Before the advent of liposuction, pseudogynecomastia (the scientific term for male breasts) was treated surgically with very mixed, if not poor, results, especially concerning the areola and nipple, which would retract inward in a very unsightly manner. Liposuction provides excellent results here, leaving no trace, as the incision is made along the areolar line. This demarcation between the white skin and the brownish areola will completely mask any minor scar that might remain.
What a complex it is for a man to have breasts; one must see and hear it to believe it. Some have confessed to me that they have never worn a swimsuit, never exposed their chest in public, and felt embarrassed even in front of their wives and children. And what results! Liposuction removes this excess fat, restoring a completely natural chest to the man.
Sometimes, a “female-like” breast exists only on one side, which is almost worse. Here again, liposuction comes to the rescue, restoring beautiful symmetry. Unlike the buttocks or the anterior thigh, where at least 50% of the fat must be left, here we can proceed freely and remove as much as possible to maximize a natural masculine chest appearance.
If you recall, we mentioned that the fat on the inner thigh was like jelly due to the absence of fibers. Well, it’s the complete opposite for the male breast, which is rather fibrous and responds with a “crunch crunch” to the cannula’s penetration. Moreover, this region is highly vascularized and bleeds more easily.
To overcome this, we must perform hyper-tumescence to create a “hydrodilation” of these resistant tissues, making them easier to aspirate.
Additionally, even male breasts contain mammary or glandular tissue located just behind the nipple. Upon palpation, one can distinguish this tissue, which is harder than fat. With the liposuction cannula, we can partially break up and aspirate this firm and fibrous tissue, but we cannot expect its complete disappearance. Sometimes the breast will not become absolutely flat, but enough to make a noticeable difference. In any case, in medicine, we cannot and should not offer absolute guarantees, nor especially false hopes.
