Gynecomastia/Massive Weight Loss – Patient 164

A man in his 60’s who has gynecomastia and significant weight loss. The only way to tighten loose skin is to remove skin, leaving a visible scar on the chest in exchange for a normal contour in clothing. Our patient is shown before and again, 4 years after bilateral gynecomastia excision with free nipple grafting. He is pleased by his contour in fitted shirts and bicycle jerseys, but, as we see with most gynecomastia patients who need skin excision, he does not feel comfortable taking his shirt off at the beach.