Gynecomastia Surgery

Before And After Photos

This is a 36 year old male, 6’4″ and 235 pounds who presented to me for treatment of gynecomastia with surgery. He told me that he had used a “testosterone precursor” some years prior and that this caused his gynecomastia. He is seen here after treatment of his gynecomastia with surgical removal of about 70 grams of dense breast tissue from each side. I have included a photograph of the tissue specimen immediately after removal.

It’s interesting to note that after examining his pre and post-operative photos, there is a similarity between gynecomastia and Rhinoplasty (nose job) in that the frontal, straight on view may not reveal much of a difference, but the lateral view reveals all. You can clearly see the projection of his chest area on the lateral view and how much it has been flattened by the tissue removal. I recall that he has some minor healing irregularities in the early months after his procedure, but these areas are resolved with time and massage, as well as the use of a “roller” over the chest.

Prohormones are substances that can be precursors to a naturally occurring hormones produced by the body. Body builders and athletes consider talking prohormones because they are converted into anabolic steroids (like testosterone) and they are looking to benefit from an increase in muscle mass, endurance and strength. Prohormones are perfectly legal in most cases, so people feel they can use these compounds without any legal risk.

One side effect of these hormones is gynecomastia. It does not occur in all those who use these compounds, but when it does, it can be very distressing. Why would taking a male hormone precursor cause breast development? This can happen to some men who convert the testosterone to estrogen. It’s the female hormone estrogen that causes breast development.