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Patient 22044
This is a powerful case of advanced gynecomastia—and an example of how treatment decisions are often more about personal priorities than surgical perfection. Why do I call this advanced? Because this patient is approaching 60, and his skin quality is significantly diminished. As we age or experience major weight changes, our skin loses elasticity—it no longer "snaps back" the way it did in youth. This matters in gynecomastia surgery: the better the skin quality, the smoother and more predictable the result.
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