Evita Clinic’s
Gynecomastia Operation Method
How is Gynecomastia Surgery done?
Gynecomastia surgery consists of four methods depending on your grade.
As you can see in the chart on the left, one of the things that we consider is if your chest is sagging or not.
The image below shows different Grades of Gynecomastia. It is according to the American Society of Plastic Surgeons(ASPS) classification. You can use this chart as your guide to give you an idea of which grade you have.
In case of Grade I
The surgery method is simple. You would only need mastectomy (gland removal).
In case of Grade II
You need mammary gland removal and liposuction.
For grades 3 and 4, there is some additional procedure needed to prevent postoperative sagging.
In case of Grade III
You will need additional mastopexy (external or internal lifting)
In case of Grade IV
Additional nipple transposition & Skin resection.
Design
Before you go in for surgery, our surgeon would do the “Designing”.
This is to plan out which areas to focus on and which areas not to touch during the surgery.
Incision
As shown in the photo below, we have a special Incision method. Our goal is to leave as minimal scars as possible after the surgery.
Tumescent Anesthesia
The word “tumescent” means swollen and firm. By injecting a large volume of dilute Lidocaine (Local anesthetic) and Epinephrine (Capillary constrictor) into subcutaneous fat, the targeted tissue becomes swollen and firm. The Tumescent Technique is a method that provides local anesthesia to large volumes of subcutaneous fat and thus permits Liposuction to be done totally by Local Anesthesia. This eliminates the need for General Anesthesia and surgeries can be done only through IV sedatives.
Laser Lipolysis
Accusclup Laser helps give more elasticity to your skin after the surgery.
ACCUSCULPT features a 1444 nm micro pulsed Nd: YAG wavelength for facial and body contouring. This clinical procedure is well known as ACCULIFT™.
After Gynecomastia surgery, the restoring of enlarged skin is very important. Evita Clinic uses this laser to help improve your skin elasticity.
Liposuction
Before removing the gland, Liposuction is done to suction out unnecessary unwanted fats on your chest.
Liposuction greatly helps to reshape and overall improve the appearance of your chest.
We use a Nutational Infrasonic Liposculpture with an aspiration machine EVA®
This takes about 40 to 50 minutes.
Mastectomy
Lastly, your mammary gland will be removed.
It takes about 1 to 2 hours.
Mastopexy
High-grade gynaecomastia (Grade III and IV) has tissue excess (skin excess, enlarged areola, and displaced nipple), which is best managed surgically. However, results of conventional breast reduction surgeries and liposuction are not perfect.
In this case, various mastopexy methods such as Circumareolar excision, Anchor resection, and Double incsion can be used.
These surgical methods are decided through sufficient consultation with Dr Jeon before surgery.
Circumareolar excision was originally described as a “donut” mastopexy because of the shape of the skin excision design.
Circumareolar excision by itself does not elevate nipple position enough or remove sufficient skin to be very effective.
It can reduce areolar diameter and simultaneously raise nipple position modestly (<2 cm) by using an eccentric shaped excision pattern that includes intra-areolar skin.
Compared to the minimal incision method, this operation takes about an hour longer and costs an additional KRW 1,000,000.
This surgery is mainly performed for gynecomastia in which the nipple is sagging below the sub-breast line in 4 grade.
Anchor resection is remove of tissue and skin is conducted via 3 incisional components; periareolar, vertical, and horizontal, this results in a scar that looks like an inverted T.
It can reduce areolar diameter and simultaneously raise nipple position over 2 cm.
This operation takes about 4 hours longer and costs an additional KRW 2,000,000. And it takes about 2 weeks to recover.
Pathologic Report
A week from your surgery, you will receive your biopsy examination result.
