Excess skin following weight loss generally requires excision. Properly executed surgery can avoid conspicuous scars and provide rewarding results
Some men will have prominent areolae, although the rest of the breast is normal in size. This is a problem that can be addressed with surgery under local anesthetic.
Stretch marks can be a clue that skin may remain a problem after gynecomastia surgery. Fortunately, this gentleman obtained a good result from surgery.
Major weight-loss is a triumph from a health standpoint, but can create complex cosmetic problems. This patient needed skin excision (chest and arms) to achieve his cosmetic goals.
Gynecomastia after age 20 is usually pseudogynecomastia, an accumulation of fat rather than gland develpment. Liposuction can be effective even if skin tone is lacking, provided proper surgical technique is combined with attentive use of a post-op compression vest. This older patient is doing well only three weeks post-op liposuction.
Excess breast volume is often coupled with other problem areas Liposuction chest, abdomen and hips and limited gland excision produced a good result for this gentleman at three weeks post-op.
One-sided gynecomastia creates some concern for breast cancer. Breast cancer can occur in men although it is rare. This gynecomastia was primarily fatty (pseudogynecomastia) and responded very well to liposuction and limited excision of fibroglandular tissue.
Liposuction is performed at the beginning of the operation, and if there remains any hard tissue, it is excised via a small incision at edge of areola. Liposuction creates significant swelling, so a final result will take at least 6 months to be evident.
Liposuction is performed at the beginning of the operation, and if there remains any hard tissue, it is excised via a small incision at edge of areola. Liposuction creates significant swelling, so a final result will take at least 6 months to be evident.
In young patients, skin elasticity can be very good, and even at just three weeks a dramatic improvment can be seen. This continues to improve as the swelling abates.
Scars in this patient appear conspicuous, which is normal at 6 weeks post-op. Over the next 6 to 12 months they will become much less red, although ultimate scar quality is very individual to each person.
Liposuction is not covered by OHIP, but is often necessary to obtain a good cosmetic outcome in which the reduction appears natural without conspicuous edges or irregularities.
In some patients, over correction is a worse problem than under correction, as it can leave a surgical appearance with indentations at the surgical site. It is important to try and avoid this problem.
Liposuction alone can provide good results when there is little fibroglandular (hard) tissue. It has the benefit of a quicker easier recovery and no excision scars. In some patients, there may remain a small collection of dense tissue under the areola that becomes obvious after liposuction has removed the excess fat. This gentleman demonstrates good results from liposuction just 6 weeks following surgery.
