Gynecomastia

PATIENT 8-G

Before n After  PATIENT 8-G

PATIENT 8-G  PATIENT 8-G

PATIENT 8-G  PATIENT 8-G

This is a 19YO male that developed gynecomastia for several years. He was not a body builder and had never been on steroids or taking any medications associated with his problem. On exam, he was thin and reasonably sculpted. There were no breast masses but he did clearly have a mild case of gynecomastia. He underwent surgery, initially attempted through stab incisions at the inframammary crease to remove the breast tissue with use of an arthrotec cartilage shaving instrument. His breast tissue was extremely rubbery and this technique was not working. We had to convert to an open incision and directly excised the tissue through a periareolar approach. He is shown in photographs 2 months after the initial procedure. He has gotten a flattened chest contour with good symmetry and uniformity in the skin thickness over the chest.

PATIENT 7-G

Before n After  PATIENT 7-G

PATIENT 7-G  PATIENT 7-G

PATIENT 7-G  PATIENT 7-G

This is a gentleman who has a moderate amount of breast tissue and very saggy breasts after some weight loss. His nipples were so low that we had to remove the nipple and move it up in position as well as tighten the skin. Preoperatively, you can tell the nipples are quite low and he has a lot of loose, saggy skin of the breasts. Postoperatively, we have removed the loose, saggy skin and have reshaped him.

PATIENT 6-G  PATIENT 6-G

PATIENT 6-G  PATIENT 6-G

PATIENT 6-G  PATIENT 6-G

This otherwise healthy, athletic man has had for years asymptomatic unilateral gynecomastia. He underwent a sub-Q mastectomy using a combination of S.A.F.E. liposuction and the Arthrotec cartilage shaver to remove the persistent subareolar breast tissue. He has gotten a very nice result with loss of projection and improvement in symmetry. The scar is a 3mm scar at the inframammary crease.

Patient 5-G

Patient 5-G  Patient 5-G

Patient 5-G  Patient 5-G

Patient 5-G  Patient 5-G

This is a 16-year-old young man who had severe gynecomastia.  He would not go swimming or do any type of physical activities without a shirt.  He also wore atleast two T-shirts and usually a loose, baggy shirt trying to camouflage the breasts.  There is usually no hormonal abnormality in males with breast tissue.  It seems to be a normal variant.  However, most males that have breast tissue are very self-conscience of this.  The treatment of this is surgical removal.  This procedure is done as an outpatient.  Usually people are back to driving cars within a couple of days.  Postoperatively, you see a great reduction in the young man's breasts.

Patient 4-G

Patient 4-G  Patient 4-G

Patient 4-G  Patient 4-G

Patient 4-G  Patient 4-G

This is an 18-year-old young man who presents with severe gynecomastia.  He has quite large breasts that are causing him significant emotional concerns.  He will not go without his shirt.  In faCt, he will not go without wearing several shirts because of the size of the breasts and the projection of the breasts.  The patient underwent liposuction of the breasts and chest area with some direct excision of some hard, nodular tissue of the breasts.  Postop shows his results.  He now does not have protruding breasts and can go without shirts.  If he does wear a shirt, he can go with wearing only one t-shirt.

Patient 2-G  Patient 2-G

Patient 2-G  Patient 2-G

Patient 2-G  Patient 2-G

This is a young man who has had large breasts since adolescence.  His breasts have remained basically unchanged in size even in some fluctuations in his weight.  The size and shape of his breasts did not coincided with the other masculine features of his torso.  He underwent removal of the gynecomastia breast tissue with liposuction and the use of a cartilage shaver.  This facilitated removal of the excess breast tissue through small stab incisions at the inframammary creases.  The nipple areolar complexes were elevated ever-so-slightly with a circumareolar mastopexy.  He has gotten a nice result, which will continue to improve over time.  He has already gotten a significant improvement in his chest contouring and is quite pleased with the result and the minimal scarring.