Gynecomastia – Patient 142

A man in his early 20’s who has bilateral gynecomastia which started at the age of 16. He is right handed and muscular, with his right pectoralis muscle being larger and more prominent than his left. Arms up view demonstrates the prominent breast.
He was able to be treated with Power assisted liposuction using the S.A.F.E. technique ( Suction Aspiration Fat Equalization) with the removal of 550 of fat from each side of his chest. There was no palpable breast tissue present after the liposuction was completed so an excision of breast tissue through a peri-areolar incision was not needed. It is difficult to tell before surgery whether or not an excision of breast tissue will be needed so we typically plan for this and make the final decision in the operating room after the liposuction is complete. Liposuction will not remove breast tissue, so this is the advantage of being in the operating room rather than under local anesthesia in an office setting.
He is shown before and again, nearly 5 months after surgery. His pectoralis muscles are now able to be seen under the skin and he no longer has a feminine appearing chest. The S.A.F.E. technique uses a liposuction cannula with fins to mechanically break up the fat. This is used before suction is applied. Then the liposuction is performed with a traditional cannula. The fat cells are looser and easier to remove more precisely but any remaining fat is still viable. After liposuction is completed, then the fat is “equalized” again with the finned cannula to break up the remaining fat and move it around, giving a smoother final layer.