Gynecomastia treatment options include gynecomastia surgery which is the removal of all the breast tissue (gland), and sculpting of the remaining normal tissue so that the contour of the result is masculine and “normal”. The “Gold Standard” treatment for gynecomastia consists of both liposuction and direct tissue removal with a small incision around the areola. Liposuction alone works well when the gynecomastia is caused by mostly fat—but this is uncommon. On the vast majority of the cases that I have had the privilege to work on, there is almost always gland present.
If liposuction is performed alone, breast tissue will remain as will the puffy nipples and you will feel the tissue. Is this what you want? The type of liposuction used is irrelevant. As long as your surgeon is expert at gynecomastia, and is experienced and competent, it simply does not matter weather traditional, power, laser or ultrasonic liposuction is used. Those surgeons who market “scarless” gynecomastia treatment with laser liposuction alone are marketers and not real gynecomastia surgeons. This is no bull.
Gynecomastia removal with the “Cartilage Shaver” is not the best technique. It has a higher complication rate than the “Gold Standard” treatment (this has been my experience with one hundred cases). I have seen more “hard healing” with the Shaver and more bleeding. It is a “blind” operation without the surgeon able to see the actual tissue and the bleeding. I see bleeding all the time when I use the incision around the areola and I can stop it with my electrosurgery device.
Medical therapy for gynecomastia simply offers minimal to modest improvements in most patients. The use of anti-estrogens (tamoxifen) is best used in very early cases of gynecomastia. It may shrink the breast size and lessen the pain if present, but it will not remove the gynecomastia. Homeopathic medications, Internet “cures” and over the counter medications will not work to take away your gynecomastia. Weight gain or loss and vigorous exercise will not cure your gynecomastia. The best way to treat gynecomastia is with surgery. Plain and simple.