How do you treat gynaecomastia?

The preferred treatment for Gynaecomastia is to use Liposuction to remove this stubborn fatty, glandular tissue. We most commonly use Water Assisted Liposuction (BodyJet) or Power Assisted Liposuction using MicroAire or Lipomatic. We have found other techniques such as Ultrasound (VASER) or Laser Assisted less effective. In younger people, or where the tissue is fibrous, it may be necessary to carry out Webster’s procedure, either on its own or in combination with liposuction. This is a direct excision of breast disc through a discrete peri-areolar incision. The skin itself is allowed to retract so that the operation is essentially scarless.

Infrequently, there are however, patients with very large breasts where there is too much surplus skin and at a second stage, a reduction of skin with repositioning of the nipple is required.

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