A man in his late 30’s with gynecomastia since puberty. He was heavier as a child and had a maximum weight of 250 lb. He took some anabolic prohormones in his early 20’s and developed some tenderness and increasing fullness of his breasts. He has reduced his weight to 190 lbs but continues to have female appearing breasts which are prominent in fitted shirts and also bother him with his shirt off. He wears extra shirts to try and camouflage the appearance.
He is shown before and again, 6 months after surgery with power assisted liposuction using the S.A.F.E. technique combined with direct excision of breast tissue through a periareolar incision.
Although he continues to have mild skin laxity from decreased skin elasticity following his weight loss, his appearance is greatly improved. The only reliable way to tighten loose skin would be to place a visible scar on his chest which would not be worth the tradeoff.
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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