What is actually happening
True gynaecomastia is glandular tissue and does not respond to fat treatment. Pseudogynaecomastia is fat and does. An examination tells them apart.
The options used in Spain
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| Option | What it does | Typical range |
|---|---|---|
| Vaser lipoUltrasound-assisted lipoplasty | Ultrasound loosens fat before removal. Gentler on tissue, better for definition. | |
| LiposuctionLipoplasty | Removes localised fat to change shape. It is not a weight loss procedure. | |
| Male chest reductionGynaecomastia correction | Gland, fat or both. The diagnosis decides the technique. |
Which one is right
The table is ordered by how invasive each option is, not by how well it works. A clinic that proposes the bottom of the list before examining you has skipped the step that matters. Ask why that option and not the one above it.
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