Gynecomastia | Jonathan Hall, MD, FACS- Part 2Jonathan Hall, MD, FACS

Gynecomastia – Patient 165

Learn about patient

Gynecomastia – Patient 165

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.

Gynecomastia – Patient 164

Learn about patient

Gynecomastia – Patient 164

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

Gynecomastia – Patient 163

Learn about patient

Gynecomastia – Patient 163

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.

Gynecomastia – Patient 162

Learn about patient

Gynecomastia – Patient 162

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.

Gynecomastia – Patient 161

Learn about patient

Gynecomastia – Patient 161

A man in his late 20’s who developed mild gynecomastia following a year of Finasteride use. He is 5’ 8 ‘ and 162 lbs. He is shown 2 months after bilateral chest liposuction with the

removal of 200 cc of fat from his right chest, and 250 cc of fat from his left chest, to help balance his asymmetry. External Ultrasound was used initially to soften the fat, and then Power Assisted liposuction was used. Initial fat undermining was performed with a Becker cannula not attached to suction to loosen the fat. A Becker cannula has small “fins” a the tip to help break up the fat.

Then liposuction was performed. At the end of the procedure, fat equalization was performed by again using the Becker cannula to smooth and redistribute the remaining fat. At 2 months, he still has some swelling that will continue to improve over the next 6 months. The liposuction access incisions in the upper chest are at their reddest and most noticeable at 6 weeks after surgery and then will fade and improve over the next 24 months.

Gynecomastia – Patient 160

Learn about patient

Gynecomastia – Patient 160

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.

Gynecomastia – Patient 159

Learn about patient

Gynecomastia – Patient 159

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.

Gynecomastia – Patient 158

Learn about patient

Gynecomastia – Patient 158

A man in his later 20’s with gynecomastia following prohormones that he took at the age of 19 for body building. He is bothered in fitted shirts and with his shirt off. His left chest is larger.
He is shown before and again, 4 months after correction with 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. He is thrilled with his normal appearance after surgery and can now wear fitted shirts and take his shirt off at the beach.

Gynecomastia – Patient 157

Learn about patient

Gynecomastia – Patient 157

A Hispanic male in his early 30’s with breast development in his early 20’s after taking weight lifting supplements. He is bothered by the appearance of his chest with his shirt off
He is shown before and again, 5 months after bilateral gynecomastia surgery with liposuction using the S.A.F.E. technique ( Separation Aspiration Fat Equalization) combined with excision of breast tissue from an incision around the areola. Scars get thicker for 6 weeks and then soften and fade over the next 12 months or longer. At 5 months the scars continue to fade well with the recommended use of topical silicone and he is thrilled with his new contour.

Gynecomastia – Patient 156

Learn about patient

Gynecomastia – Patient 156

A man in his later 40’s with bilateral gynecomastia since he was a body builder in his early 20’s. He is bothered by the appearance in fitted shirts and with his shirt off. He wears compression shirts to camouflage the appearance of his chest.

He is shown before and again, 6 weeks after Power-assisted liposuction using the S.A.F.E. technique (Separation/Aspiration/ Fat equalization) combined with the direct excision of breast tissue through an inferior per-areolar incision.

At 6 weeks he is thrilled with his correction. The skin of patients in their 40’s does not contract as well as patients in their 20’s but is usually better in appearance than placing a visible scar on the chest to tighten the skin further and allows him to feel comfortable removing his shirt at the beach. He has a prominent rib cartilage on the left side which is more visible with the hands on the head view.

Gynecomastia Gallery

Jonathan D. Hall, MD, FACS

Gynecomastia – Patient 165

Gynecomastia – Patient 165

Gynecomastia – Patient 164

Gynecomastia – Patient 164

Gynecomastia – Patient 163

Gynecomastia – Patient 163

Gynecomastia – Patient 162

Gynecomastia – Patient 162

Gynecomastia – Patient 161

Gynecomastia – Patient 161

Gynecomastia – Patient 160

Gynecomastia – Patient 160

Gynecomastia – Patient 159

Gynecomastia – Patient 159

Gynecomastia – Patient 158

Gynecomastia – Patient 158

Gynecomastia – Patient 157

Gynecomastia – Patient 157

Gynecomastia – Patient 156

Gynecomastia – Patient 156

Jonathan D. Hall, MD, FACS

Cosmetic & Plastic Surgery Specialist

Gynecomastia Gallery

Jonathan D. Hall, MD, FACS

Gynecomastia – Patient 165

Gynecomastia – Patient 165

Gynecomastia – Patient 164

Gynecomastia – Patient 164

Gynecomastia – Patient 163

Gynecomastia – Patient 163

Gynecomastia – Patient 162

Gynecomastia – Patient 162

Gynecomastia – Patient 161

Gynecomastia – Patient 161

Gynecomastia – Patient 160

Gynecomastia – Patient 160

Gynecomastia – Patient 159

Gynecomastia – Patient 159

Gynecomastia – Patient 158

Gynecomastia – Patient 158

Gynecomastia – Patient 157

Gynecomastia – Patient 157

Gynecomastia – Patient 156

Gynecomastia – Patient 156

Sign up for news & specials

Jonathan D. Hall, MD, FACS

Cosmetic & Plastic Surgery Specialist