Follow-up

Patients are usually seen 1 week postoperatively and once a month for the first 6 months. The final results are not fully appreciated for up to a year. See the images below.

   
Preoperative anteroposterior view of a patient with idiopathic gynecomastia. Preoperative lateral view of a patient with gynecomastia. Postoperative view of patient after surgical glandular excision and combined ultrasonic-assisted liposuction (UAL) and power-assisted liposuction (PAL). Postoperative view of above patient. Note that while the glandular and fatty tissue have been removed, the nipples remain in the preoperative position relative to each other. Also note the significant skin retraction postoperatively.
       
   
Thirteen-year-old with adolescent gynecomatia. Gland excision with liposuction only, no skin excision. Note the degree of skin contraction. A secondary periareola-skin resection could remove the small fold. Courtesy of Miguel Delgado, MD. Twenty-six-year-old man with adolescent gynecomastia. Courtesy of Miguel Delgado, MD. Four months postoperatively after gland excision and liposuction. Note large, thick areola do not seem to contract or shrink as well. Courtesy of Miguel Delgado, MD. Eighteen-year-old with adolescent gynecomastia. Courtesy of Miguel Delgado, MD.
       
      
Three months postoperatively after gland excision and liposuction. Courtesy of Miguel Delgado, MD.