Gynecomastia Surgery BEFORE & AFTERS | Patient 22063

Patient Details

This patient presented with Zone 1 gynecomastia and mild chest asymmetry. Large gynecomastia masses were completely removed, and these photographs were taken more than five years after surgery, demonstrating a stable, long-term result.

In 2022, I published a peer-reviewed paper describing the technique of total gynecomastia tissue removal, an approach that has since become the accepted standard of care. The goal is to remove all visible gynecomastia tissue—including the dense tissue beneath the nipple-areola complex—while preserving a smooth, masculine chest contour.

When significant glandular tissue is intentionally left behind, patients may continue to experience puffy nipples, a persistent palpable mass, and the remaining tissue retains the potential to enlarge again in response to hormonal stimulation.

Modern surgical techniques have made it possible to achieve complete tissue removal without routinely creating a crater deformity or chest concavity. Complete removal and a natural chest contour are no longer mutually exclusive.