For those who worry about Gynecomastia and having the operation. part 4

1. Minimal Incision Scar

A scar is made by making the 6-7mm of minimal incision in 6 o’clock direction. It is a procedure using the scissors for gynecomastia and a high frequency machine.

This approach was published by Director Yoon Sng-yeop of Silhouette Plastic Surgery in Korean Society of Plastic Reconstrctive Surgeon in 2007. .

Since then, many plastic surgeons have heard the announcement , learned the method, and followed it.

Using the special utensils and scissors as shown in the picture can reduce the areola scars.  

Since then, Silhouette Plastic Surgery has developed this method more to carry out the surgery making a 2-3mm small hale (stab incision)

Recently, a developed method guarantying no scar is used. 

2. 2mm small hole(stab incision, small hole) scar

The surgery is available only by making a small hole, not making the incision or scar.

A 2-3mm hole is made on the areola or in the armpit for liposuction or glandular removal.        

A scar is not left after the surgery.  

An electric knife (tissue shave) is used. .

In 2009, Silhouette Plastic Surgery used an electric knife (tissue shave) for gynecomastia surgery.

It was announced as a new surgical method in the Korean Society of Plast Reconstrctive Surgeon.

In the front side of the tissue shaver, there is a metal blade to cut the glandular tissue. It is cut as the shaver rotates.    

The rear side of the electric knife is connected to the machine to absorbing the tissue, inhaling the cut glandular tissue.  

In the procedure, fat is melted using an ultrasonic wave to be inhaled. The grandular line is cut step by step and removed gradually.

Silhouette Plastic Surgery is the only hospital that can carry out the surgery with a 2mm-small hole. It is explained by Silhouette Plastic Surgery’s career with the surgical cases of 6,000 or more .
Accumulated experiences and know-how make it possible to damage the surrounding tissue and to minimize scars.

However, the only surgical method one way does not solve all gynecomastias. Do not stick to  the method only.   

Gynecomastia surgery has developed continuously.

The ultimate goals of gynecomastia surgery are  

1.     Not to leave surgical traces,

2.     Not to damage the surrounding tissue

3.     To effectively remove fat and the grandular line

4.     To make a male chest into a normal, flat shape.

5.     And to quickly restore to the life without side effects.

Surgical Methods by Generation by Silhouette Plastic Surgery and Comparison of Scars

(Left) 1^st generation gynecomastia surgery; prior to 2008(scar length 2 - 3cm)

(Middle ) 2^nd generation gynecomastia surgery; prior to 2010 (scar length 6 – 7 mm)

(Right) 3^rd generation gynecomastia surgery; after 2010 (scar length 2 – 3 mm, invisible after the surgery)

Silhouette Plastic Surgery has increasingly developed the surgical procedure developed on its own. 

It can be distinguished into the above 3 generations.

Ultimately, it is evolving in the direction of the invisible scars while liposuction and grandular removal are effectively carried put.

The most recent updated gynecomastia surgical methods by Silhouette Plastic Surgery

Benefits from Gynecomastia Surgery by Silhouette Plastic Surgery

1.No scars after the  surgery. 2-3 mm small holes scars are difficult to find. .
2. The operative time is short as about 1 hour.
3. Everyday life available after the surgery. Faster recovery. Most of the surgical procedures are liposuction. No damage occurs to the surrounding tissue as mastectomy is not applied, like breast cancer surgery,
4. Not uncomfortable because there is no need to wear a drain.
5. As a human bond is used to stitch the skin, no process is required to apply disinfection or undo a seam. It is possible to take a shower the following day. 

Procedure by Gynecomastia Surgery by Silhouette Plastic Surgery 

The surgery is available by making a small hole in the areola or in the armpit.

A hole is not made into the two sites at the same time. One of the two sites is selected for the surgery.

Hereunder the procedure of the surgery, such as making a hole.

1. Topical anesthetic or sedation is applied. After the patient is anesthetized, a hole (2-3mm)  is drilled in the areola boundaries using a surgical knife.

2. Tumescent solution (topical anesthetic and hemostatic agent) is applied evenly across the chest..

3. The fat across the chest is evenly inhaled using an ultrasonic liposuction instrument. .

The black border seen in the picture is the overall scope of the liposuction.

The greenish inner circle is a portion where the breast tissue (granular tissue + fat tissue) are present. It is inhaled by applying an ultrasound wave on a lot of the area.

Applying the fat intake process fully and properly reduces the first touched breast tissue (green boundary and the areola size level (3-4cm) even much.

4. The fat left after uultrasonic liposuction is inhaled using a general fat inhaling instrument..

5. If fat and the granular line are separated, the touching area is reduced Less than one-fifth.

6. The minimal necessary portion of the left grandular tissue is gradually cut using a  (tissue shaver to be removed.  

Cautious work proceeds to protect the chest from depression and to enable the chest to look flat.

7. The small hole made in the areola or in the armpit is inner-stitched and the outer skin is attached by applying a human bond. 

8. A sponge is used to protect the skin and the are is covered with elastic bandage for24 hours.  

9. After the surgery, the sponge and the elastic bandage are released; only the siimle compressive band is worn  for 2-4 weeks.

For 2 – 4 weeks after the surgery, weight training is available.

The surgical method does not damage the surrounding tissues. Thus, the patient can recover quickly and take exercises soon.