Gallery

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.

A young fitness expert bothered by mild gynecomastia. Pictures shown at 2 weeks post procedure. He is back to full exercise.

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.

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.

Well-built athletic male showing results of puffy nipple/gynecomastia case shown at one month.

Note the sharp pectoralis edge in the postop views once the gland is removed off the muscle.

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.

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.

An athletic male bothered by gyno masking his chest workout efforts, treated via the awake excision thru the lower areola border.

Thin man with bothersome gynecomastia tissue, treated via awake excision. Pictures at 3 months postoperative.

"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.

Puffy nipple gynecomastia in a thin middle age man.

Bodybuilder with almost perfect physique in the before...  A small excision of gyno puffy nipples brought him the perfection he sought.

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."

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!

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.

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.

Example of mild gynecomastia/puffy nipple procedure in local anesthesia.

A puffy nipple/mild gynecomastia case treated with awake smartlipo, followed by gland excision.

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.

4 week postop from awake gynecomastia removal.

  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.

A thin man bothered by puffy nipples for many years. treated via a direct excision thru the areola, performed under local anesthesia.

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.

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

a small amount of glandular tissue was removed in this patient to accentuate his chest.

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.

small amount of gynecomastia in this young man, removed under local anesthesia with results shown at about two months.