Lipo vs. resect: Gynocomastia can be secondary to certain drugs (ie marijuana and many prescription meds) and also can be secondary to hormonal problems that may signal a bigger issue. You need a testicular exam, review of your medications, and several blood tests that are not part of routine bloodwork. With type 1 liposuction best first choice, understand the skin will retract some and may need later resection.
Answered 12/17/2013
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Seek Consultation: Gynecomastia, if persistent, is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice. For patients with excess skin, common after weight loss, skin excision may also be necessary.
Answered 12/22/2013
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