Does gynecomastia surgery include liposuction or only tissue removal? The answer depends on the cause of the enlargement. Some cases are linked to excess fat, others to firm glandular growth, and many involve both. Dr. Mordcai Blau, M.D., P.C., offers gynecomastia treatment options in White Plains, NY, designed to address each unique situation.

What Is Gynecomastia?

Gynecomastia is a medical condition where male breast tissue becomes larger than usual. This may result from fat buildup, firm glandular tissue, or both. Fat-related enlargement often occurs with weight changes, while glandular tissue typically does not respond to diet or exercise.

The difference between fat and glandular tissue determines which surgery is recommended. This should not be confused with simple weight gain. True glandular tissue creates a firm lump under the nipple, which only surgical removal can treat. That’s why an evaluation from a Gynecomastia specialist is essential before moving forward with surgery.

Liposuction vs. Excision in Gynecomastia Surgery

Liposuction is performed through very small incisions using a thin cannula to remove fat. This works well when excess fat is the primary cause of breast enlargement. However, liposuction alone cannot remove the firm glandular tissue that creates fullness in many men.

Excision involves carefully removing the dense breast tissue through a small incision near the areola. This step is essential in true glandular cases. For many patients, the best results come from combining both methods—a male breast reduction with liposuction plus excision. This dual approach helps achieve a smoother, flatter chest that looks natural from all angles.

What to Expect From a Combined Male Breast Reduction

A gynecomastia combined procedure addresses both fat and glandular tissue in a single operation. Liposuction sculpts the chest and blends it with the surrounding areas, while excision removes the dense tissue that liposuction cannot touch. Together, these techniques create a more balanced and even chest contour.

Recovery typically involves wearing a compression garment to support healing and minimize swelling. Most patients can return to normal daily activities within one to two weeks. The full results become clearer as swelling decreases over several months. 

Why Choose Dr. Mordcai Blau for Gynecomastia Surgery in White Plains

Dr. Mordcai Blau, M.D., P.C., has extensive experience performing male breast reduction in White Plains, NY. His evaluations focus on whether the enlargement is caused by fat, glandular tissue, or a combination of both. Each patient’s treatment is planned considering skin quality, chest shape, and individual anatomy. This allows for results that match the body’s proportions while avoiding an unnatural or overdone appearance.

Is Combined Surgery Right for You?

The right approach depends on whether the condition is fat-based, tissue-based, or mixed. Liposuction alone may correct fat-related enlargement. Excision is required when glandular tissue is involved, sometimes combined with liposuction. Discussing these factors with your doctor helps you choose the right treatment.

Book an Appointment

Interested in combined gynecomastia surgery in White Plains? Dr. Mordcai Blau, M.D., P.C., offers thorough evaluations for men considering male breast reduction. He can explain whether liposuction, excision, or both are right for you. 

Book an appointment through our contact page and schedule your consultation today.