This 45 year old man has a severe case of adult gynecomastia. His case is complicated by loose and stretched skin. A secondary procedure is required to tighten the stretched skin. His goal is to be able to wear a t-shirt in public comfortably.
Double Incision and Free Nipple Graft. Post-op photos taken 2 months after surgery.
HISTORY: This is a 17-year-old resident of Coloma, California who presents with gynecomastia. He comes in with his parents in which we had an extensive discussion about his gynecomastia. He’s had this since about 13 years old. His goal is to achieve a normal flat chest. He has lost 35 pounds; he has gone to an Endocrinologist with all lab tests being normal. He is 5’11”, 198 pounds. He underwent gland excision and suction assisted lipectomy with 150 cc of fat aspirated from each side.He had 46 grams of tissue removed from his right chest and 400 grams of tissue removed from his left at Marin Cosmetic Surgery Center in Marin County, California. His postoperative photographs are taken 3 months after surgery.
HISTORY: This is a pleasant 45-year-old man from Mineral Park, California who presents to the San Francisco office with gynecomastia. He has had a previous gynecomastia surgery for steroid induced gyneomastia. His goal is to have a flatter chest. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California. He had his first procedure in 2009 in which he had approximately 300 cc of fat extracted from each side. At that time he had a 4.5 cm section of tissue excised from his right side and 4.5 cm tissue of tissue removed from his left side. He continued to take steroids and developed a recurrence of his steroid induced gynecomastia. He underwent an additional procedure of gland excision over one year later. At that time he had 35 grams of tissue removed from his left breast and 3.5 grams of tissue removed from his right breast. His postoperative photographs are seen approximately six months after surgery.
HISTORY: This is a 28-year-old resident of San Francisco, California who presents to the San Francisco office for evaluation of gynecomastia. He has male breast enlargement from a very early age of about 10 years old, therefore, adolescent gynecomastia. He does not take off his shirt in public due to the embarrassment. He underwent gland excision and suction assisted lipectomy at Marin Cosmetic Surgery Center in Marin County, California in which he had 250 cc of fat aspirated from each chest through a periareolar incision. His photographs were taken 4 months after surgery.