If excess glandular tissue is the primary cause of the breast enlargement, the excess tissue will be removed with a scalpel. The Gynecomastia Naperville, IL procedure may be performed alone or in conjunction with liposuction. In a typical Gynecomastia procedure, an incision is made in an inconspicuous location— either on the edge of the areola (the dark skin around the nipple) or in the under arm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that may result in more conspicuous scars.
In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the remaining skin to firmly re-adjust to the new breast contour.
If liposuction is used in addition to excision, the cannula, a slim hollow tube is usually inserted through the existing incisions. If only liposuction is required, an incision less than one-half inch in length is made around the areola or in the underarm area. The cannula is inserted and, using a vacuum pump, the surgeon moves through the layers beneath the skin, removing fatty tissue and suctioning the fat from the body. There is generally no pain involved, but some feeling of vibration or friction may be experienced.