Gynecomastia Gallery

A man in his early 30’s is bothered by female breast development which happened at the age of 15-16.  He was a regular marijuana smoker at the time and this may have been the cause.  He is bothered by the appearance of his chest with his shirt off and in fitted shirts.  He wears compression shirts under his shirt to camouflage his appearance.  He is shown before and again, just 6 weeks after bilateral gynecomastia excision with power-assisted liposuction using the S.A.F.E. technique combined with direct excision of breast tissue from an incision around the lower areola.  With the S.A.F.E. technique ( Separation Aspiration Fat Equalization) a finned cannula is used initially to breast up the fa.  Unlike energy-based liposuction such as Vaser or laser, this does not damage the fat cells.  Then liposuction is performed, then breast tissue is excised.   Then the remaining fat is smooth or “equalized” with the finned cannula… In my hands, this has given the smoothest result.  Scars are at their reddest and thickest at 6 weeks and will now soften and fade over the next year or more.  Topical silicone is prescribed to improve scar maturation.  Swelling will continue to improve over the next 4 ½ months.  He is already thrilled with his result. He is looking forward to a beach wedding, and finally feeling comfortable with his shirt off.

A young man in his later teens with gynecomastia since the age of 13.  He does not have a history of marijuana or anabolic steroid use so this is most likely idiopathic in origin.  Idiopathic is a medical term for “we don’t really know why” and is a common presentation at puberty.  He is bothered by fitted shirts and with his shirt off.  He is shown before and again, just 6 weeks after surgery with Power Assisted Liposuction using the S.A.F.E. technique ( Separation/Aspiration/Fat Equalization) combined with direct excision of breast tissue from an incision along the lower areola.  Scars are typically at their reddest at 6 weeks and we will now have him use topical silicone to help the scars soften and fade faster.  He is thrilled with his result and can now resume normal activities and the gym.

A man in his middle 30’s who had had gynecomastia (development of female-appearing breasts) since he was 13.  He wears Spanx under his shirts to camouflage the appearance of his chest and is bothered by his appearance in most fitted shirts and with his shirt off.  He is shown before and again, 6 weeks after bilateral gynecomastia surgery using the S.A.F.E. technique (  Separation  Aspiration Fat Equalization) utilizing power-assisted liposuction combined with direct excision of breast tissue through an incision around the areola.  A finned  “Becker” cannula is used to breast up the fat mechanically, followed by liposuction, then the excision, then smoothing of the fat with the finned cannula again.  In my hands, this has given the most consistent results.  At 6 weeks he is already thrilled with his improvement and ready to resume normal activity.  A mole was removed from his right shoulder at the same time. 

A student in his later teens who has been bothered by female appearing breast development ( gynecomastia) since the age of puberty.  He was bothered with his shrt off and wore additional shirts to camouflage the appearance.  He is shown before and again, 8 months after bilateral gynecomastia excision with power assisted liposuction using the S.A.F.E. technique combimed with direct excision of breast tissue through an incision along the lower areola.

An early ( 6 week) result for a man in his late 20’s with gynecomastia since the age of 17, most likely from weight lifting supplements.  He is shown before and again, just 6 weeks after treatment with a combination of power assisted liposuction using the S.A.F.E. technique, combined with a direct excision of breast tissue through a peri-areloar incision

Scars are typically at their thickest and reddest at 6 weeks and will now soften and fade over the next 2 years. Tattoos have been blurred for his privacy

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.

A young man in her late teens with bilateral gynecomastia since puberty.  He is shown before and again 4 months after a combination of power assisted liposuction using the S.A.F.E. technique ( Separation/aspiration/Fat Equalization) combined with a direct excision of breast tissue through a periareolar incision.

A man in his late teens with gynecomastia since the age of 12. He is shown before and again, 6 weeks after bilateral gynecomastia treatment using the S.A.F.E. technique ( Separation Aspiration Fat Equalization) with power assisted liposuction with the removal of 500 cc of lipoaspirate from each side of the chest combined with the direct excision of 30 grams of tissue from the right breast and 40 grams from the left.
He is pleased with his early result. Scars are typically at their thickest and reddest at 6 weeks and will then soften an fade over the next 2 years.

Update: Our patient is now seen 4 ½ months after surgery.  Scars have continued to fade and he is pleased with his normal contour.

An Asian man in his later 20’s with gynecomastia that started at the age of 17-18 while smoking marijuana. He is bothered by the appearance of his chest in fitted shirts and with his shirt off. He is shown before and again, just 6 weeks after bilateral gynecomastia surgery including liposuction with the S.A.F.E. ( Separation Aspiration Fat Equalization_ technique combined with a direct excision of breast tissue from an incision at the areola. Scars are typically at their worst at 6 weeks and will now continue to fade and improve over the next 2 years. He is thrilled with his new contour.

Last 3 Photos: Our patient is now seen 15 months after surgery.  His scars have faded and he has an excellent contour.