Patient 1
Details:
wake gynecomastia procedure. good skin retraction. followed by increased excercise by patient, yields great results.
Patient 2
Details:
Awake Gynecomastia procedure in young man, demonstrating results with good skin retraction to get rid of man boobs.
Patient 3
Details:
gynecomastia of the male chest in Caucasian male. You can see that removing the breast tissue led to a nice masculine chest, which then encouraged their patient to further diet and exercise and obtain a more athletic look in the rest of his body, for an amazing transformation both due to the surgery and the increased patient motivation.
Patient 4
Details:
Unilateral Gynecomastia, while not as common as bilateral enlargement, can be more troublesome because the difference between right side and left side become noticeable. Here we treated a gentleman with that condition and restored a masculine symmetry.
Patient 5
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 6
Details:
A thin man bothered by puffy nipples for many years. treated via a direct excision thru the areola, performed under local anesthesia.
Patient 7
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 8
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 9
Details:
small amount of gynecomastia in this young man, removed under local anesthesia with results shown at about two months.
Patient 10
Details:
In his mid thirties, this patient sought help with his gynecomastia to be able to take his children to the country club pool without being self-conscious about himself. The results shown are 6 months postoperative. The procedure consisted of minor chest liposuction followed by direct gland excision.
Patient 11
Details:
gynecomastia via smartlipo chest and direct glandular excision. the amount of spontaneous skin retraction was aided with additional working out by the patient to produce outstanding results.
Patient 12
Details:
Grade III gynecomastia with feminine appearance and mild skin excess. This patient was treated via mild liposuction followed by removal of the gland thru the areola.
Patient 13
Details:
A double incision surgery was needed to address the hanging loose skin in this young weight loss patient who was working out but couldn't get rid of the loose skin. This actual surgery is shown our our youtube channel, which I am enclosing here as well.
Patient 14
Details:
Athletic and slim male, with collection of breast tissue that has been bothering him for many years and impeding his self confidence. this was removed via a simple 2.5 hour procedure under local anesthesia.
Patient 15
Details:
Note the sharp pectoralis edge in the postop views once the gland is removed off the muscle.
Patient 16
Details:
The mid age athletic man weight lifts and workout regularly to maintain an excellent physique. Gynecomastia prevented him from obtaining the chest contour he worked for, so surgery was necessary to remove exercise resistant tissue.
Patient 17
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 18
Details:
The patient had bilateral gynecomastia excision with nipple lift. The results are shown 2 weeks post surgery.
Patient 19
Details:
Caucasian young man with overdeveloped lower pole breast tissue. We addressed this via awake gynecomastia surgery. Smooth results and a small incision produce very natural looking results.
Patient 20
Details:
An athletic male bothered by gyno masking his chest workout efforts, treated via the awake excision thru the lower areola border.
Patient 21
Details:
A young fitness expert bothered by mild gynecomastia. Pictures shown at 2 weeks post procedure. He is back to full exercise.
Patient 22
Details:
This patient exhibits a classical case of gynecomastia. He is thin but has clearly excess tissue with a rounded and feminine appearance to the breast. This was removed via our go-to procedure of direct gland excision via the inferior areola incision.
Patient 23
Details:
Thin man with bothersome gynecomastia tissue, treated via awake excision. Pictures at 3 months postoperative.
Patient 25
Details:
After a few months of follow up, the incisions around the nipple are barely visible. But the results will last a lifetime.
Patient 26
Details:
Gynecomastia in patient removed via awake procedure. shave the chest prior to surgery, although that is not required at all.
Patient 27
Details:
Average built patient undergoes gynecomastia excision with minimal scaring.
Patient 29
Details:
"Puffy nipples" bother patients that are even thin and athletic. Often their friends and family don't comprehend this cosmetics concern as it is a minor to them. Certainly, the problem is minor, but so is the procedure. I often tell my patients that if you have been bothered by this for a number of years, do consider the procedure as it is quick, safe, and you will likely enjoy the results very much.
Patient 30
Details:
A heavy and muscular jiu-jitsu athlete was self conscious about his enlarged breasts, and we preformed combination of lipo and gland removal, as well as a left nipple lift.
Patient 32
Details:
Bodybuilder with almost perfect physique in the before... A small excision of gyno puffy nipples brought him the perfection he sought.
Patient 33
Details:
was thin but couldn't get rid of small pockets of fat and some breast tissue. We preferred awake gynecomastia excision and awake SmartLipo of abdomen and lower back/flanks to obtain this results.
Patient 34
Details:
Classic gynecomastia case with some fat tissue sculped with lipo and gland excision for a much more proportionate look.
Patient 35
Details:
Young and athletic, this African American gynecomastia patient felt that his efforts at the gym did not result in the chest appearance he was seeking. After removing the tissue, his workout efforts shine through.
Patient 36
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 37
Details:
slightly assymetric gynecomastia in a thin and healthy man. "Doc, I can't believe I waited that long to do this" was his reaction during follow up.
Patient 38
Details:
A puffy nipple/mild gynecomastia case treated with awake smartlipo, followed by gland excision.
Patient 39
Details:
Young average build male, embarrassed by his enlarged breasts for many years, finally decided to seek surgical treatment. His confidence with his body was much improved.
Patient 40
Details:
Being overweigh does not exclude gynecomastia surgery. While enlargement of the chest area with being overweight is expected, a male breast appearance is not. In this example we demonstrate the benefit in gynecomastia surgery in obtaining a more masculine figure in an overweight patient, witch made him much more comfortable with his body image.
Patient 41
Details:
16 years old presenting for gynecomastia surgery. What is a right age for teenagers? On one hand the teasing is the greatest amongst youngsters, leading to a lot of angst about "men boobs". On the other hand, the surgeon wants to make sure that their male growth, mainly around puberty, has run its course. Each case is different. This 16 year old had been several years post puberty with no signs of breast involution of further growth. The results are early (6 weeks) and the scar will mature a lot, but it's hard to get a 16 year old to return for more photos once they are happy with results!
Patient 42
Details:
present with combined gynecomastia and a very large areola. Gynecomastia surgery combined with areola reduction via circular incision around the areola was designed. The patient shows dramatic improvement in contour and areola size. The pictures are taken in 2 months postoperative.
Patient 43
Details:
Well-built athletic male showing results of puffy nipple/gynecomastia case shown at one month.
Patient 44
Details:
A mild to moderate case of gynecomastia, treated via removal thru the nipple.
Patient 45
Details:
Medium build male bothered by overdeveloped glandular tissue for years. This is the result at 6 months post procedure done under local anesthesia. Pictures shows scar healing for gynecomastia in Asian Americans.
Patient 46
Details:
When gynecomastia is mild and concentrated beneath the areola in an otherwise thin man, it can create the puffy nipple appearance. This was resected via a nipple incision. Results shown at 4 months.
Patient 47
Details:
Moderate breast tissue overdevelopment in the healthy male, treated with removal via combination of lipo and direct excision through the nipples. Results at 4 months postop.
Patient 48
Details:
A subtle gynecomastia case. Note the tell-tale of roundness at the pec border that is caused by excess breast tissue build up in a thin man. After removal of the mild gynecomastia the pec borders are much better defined.
Patient 49
Details:
Adult male of average athletic build with excess breast tissue/gynecomastia. He was treated with Dr. Khalifeh and the results shown at 8 months postoperative.
Patient 50
Details:
Example of mild gynecomastia/puffy nipple procedure in local anesthesia.
Patient 51
Details:
Mild gynecomastia in African American athlete. Note the scars heals well with minimal visibility in the majority of cases.
Patient 52
Details:
Man with overall nice physique, bothered by slight to moderate enlargement od chest breast tissue with feminine characteristics, removed via awake gynecomastia procedure. Shown 3 months later.
Patient 54
Details:
An athletic weightlifter with stubborn overdeveloped chest shown 3 months after Dr. Khalifeh's procedure.
Patient 57
Details:
30 year old African American male with long standing concerns and self consciousness about gynecomastia. Body confidence restored by a 3 hour procedure , shown here 6 weeks post surgery
Patient 58
Details:
moderate gynecomastia, treated with awake smartlipo and direct excision procedure.
Patient 59
Details:
Even though this patient is overweight, his breasts were disproportionally large and feminine, and made him feel self conscious. He was pleased with gynecomastia surgery awake.
Patient 60
Details:
I was happy with this patient's skin retraction and minimal scar. stretched skin (see stretchmarks) has more unpredictable retraction. He had fabulous gynecomastia results and this increased is self confidence.
Patient 61
Details:
This skinny athletic nineteen year old Baltimore gynecomastia patient was very bothered by what he termed "puffy" nipples and could not, obviously, lose more weight. This is because the tissue was glandular, and we got a surprisingly large gland collection which is pictured below.
Patient 62
Details:
Thin male with asymmetric gynecomastia, treated with resection bilaterally.
Patient 63
Details:
Removal of gynecomastia via lipo and direct excision, awake
Patient 64
Details:
this subset of gynecomastia is characterized by concentration of glandular tissue right below the areola and puffiness of the areola. Treated typically under local anesthesia with excision of gland only.
Patient 75
Details:
with gynecomastia, bilateral. Treated with liposuction and gland excision, done under local anesthesia. Results shown at 3 months post op.
Patient 76
Details:
A patient shown with my preoperative markings to mark excess fat in his preaxilla and lateral chest, as well as the gynecomastia which was removed. The contouring of the fat in and around the chest via liposuction is an important aspect of gynecomastia surgery.
Patient 77
Details:
Out of state patient who flew in to get his surgery done with Dr.Khalifeh. present with long standing gynecomastia. Results shown right after surgery.
Patient 78
Details:
These are some of my most complex cases, demonstrating an advanced knowledge and surgical technique to adress both fullness, assymetry, skin excess, and areolar size.
In this case I applied a circumareolar skin reduction /areolar reduction technique with gland removal to avoid the double incison technique and avoid chest scars, while still producing an excellent result.
Patient 79
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 80
Details:
extreme laxity and enlargement of the areola with protrusion of glandular tissue. These complex cases require active reduction of the areolar envelope, via a technique that removes excess areola while preserving blood flow to the nipple. the scar ends up being a circle around the nipple.
Patient 81
Details:
This case with excess skin was treated via complex technique called circumareolar excision where we remove the gland while reducing the skin envelope.
Patient 82
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 83
Details:
a small amount of glandular tissue was removed in this patient to accentuate his chest.
Patient 84
Details:
An athletic young man bothered by his "puffy nipples" which don't respond to exercise and prevent him from enjoying his body building results. These were removed under local anesthesia.
Case No: FSJQPO10
Patient 85
Details:
These are fresh incisions at the three week mark, but already demonstrating an outstanding improvement in chest contour.
Patient 86
Details:
Another case performed under local anesthesia, combining chest lipo (especially the lateral aspect) with removal of the gland thru the nipple incision.
Patient 87
Details:
In this case, we performed liposuction to address the axillary fullness, followed by direct glandular excision thru the areola. Case performed under local anesthesia.
Patient 88
Details:
Typical Grade 2 gynecomastia with good skin tone, and good nipple position. I treat those with lipo and excision of the gland using the periareolar incision, which leaves the best gynecomastia surgery scar possible. His photos shown at 2 months postoperative.
Patient 89
Details:
30 years old male underwent flank liposuction as well as gynecomastia excision.
Patient 93
Details:
This is a young man with "unilateral" gynecomastia where the right side was way overdeveloped. Because we had some breast tissue on the left, I went ahead and removed both sides (which is the usual case). This case was done under local anesthesia. The results are shown about three months later.
Case No: UIPMBN10
Patient 95
Details:
this is a revision gynecomastia surgery. patient was treated elsewhere with liposuction and an attempt at lateral incision approach to remove the gland. Much gland remained, as well as newly formed scar tissue at the nine-month mark, so we retreated via a revision surgery with direct access via the areola.
Case No: DIBEVS10
Patient 97
Details:
Circumareolar complex reduction of a unilateral gynecomastia with excellent skin snap back in a young athletic man. case performed under local anesthesia and results are around six weeks postoperatively.
Case No: TFSEFM10
Patient 99
Details:
Moderate gyno , grade II. He has been bothered by gyno for years before deciding to seek out surgical solution. his results show a natural yet dramatic improvement which made him more comfortable with his chest appearance.
