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Patient 19674
This is a 56 year old man who is 5’6″ and 170 pounds who presented to me with a history of gynecomastia since puberty. He recently lost twenty pounds. He told me he didn’t know that you could do anything about gynecomastia. He has several medical conditions including hypertension and sleep apnea.On examination I could appreciate that he has lax skin and a fair amount of dense tissue on both sides. We specifically discussed his risk of collapse of the skin after removal of the tissue because of the quality of his skin, his age, and his weight loss history. He understood the fact that he is likely to have some irregularities, but he wanted all the tissue removed and preferred not to have scars across his chest after skin removal.He is seen here after gynecomastia surgery with tissue removal through an incision at the bottom of the areola and liposuction. He has a small indent on either side of his nipple-areola complex. Lessons to learn:
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