Gynaecomastia is the development of excess breast tissue in a male. This can occur as a result of hormonal stimulation during puberty or it can occur as a side effect of various medical conditions or some types of medication. There is often a combination of excess glandular breast tissue and usually excess fatty tissue. The relative amounts of excess fat and glandular tissue can vary from person to person and this also depends on the underlying cause.
Traditional gynaecomastia surgery
Traditional surgery as normally carried out by breast surgeons simply involves surgically excising the central part of the glandular breast tissue. This often does not give a very refined result and has the risk of causing a depression in the central part of the breast. There is also a higher risk of bleeding with this technique. A better technique is to use liposuction to correct gynaecomastia as normally practiced by fully qualified plastic surgeons. This provides the opportunity to more evenly remove the tissue over the whole chest giving better results. Occasionally the gland cannot be entirely removed with the liposuction in which case the liposuction is combined with a gland excision but under these circumstances less gland resection is needed and the results are more refined with fewer complications.
In terms of liposuction the latest technique involves using VASER® liposuction for gynaecomastia correction.  VASER® liposuction uses ultrasound energy to dissolve the fat. This is particularly effective for fat in the male breast which tends to be very fibrous and sometimes difficult to remove with standard liposuction.
VASER® liposuction for gynaecomastia
VASER® liposuction is a new form of liposuction that liquefies the fat prior to extraction, in order to create a smooth extraction process that minimises adverse side-effects. VASER® makes use of a combination of ultrasound energy and gentle suction to provide a relatively comfortable procedure with short healing times.
During the procedure an ultrasound probe is gently inserted into the tissues of the breast. This probe emits a very localised energy which dissolves the fat without causing damage to other important structures such as the blood vessels and nerves. This fat is then gently removed with a suction tube.
The advantages of this technique are that there is less tissue trauma so that recovery times are enhanced, there is less bruising and pain, and there are fewer complications.
Occasionally even with VASER® the central part of the breast has such dense glandular tissue that this cannot be removed and needs to be removed surgically. This removal is now enhanced and made much easier since all the surrounding fat has been completely removed. Therefore the use of VASER® simplifies the gland excision.
The failure to appreciate the importance of gland excision is the greatest factor which results in dissatisfaction in patients having treatment by aesthetic practitioners in high street commercial clinics offering local anaesthetic procedures. The heavy advertising for ‘minimally invasive VASER®’ gynaecomastia results in many patients attending such clinics often with poor results. Mr Chana has corrected numerous patients with poor results and a large part of his practice is now  secondary corrective surgery for such patients. He has presented his technique and his huge experience of using VASER® for gynaecomastia correction at international conferences.
You can watch the video of one of his patients undergoing this procedure whuch was shown on Sky television by clicking the link below
The benefits of Vaser Liposuction
Surgery time
1 to 2 hours
Hospital stay
Day case
Time off work
1 week
Full recovery
4 to 6 weeks
Best results
3 to 6 months
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