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Dr Boris Volshteyn, a board certified plastic surgeon with over a decade of practical experience in using high tech methods in treating gynecomastia patients, lays out basic principles on what most patients need to know before calling a surgeons office. Some patients and, unfortunately, physicians, might feel that Gynecomastia or Male Breast ReductionSurgery is a very simple procedure. It is not complicated, however, it is not simple either. As we get more experience in Gynecomastia or Male Breast ReductionSurgery, the understanding of a good result changes from just reducing the volume to shaping of the chest wall. We have to look beyond just a volume proble, we need to consider other anatomic structures for best result. When I look at Gynecomastia patients I look at 5 main things: 1. Amount of excessive breast tissue 2. Amount and location of breast tissue an amount of fatty tissue under the breast tissue ball. 3. Amount of excess skin 4. Size, shape, position and symmetry of the areola 5. Size, shape and symmetry of the nipple itself Most surgeons perform liposuction alone. For many patients it may work well but in my mind, it may not be enough for a good result. Boris Volshteyn MD http://www.plasticsurgerynewyorknewje... http://www.sierraplasticsurgery.net 212-967-1771 732-641-3350