. - The minimally invasive approach is designed to reduce scarring compared with more invasive methods.

Between the lines: - The emphasis on liposuction suggests that chest shaping matters as much as tissue removal in modern gynecomastia surgery. - Small incisions and local anesthesia point to a more outpatient-friendly experience for eligible patients. - The approach reflects a move away from older techniques that could leave visible indentation or more obvious scars.

What's next: - Patients considering gynecomastia surgery will likely discuss whether their grade and anatomy make them a candidate for local anesthesia and a minimally invasive approach. - Outcomes will depend on combining the right surgical technique with careful contour planning.

The bottom line: - For mild to moderate gynecomastia, the best results come from treating both fat and glandular tissue while keeping incisions small and recovery relatively simple.