Gynecomastia Gallery

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.

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.

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.

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.

A young man is his later teens who has had female breast development when he was 11 or 12. He is bothered by the appearance of his chest in fitted shirts and with his shirt off. He is shown before and again, 6 weeks after bilateral chest liposuction using the S.A.F.E. technique (Suction Aspiration Fat Equalization) combined with a direct excision of breast tissue through and incision around the areola. Scars are at their reddest at 6 weeks and then begin to fade and improve over the next 2 years. He is thrilled with his new contour.

Update: Our patient is now seen 3 months after his surgery. Scars typically become thicker and redder for 6 weeks and then fade and improve over the next 2 years. He is thrilled with his new chest and his scars are fading as expected with topical silicone to help.

An early ( 6 week) result in a 32 yo man with gynecomastia from over the counter weight lifting supplements that he took at age 18. He is bothered by the appearance of his chest with his shirt off and also in fitted shirts.

He is shown before and again, 6 weeks after SAFE liposuction using power assisted liposuction combined with a direct excision of breast tissue through an incision under the areola. At 6 weeks the scars are still the pinkest and will now typically fade and improve over the next 2 years. He is thrilled with his improvement.

An 18 yo student of color with gynecomastia since the age of 10. He is bothered in fitted shirts and with his shirt off. He is shown before and again, 6 weeks after Gynecomastia treatment with external ultrasound assisted, power assisted liposuction using the S.A.F.E. technique ( Suction aspiration fat equalization) with the removal of 325 cc of lipoaapirate and 18 gms of tissue directly excised from the left, and 300 cc of lipoaspirate and 20 gms of tissue excised from his right. He attended school in a distant state and was not able to return for further follow-up visits.

A male student in his late teens who developed female appearing breast tissue in the 3rd-4th grade. He has no history of marijuana or anabolic steroid use, so his case is typically “idiopathic” or of unknown cause. He has tried lifting weights to build up his chest muscles but without improvement. He has not had any significant weight change. He is bothered in fitted shirts and of course with his shirt off. “Shirts vs Skins” in gym class must have been a torment. He is shown just before and again, 5 months after bilateral gynecomastia correction with External Ultrasound assisted/power assisted liposuction combined with direct excision of breast tissue through an incision along the lower areola. 355 cc of lipoaspirate were take from his right side along with the direct excision of 40 gms of breast tissue, and 375 cc of lipoaspirate take from his left side together with 37 gms of breast tissue. A close look will show that the scars are still slightly read but they are not noticeable from a conversational distance and will continue to fade over
the next 18 months. He is thrilled to have a normal chest.

A man in his early 20’s who was troubled by a feminine appearance of his breasts in a bathing suit and in some fitted shirts. He first noted this at the time of puberty but had some additional growth of his breasts and breast tenderness taking over the counter anabolic steroid like supplements. He is shown before and again, 6 weeks after bilateral chest liposuction with a combination of mechanically assisted liposuction combined with a direct excision of a little under an ounce of actual breast tissue from beneath each nipple area. We have just removed his
protective tapes prior to the after photos, and the small incisions at the edge of his areola and in the upper chest are at their reddest and most noticeable at this 6 week mark. They will now continue to fade and improve over the next 18-24 months. He is already thrilled with his improvement and natural appearance after surgery, and is already talking about going to the beach. He will typically also have a little swelling that will diminish and improve over the next 4-6 months.