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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.

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.

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

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

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