Before and after post-weight loss gynecomastia/chest contour correction in a 73-year-old man who lost over 150 pounds. He did not actually have true gynecomastia, which involves development of breast tissue in men. Instead, he had hanging empty breast skin and “ptosis” (droop) of his nipples and areolas.
He wanted a more normal contour to his chest region that would enable him to go without a shirt at the beach, but to have a simpler procedure that would not involve general anesthesia. He had several health problems that would have made a more major surgery with a full anesthetic riskier.
Surgery was offered to him awake, under local anesthesia with an oral anti-anxiety pill. Skin and fat was removed from his lower chest region, including the nipples and areolas as free grafts. They were placed higher up on the chest wall as free nipple grafts. The last couple of photos shows the surgical plan for his chest reconstruction.
After surgery, he took a full month off exercise and followed up with us weekly to monitor healing. Follow up photos are shown 2 months after surgery. He is right-handed and therefore has increased swelling and edema on his right dominant side. This normal and expected surgical swelling will gradually resorb over the next several months.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
