Patient 1
Details:
moderate gynecomastia, treated with awake smartlipo and direct excision procedure.
Patient 2
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 3
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 4
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 5
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 6
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 7
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 8
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
