Gynecomastia is associated with a wide variety of dissimilar causative factors, but the final common pathway usually involves a relative, or absolute excess of circulating estrogens, a deficiency of circulating androgens, or a defect in adrogen receptors.
More and more surgeons use liposuction solely, or before gland resection to reduce male breasts. Liposuction is a surgical procedure by which excess fat is manually broken up and then vacuumed out of the body through a rigid, hollow, blunt -ended tube called a cannula. Cannulas have holes near the ends through which the fat is suctioned.
Gynecomastia – liposuction technique
Liposuction is also known as liposculpture or lipoplasty. Liposuction is suited to remove isolated fat deposits that do not respond to conventional weight-loss efforts. It has been experienced that smaller cannulas are able to achieve outstanding results in male breast glandular tissue.
The whole procedure can thus be accomplished by local anesthesia only. Most commonly, incisions are located along the edge of the areola or within an armpit.
Cosmetic surgeon removes excessive fat or glandular tissue through these incisions. Moreover, new chest contour is made to gain natural look.
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In some cases where skin around the breasts is sagging, surgoens suggest surgical tissue excision allowing removal of a greater amount of skin and glandular tissue.
Resulting scars are normally very inconspicuous. The rate of complications is low and the patients are enourmously satisfied with the result.
Dr Oleg Turkin is a cosmetic surgeon who specialises in all areas of cosmetic surgery, including facial, body and breast surgery. He has very dedicated approach to his work, aiming to give patients a first class service with more than 30 years experience. 
