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Patient Details
This is a 27 year old who is 5’9″ and 170 pounds who presented with gynecomastia. He had a history of taking prohormones that resulted in the development of gynecomastia. This gynecomastia surgery was done with the cartilage shaver and with liposuction.
He is pleased with his result and says that he is now essentially liberated from this dreaded condition.
Lessons to learn:
- There is an obvious improvement that you can see in all photos.
- The nipple-areola complexes get darker compared to his before pictures.
- He complained of some skin creasing along the lateral aspects of his chest area particularly when leaning over. THIS IS NORMAL. This occurs in guys without gynecomastia. I have observed that those who have suffered from gynecomastia need to learn what “normal” is when it comes to the new post-surgery contour. Guys have to certainly make an “adjustment” after surgery and this takes time – several months if not longer.
- The shaver method of removing tissue is more prone to issues with “hard healing”. After performing about 60 cases with the saver this became obvious. I almost always have to use a drain if use the cartilage shaver as fluid and blood accumulates in the space where the tissue was removed. I am working towards determining who is a good candidate for the cartilage shaver versus the “standard” treatment with liposuction and a small incision at the bottom of the areola.
- Hair on the chest area makes the issue of incisions almost meaningless as they all hide well with hair in the area.
- Gynecomastia is thought to be caused by an imbalance in the male/female hormones. When the ratio is not in balance, gyno may result. Taking prohormones means you are not actually taking the hormones themselves, but chemicals that are converted to the actual hormones in the body. In some guys who take these prohormones, they can develop gynecomastia. When they stop the agents, things often get smaller but usually don’t go away.
