This is a young male who developed gynecomastia since puberty. It bothers him significantly. He is seen here about six months after gynecomastia surgery removal of dense glandular tissue with the cartilage shaver technique. He has some residual scar tissue on both sides that I have been treating with periodic injections of steroids into the actual scar tissue. He has also been instructed to use his fingers to pinch the scar tissue to help it soften. It takes about two years for all the scar to soften after this type of procedure.
He is very happy with his result. He actually doesn’t understand why I am bothered by the scar tissue when he is “just fine”. He told me I’m a perfectionist. I replied that ” I want it as good as it can be”. Enough said.
It’s important to note that after using the cartilage shaver technique for a long time that there is no doubt in my mind that there is more scarring associated with this procedure. There is more “hard healing” with palpable scar tissue under the chest area. It’s not a deal breaker, but this needs to be considered. The bottom line is that the “gold standard” is still the small incision at the bottom of the areola and direct tissue removal. The simple fact is that this scar is invisible in the vast majority of patients and, quite frankly, is just not an issue.
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