A Life-Changing Transformation for a Patient with Longstanding Gynecomastia
This patient came to my office after struggling with severe gynecomastia for most of his adult life. He told me he had always been self-conscious about his chest, avoiding situations like swimming, wearing fitted shirts, or even going to the gym.
His gynecomastia wasn’t just mild puffiness. It was a prominent enlargement of the chest that impacted both his physical appearance and his confidence.
By the time he came to see me, his main goal was clear. He wanted a flatter, more masculine chest that would finally allow him to feel comfortable in his own skin.
On examination, this was a very advanced case of gynecomastia. He had a large volume of excess fatty tissue, a significant amount of firm glandular tissue, and noticeable loose skin. These are the most complex types of cases because they require careful planning to address each component without leaving obvious scars.
The Surgical Plan
Surgery involved a combination of liposuction and direct gland excision. I began by performing liposuction across the entire chest to remove the bulk of the fatty tissue. This allowed me to start reshaping the chest and contouring the sides for a smoother, more natural transition.
Once the fat was removed, I turned my attention to the dense glandular tissue directly beneath the nipple. This tissue is often very firm and cannot be removed with liposuction alone. I made a small incision along the lower edge of the areola, allowing me to directly excise the glandular tissue while keeping the scar as hidden as possible.
In cases like this, skin laxity is always a concern. Fortunately, I was confident that once the bulk was reduced, the skin would retract nicely without the need for larger skin excisions.
Recovery and Results
Recovery from this type of surgery is relatively straightforward. The patient wore a compression garment for several weeks to help with swelling and to support the skin as it retracted. He experienced some bruising and swelling in the first two weeks, which is completely normal.
Most patients can return to light activity within a few days, but I always recommend avoiding chest workouts or heavy lifting for about four to six weeks to allow proper healing.
By about three months post-surgery, his results were really starting to take shape. His chest appeared significantly flatter, with a much more masculine contour. The skin had tightened beautifully, and the small incision around the areola healed so well that it was barely noticeable.
What I love most about this case is the dramatic transformation. This wasn’t just about removing tissue. It was about restoring confidence and helping this patient feel like himself again.
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Gynecomastia surgery can be life-changing, not just in appearance, but in how you carry yourself every day. This patient’s journey is one of many that reflect the care, precision, and support we offer at the New Jersey Gynecomastia Center.
If you’ve been struggling with the physical or emotional effects of enlarged male breasts, you’re not alone. We’re here to answer your questions, walk you through your options, and help you feel confident again. Reach out to schedule your consultation today.