This is a 13 year old boy who presented to me with his Dad for evaluation of unilateral fullness in his breast. It developed during puberty over a year earlier and has not gone away. He was told by his pediatrician that it may take 1-3 years for this to resolve. It was causing significant psychological stress on this young man at a critical time in his development and his father was aware of this. He did research on the internet and learned that some people recommend treatment for gynecomastia with surgery sooner than later.On exam, he had one sided gynecomastia that was firm and rubbery. The young man clearly was having a difficult time coping with this because he was quite active in school and was often in situations where the other boys were taking off their shirts and he didn’t feel comfortable in this situation.I removed well localized breast tissue under local anesthesia in my office operating room while listening to his favorite music. These pictures were taken at five months after surgery. The only commend made by his dad was to question the small fold or crease just beneath the breast on the treated side.Learning points:
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