Restoring Confidence for a Young Patient with Gynecomastia
This patient was a young male who had been dealing with gynecomastia since his teenage years. Like many patients I see, he was in good overall shape but struggled with persistent fullness in his chest that would not go away with diet or exercise.
He told me that he had tried everything to improve the appearance of his chest naturally, but nothing worked. It affected his confidence, especially in social situations or at the gym, where he felt self-conscious taking his shirt off.
On examination, he had a very typical case of gynecomastia. There was a moderate amount of fatty tissue, dense glandular tissue beneath the nipple, and just a small degree of skin laxity. Based on his age and skin quality, I expected his skin to retract well after surgery without the need for additional incisions.
The Surgical Approach
The procedure involved two main steps. First, I performed liposuction across the chest to remove the fatty tissue and start to sculpt a flatter contour. This is always a critical step, as it allows me to create smoother transitions and avoid any indentations.
Next, I made a small incision along the lower border of the areola to remove the dense glandular tissue. This is an essential part of the procedure in almost every gynecomastia case because the gland tissue cannot be suctioned out. Direct excision ensures that the chest will look flat and natural once healing is complete.
Recovery and Results
Recovery for this patient went very smoothly. He wore a compression vest for several weeks to help minimize swelling and support the skin as it tightened. Most of the swelling resolved within the first month, but subtle changes continued over the next few months as the skin adjusted to the new contour.
He was able to return to light activity within a few days and resumed more strenuous workouts, including chest exercises, after about six weeks.
His final results were excellent. His chest now has a natural, masculine shape without the fullness that had bothered him for years. The incision healed very well, blending into the natural border of the areola.
For this patient, the change wasn’t just physical. It was a major boost in confidence.
If you are looking to take care of your gynecomastia, reach out today to schedule your male breast reduction consultation. We look forward to seeing you!
