A man in her early 20s with right unilateral gynecomastia which became more noticeable in his 20s. He is a bodybuilder, and although he has not taken anabolic steroids but may have used over-the-counter supplements.
He is bothered by the appearance of fitted shirts and with his shirt off.
He is shown before and again, 7 weeks after power-assisted liposuction of his right chest combined with the direct excision of 24 grams of breast tissue through an incision along the lower areolar border.
Discussion: Scars are typically at their reddest and thickest at 6 weeks and then will typically fade and improve over the next year or longer. I now place the lateral liposuction incision along the lateral border of the pectoralis muscle where it is not as noticeable. We will have him use topical silicone on the scars and avoid sun exposure for 12 months to decrease the risk of darkening the scar in the sun (“Post-inflammatory hyperpigmentation”). His scars are a little better than we might typically see at 6-7 weeks.
His presentation is typical for bodybuilders with gynecomastia. Even though his case is mild to moderate, a more even contour is obtained in my hands by using power-assisted liposuction along with excision of the breast tissue.
The “hands on the head” view shows the gynecomastia contour before and 7 weeks after.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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