Why Gland Removal Matters in True Gynecomastia Cases

Before and after image of man who had breast reduction surgery to correct one side of his chest that had glandular gynecomastia Even the most disciplined fitness routine can’t eliminate true gynecomastia. When glandular tissue develops behind the nipple, it creates a full appearance that diet and exercise can’t change. 

Dr. Ronald H. Schuster, one of Baltimore’s leading board-certified plastic surgeons, helps men correct this issue with advanced gland removal techniques.

What Is True Gynecomastia?

True gynecomastia is a medical condition that causes an increase in fibrous glandular tissue beneath the nipple and the surrounding chest area. 

This tissue is different from fat. It doesn’t shrink with diet, cardio, or strength training. Instead, it creates a persistent fullness that can make the chest look less defined, even in lean men.

Unlike pseudogynecomastia, which is caused by excess fat deposits, true gynecomastia develops from a hormonal imbalance where estrogen levels slightly outweigh testosterone. This can happen during puberty, from certain medications, or sometimes for no clear reason at all. The gland itself often feels rubbery or firm to the touch and can cause tenderness around the nipple.

Why Gland Removal Is Essential

In true gynecomastia, liposuction alone won’t fix the problem. The dense glandular tissue beneath the nipple can’t be suctioned away like fat, which is why many men are left with lingering puffiness after liposuction-only procedures.

Dr. Ronald H. Schuster achieves a more sculpted chest by performing both liposuction and direct gland removal. He uses the Lateral Pull Through technique, which allows him to remove the gland through a small incision along the side of the chest rather than around the areola. This approach minimizes visible scarring, unlike older methods.

Results

Once the gland is removed, the chest contour immediately looks flatter. The skin can then contract naturally to the new shape for a more masculine outline. Most patients see a difference right away, and as swelling subsides, the definition becomes even more noticeable. Because the gland tissue does not grow back, the results are typically permanent as long as you maintain a healthy weight.

Trusted Expertise in Gynecomastia Surgery

With more than 30 years of experience, Dr. Schuster has helped men from Baltimore and across the country feel confident again after gynecomastia surgery. His careful technique, combined with attention to detail, allows patients to recover comfortably while enjoying a chest that finally reflects the effort they put into their bodies.

To learn more about treatment with Dr. Ronald H. Schuster in Baltimore, call 410-902-9800 to schedule a private consultation.

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