In many patients, the primary problem is an overabundance of fatty tissue underneath the skin, which can be addressed with weight loss either from dieting, exercising, or in more severe cases weight loss surgery. But when it comes to a substantial weight loss journey, the unsightly presence of the excess skin seems to be quite…
This 25-year-old man had always been self-conscious of his chest. Ever since puberty, he felt that his breasts were too big. He worked out a lot, especially on his pecs, but could not improve the appearance.
About 1 out of every 3 guys get enlargement of their breasts/glands at puberty (gynecomastia) due to hormonal changes. Most of the time it goes away, but for some it persists. It can also occur in 25-50% of older males and is often due to hormonal changes or as a side effect of many medications.
Gynecomastia can range from simply some excess glands under the nipple up to marked enlargement of the breast, mimicking a female breast. It can be very problematic for some men. They won’t take off their shirt and some even were binders under their clothing to try to hide the enlargement.
Treatment depends on the cause and severity of the gynecomastia. This patient had moderate enlargement but good skin tone. He underwent VASER assisted liposuction of his chest with direct glandular excision. This was done under general anesthesia (he was asleep) in our accredited office operating room. The procedure took about 3 hours and he got to go home about 1 ½ hours later. He had drains in the area for about a week. His recovery was not as bad as he thought it would be and he returned to work about a week later.
The ”After” picture is about 3 months following surgery.