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Patient 21993
This is asymmetrical gynecomastia with some associated ptosis or sagging of the chest tissue. Many surgeons may suggest skin removal in his case but my experience taught me to treat this my standard way—no skin removal needed. As such, you are either typically lucky or you will have to work your result to obtain the best definition without skin irregularities. This means massage and rolling starting and three weeks for as long as it takes (weeks to months) and assuming perfect posture as this helps stretch out and better position the skin upwards. At the end of your first week after surgery you must not have any skin folds or creases or this can become more challenging to flatten out with time. Healing of the skin to the underlying tissues (that I moved there with my layered closure) happens relatively quickly so you need to get on it. Put in the effort and you will be rewarded with a handsome, masculine chest you can be proud of.
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