A man in his early 30’s who is bothered by female breast development. He did not finish growing in height until his sophomore year of college. He noted female breast development starting after college. His endocrinology workup was normal and he does not have a testicular mass on the examination by his physician. He is bothered by the appearance of his chest with his shirt off but also in some shirts. He did not have a history of significant marijuana use or anabolic steroids. The cause of his gynecomastia is “idiopathic” which is a fancy word for unknown.
He is shown before and again, 5 months after power assisted liposuction with external ultrasound assist using the SAFE technique ( Suction Aspiration Fat Equalization) combined with direct excision of breast tissue through a peri-areolar incision.