Gynecomastia Surgery

Before And After Photos


This patient says he has had gynecomastia since he was young. He complaines of general fullness in the breast area as well as puffiness to the areolas. Through an incision on the lower half of the areola I was able to remove a significant amount of fibrofatty tissue. I also performed liposuction of the lateral breast and underarm area to make sure that the results are smooth and natural. I removed 94 grams of tissue on the right and 135 grams of tissue on the left as well as 1,115 cc of fat with liposuction.

He is seen here four months after gyno treatment. There is a big difference in the appearance of his chest. His areolas are smaller and less puffy, and his chest is much flatter and less breast like than before. As is typical, there is firm scar tissue beneath the areola as well as an indent at the incision. He is massaging his chest area daily. It takes about 15 months for the healing to be complete and for the tissues to soften. The most common post operative issue that patients must deal with is seroma formation. This is watery fluid that accumulates under the chest skin after removal of the fibrofatty tissue. Although drains are used in many larger gynecomastia cases, it is common to have to have periodic aspiration of fluid with a syringe and needle. Eventually this process of fluid accumulation will stop. Complications from gynecomastia surgery is generally related to the amount of tissue removed”“the greater the tissue removed the greater the chance for fluid accumulation, hematoma and skin contour irregularities.