Patient 1
Details:
This is a complicated case in a body builder demonstrating excess skin along with puffy nipple gland. we wanted to avoid the scar on the chest, so a circular approach/removal of skin was undertaken using the circumareolar approach.
Patient 2
Details:
Operating on body builders with gynecomastia involves a "close " margin in removing the gland without causing contour issues. In this case, this was executed perfectly with smooth and natural looking results.
Patient 3
Details:
Well-built athletic male showing results of puffy nipple/gynecomastia case shown at one month.
Patient 5
Details:
athletic male with glandular tissue under the nipple (around Grade I, puffy nipple type). The roundness of the chest caused by the gland masks the well developed muscles in the preop view, and removing the gland shows the natural contour of his musculature.
Patient 6
Details:
A young man who worked hard at the gym but couldn't get rid of that gyne tissue. He is thin and fit, but has overdeveloped breast. we treated him with excision under local anesthesia.
His comment to me was: "This has really changed my confidence level."
Patient 7
Details:
An athletic weightlifter with stubborn overdeveloped chest shown 3 months after Dr. Khalifeh's procedure.
Patient 8
Details:
Body builder exhibiting gynecomastia, removed under local anesthesia with minimally visible scars. Body builders are prone to gynecomastia if they take hormones or prohormones as these substances can lead to overdevelopment of the breast. When combined with their otherwise lean physique, this makes the breast tissue more visible than in a non-builder. Also weight-lifting exercise in its own leads to development of increased testosterone secretion.
Patient 11
Details:
A thin man bothered by puffy nipples for many years. treated via a direct excision thru the areola, performed under local anesthesia.
Patient 12
Details:
a grade II case in a muscular body builder, removed via excision using local anesthesia. results are early at the three week mark, so the incisions will fade nicely with time.
Patient 13
Details:
needed both gland removal and areola reduction. This case demonstrates a complex maneuver where Dr. Khalifeh both removes the gland while also removing excess areola in a circumareolar technique. The complexity of this case lies in the preservation of good blood flow to the nipple, because the surgery is happening both above (skin) and below (gland removal) and the middle layer needs to be protected just right to preserve the blood flow.
Patient 14
Details:
An athletic male bothered by gyno masking his chest workout efforts, treated via the awake excision thru the lower areola border.
Patient 15
Details:
Bodybuilder with almost perfect physique in the before... A small excision of gyno puffy nipples brought him the perfection he sought.
