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Patient 22047
Patient Story: Skin Excision Gynecomastia and Abdominoplasty After Significant Weight Loss This patient underwent a remarkable transformation following significant weight loss. To address the resulting loose skin and advanced gynecomastia, I performed a skin excision gynecomastia surgery with free nipple grafting, along with an inverted T abdominoplasty (tummy tuck) to contour the midsection. The photos shown include intraoperative views—on the operating table immediately after surgery—with bolsters in place to support the healing of the free nipple grafts, as well as images of the large amounts of excess skin that were removed. The final images are from his 3-month follow-up, where he proudly shared his new, defined figure. With the rapid rise in weight loss medications like Wegovy and semaglutide, we’re seeing more patients with excess skin and advanced gynecomastia—a combination of sagging chest tissue and stretched abdominal skin. For many, these conditions can be addressed in a single, comprehensive procedure. This case highlights what’s possible with experienced surgical care and a commitment to complete transformation after major weight loss.
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