Gynecomastia Surgery BEFORE & AFTERS | Patient 22024

Patient Details

This is an excellent educational story for all bodybuilders who suffer from gynecomastia. This patient took hormones/prohormones and developed gynecomastia. Obviously he has a large amount of muscle and very little fat. He has some skin folds along the lateral chest area with large gynecomastia masses and downward directed nipple-areola complexes.

As I have educated before, bodybuilder gynecomastia is a horse of a different color. These patients have very vascular masses often with inflammation present. They are at higher risk for hematoma development after treatment so all my efforts are directed to ensure this doesn’t happen. That means proper blood pressure control and a modification of my standard surgical approach to ensure the best result with the fewest potential complications. Strict compliance to my post treatment instructions is critical to success.

You can see in the photos the large gynecomastia masses and the very little amount of fat removal as he is all mass and little fat. Liposuction was performed on his lateral chest to promote adherence of his skin which you can already see has retracted well.

Gynecomastia taping was used to make sure the nipple areola complexes were moved to the ideal position during the time of skin adherence. He was quite low relative to his pectoralis muscle margin and I wanted it higher which was achieved for sure. It’s up to him to make sure it stays that way particularly during the first few days of recovery when scar formation is already working to secure the skin to the underlying tissue.

I controlled his blood pressure during the procedure to help with bleeding. I did not use a drain in his case as my intraoperative assessment was that it wasn’t necessary because he wasn’t bloody. You can see from the photos that he has no bruising.

Bodybuilders Gynecomastia is a different animal entirely that requires a more careful approach with appropriate perioperative monitoring to ensure the very best result.