Hawaii Gynecomastia Surgery (Graphic) – Removal of Male Breast Tissue (Man Boobs) – S. Larry Schlesinger, Honolulu
He has true gynecomastia in here, but there’s a lot of fat involved in that and if we suck it out, we’ll have a lot less gland to remove. He’ll be staying overnight with us tonight since it’s a relatively large case.
We already liposuctioned the love handles or hips. We’re going to liposuction the abdomen and we’re going to liposuction the chest or gynecomastia. He also has gland all the way up to here. This is called the tail of Spence and this is breast tissue from when he was twelve – it turns mostly to fat on most people, but it’s mostly gland on him and you need to suction it out for aesthetic reasons, but also breast cancer can occur there so you want to take it out for safety reasons.
So the first thing we do is we put tumescent in and tumescent means to make rigid with fluid. So we’ll put a small injection site right here and we’ll open this with a #15 Bard-Parker (scalpel) and we use a hemostat to get into the space. We’ll start filling it up with a tumescent needle to go right into the substance of the gland. The reason for sucking out the sub-cutaneous fat on this is if you were to take out all or most of the gland without taking out the fat, you could get a depression. So this is more for cosmetic reasons then anything else. But, we’re going to try and get as much gland out as possible with the liposuction and then the rest will be done with directly cutting it out.
Ok, so we’ve made rigid with fluid which is what tumescent means and now we’re just going to leave it for awhile.