Normally Gynecomasty is a contra-indication for Endopeel Techniques, because Endopeel doesnt act on fatty tissue as glandular tissue ( where in some cases a proteic coagulation could be seen).
Dr.Ulises Arellano has found a way to get excellent optical results for gynecomasty . placing his vectors and tensors in an area with minimum quantity of fat . In such case the fat area, which is in low quantity, will follow the movements of the muscles treated .( A.TENENBAUM)