This man had a history of previous liposuction to treat idiopathic gynecomastia (unknown cause). This was done elsewhere. He complained to me of fullness on both sides of his chest. On my examination, I can easily appreciate dense, rubbery tissue beneath each areola. I suggested removal of the tissue through an incision around the areola. He is seen here about two years after gynecomastia surgery. You can also see the mass that I removed from his chest. This was breast tissue and some scar tissue. He showed up in the office after two years wanting to know if the small wave of skin on the lateral side of his areola on the right side was normal. He noticed this when he flexed his muscle. I told him it was. In fact, I have photos of him flexing before and after the surgery and it’s the same.
Lessons to learn:
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