This is a healthy and very fit and athletic 21 year old man who developed bilateral gynecomastia after briefly taking testosterone boosting supplements. He noticed firm and tender masses of the breasts concentrated beneath the nipple-areolas, which were indicative of a glandular form of gynecomastia. Otherwise the rest of the chest was quite muscular with minimal subcutaneous fat. The best approach to correct his form of gynecomastia (male breast tissue enlargement) was direct excision through a small hidden incision around the areolar border. He underwent gynecomastia correction under general anesthesia. More tissue was removed from the larger right breast. He is shown before surgery and six weeks post-op.

This is a 20 year old man who developed gynecomastia as a teenager. He underwent gynecomastia correction by another plastic surgeon who also performed a second revision surgery. Despite two attempts at correction of the problem, the patient was not completely satisfied with the results. He can to me for a second opinion. On examination, it was apparent that there was residual breast tissue, but fat and gland. In order to make a full correction, the patient underwent a third gynecomastia operation. This time, a thorough direct excision of glandular tissue was performed through the existing periareolar surgical scar. In order to avoid contour irregularities of the chest or dished-in contour depression, a very meticulous piecemeal excision of the remaining glandular tissue was performed. In this manner, a precise reshaping of the chest could be performed, The patient is seen before surgery and about 2 weeks post-op. Already, his chest shape is markedly improved!

This is a young man with bilateral advanced gynecomastia that he has had for many years. He was very self conscious with the overgrowth of breast tissues, which kept him from exposing his chest and enjoying beach or pool outings. He underwent bilateral gynecomastia correction by liposuction and sub-areolar excisions through small hidden incisions. He is shown before surgery and about 6 weeks post-op. The problem has been completely corrected!