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Before & After Male Breast Gynecomastia
Before & After Male Breast Gynecomastia
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A weight-lifter had used anabolic steroids, producing breast growth.
Following surgery, the contour is much improved. Note that there is still some tissue excess on the patient's right due to slight under-resection.
From the side, the prominence of the breast is apparent.
After surgery, contour is clearly masculine.
A dense, glandular adolescent gynecomastia is partially hidden by chest hair.
Frontal Photo of resection that was accomplished through a peri-areolar incision. Note some slight hair loss near the incisions.
From this oblique Photo, one can better appreciate the breast development.
The "breast" is now gone, and the contour appears normal.
A mild case of dense, glandular gynecomastia.
The difference after surgery is only subtly seen here. Also note the tiny bit of persistent skin laxity in this man of 55 years.
From the side one is better able to appreciate the breast contour.
This small tissue resection was accomplished through a tiny peri-areolar incision and satisfied the concerns of the patient.
This patient had moderate gynecomastia that was a great trial for him. He wore tight elastic shirts to try to flatten his chest contour, but without success. The nipple areolar tenderness from which he suffered was reflected in the reddish hue of the complex.
After resection of the gynecomastia, the contour is altered and the areolae are no longer engorged.
The prominence of the overgrowth is best appreciated from this angle.
A male contour is re-established.
In this oblique pre-operative Photo you can see a very small amount of breast tissue causing this young man's nipple/areolar complex to project in cone-like fashion.
A procedure involving the excision of the dense, subareolar tissue corrected the projection.
The opposite side is depicted.
Return of normal contour is evident bilaterally.
A boy of 16 with a 3 year history of gynecomastia. With persistent, adolescent gynecomastia there is typically some firm breast tissue directly behind the nipple/areola.
The same patient at the age of 18, 16 months after surgery.
This result was accomplished via a smile-shaped incision at the edge of the areola. Scars often hide quite well in this location.
Another teenage boy with persistent, adolescent gynecomastia. Note the protruding areola.
You can see just a bit of the redness at the areolar edge where the young scar is hidden.
This conical shape virtually always means that a direct excision of breast tissue will be needed (as opposed to liposuction alone).
The patient was satisfied with this outcome and was, for the first time, happy to play basketball without his shirt.
This patient was in his early seventies. His notable gynecomastia was the result of hormonal therapy for prostate cancer.
An excision of the gynecomastia without skin removal kept the scar small and hidden.
This Photo best explains the patient's hesitancy to go on the beach pre-operatively.
This patient had to accept two special limitations. Because of his age, his skin had limited ability to shrink, leaving him with some skin redundancy. Secondly, his need to continue on the hormonal therapy meant that the risk for recurrence over time was quite real.
This healthy man in his 40's was having liposuction for his flanks. He had always had rather more thickness in the breast areas than he preferred and felt that this "feminized" his chest.
This problem was largely fatty and was treated with power-assisted liposuction alone.
This angle more fully illustrates the problem.
His skin shrunk nicely after liposuction.
It is not unusual to see unilateral gynecomastia, or gynecomastias that are very asymmetric. This man had notable growth on his left, and almost none on the right.
The tiny bit of breast on the patient's right was left untouched. This shows the chest 10 month's after resection on just his left side.
Skin redraping was acceptable and the patient was satisfied with the change.
This is a man in his 30's with a "fibro-fatty" gynecomastia. It is largely fatty and contains few ductal remnants from adolescence.
This was treated over a significant area with power-assisted liposuction alone.
Skin shrinkage was adequate and the resulting contour acceptable to the patient.
This man in his early 20's had rapid weight gain during his teen years, followed by weight loss. Note the stretch marks of the arms and chest.
A combination of direct excision and liposuction was used to obtain this result.
In patients of this age, it is unusual to find a gynecomastia that can be treated effectively with suctioning alone.
The contour is acceptable. Note the scar from one of the liposuction access incisions.
Here is shown a more extreme, adolescent gynecomastia with notable skin excess and likely need for nipple/areolar repositioning. In teenagers, some cases bordering on this severity will respond to procedures that do not include skin removal.
This patient first underwent a procedure for excision of gynecomastia without skin removal. After a year, it was apparent that the skin needed tailoring. He is seen here following a second procedure to excise the loose skin and elevate the nipples.
The patient's nipple/areolae lost pigmentation right after surgery, but re-pigmented nicely over 2-3 months. Note the tiny remaining area of pigment loss on his left areola.
This young man was bothered by gynecomastia and large, feminine nipples.
Treatment was direct excision, liposuction and nipple reduction. Note the liposuction access scar on the side.
A clearly feminine profile pre-operatively.
This was acceptable to the patient, (although there is visual evidence at this angle that more resection might have been in order).
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