Gynecomastia treatment has a history of various approaches for best results. It's nice to have options,
but sometimes too many options can confuse those seeking the best form of Gynecomastia treatment in Austin offering reliable,
safe, and predictable outcomes. I have spent the past 15 years at the Austin
Gynecomastia Center tinkering with various options to determine what
works best for my patients and me. The clear winner is the approach I wrote about and published,
"Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases".
After I had treated several thousand patients, it became quite clear to me that the key to optimal
gynecomastia surgery is the complete removal of all gross gynecomastia tissue and the use of a layered
closure technique along with both standard and VASER ultrasonic liposuction for male breast. The ultimate goal is a
smooth, masculine chest without signs of surgery. The incision for this technique includes a small one
in the armpit area and a fingertip-sized incision at the bottom of the areola border where the different
skin tone of the areola meets the normal skin of your chest. Without question, these incisions heal
pretty well and are very difficult to see. In fact, the periareolar incision is the "gold standard"
incision for gynecomastia treatment. There is no better way to hide a scar than to place it in a natural
boundary between two different colored tissues.
There are other options for treatment that include a "pull through" technique with a lateral chest
incision only and even an approach with an incision only in the armpit. Are these techniques effective?
If they are, why am I not using them?
The "pull through" technique with the lateral chest area is suboptimal because it leaves both
gynecomastia tissue and a very visible scar on the lateral chest area. Not good at all. In my opinion,
this is a non-option and nothing I would ever offer my patients.
The idea of an incision in the armpit only means that you are performing liposuction alone (I squashed
this idea many years ago) or using a "cheese grater" cannula to remove the dense gynecomastia beneath
the nipple-areola complex. This technique will also not remove all the gynecomastia tissue, especially
under the areolas causing the "puffy nipple" appearance, and likely will lead to more scar tissue and
I have heard from countless patients over the years who have had previous treatment elsewhere that these
approaches made it "better," but it's not where I want to be. This says it all. It's possible to make
your chest smaller with these modalities, but the true art of gynecomastia treatment is to reach the
ideal endpoint of treatment so your chest rocks. No leftover tissue. Minimal chance for recurrence no
matter what supplements or medications you take and the ultimate masculinization of your chest.
Understand that I, too, can offer you alternative approaches to optimal gynecomastia treatment, but if
the goal is the best result, the preferred alternative is my standard approach. Be aware, too, that some
practitioners are offering you forms of treatment that you are searching for so they obtain your
business. If you are confused about the best form of treatment offered for gynecomastia surgery in Austin, you will need to spend some
time and effort in learning from trustworthy sources.
Our team at AGC is here to answer your questions, assist with scheduling your appointment, or help you with any other matters related to your treatment. Book your consultation online for specific questions regarding a personalized surgical plan.
A further detailed discussion with Dr. Caridi and his team will follow this inquiry. If you are seeking more general information or are a previous patient needing to contact medical staff, always feel free to call our office.
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