Patient Overview
This patient, in his early 30s came in with significant gynecomastia, characterized by both soft fatty tissue and denser glandular mass beneath the nipple. He had lived with this condition for years, believing it might improve with diet and exercise.
Despite his best efforts, the fullness remained. From the side, his chest projected noticeably outward. From the front, there was a roundness to the areola that gave the chest a feminine appearance.
He described feeling uncomfortable in form-fitting clothes, often layering shirts or avoiding situations like the beach or gym locker room altogether. The emotional toll of gynecomastia was clear, and he was ready for a permanent solution.
Consultation and Assessment
During the consultation at the Gynecomastia Center of Boston, we confirmed that the fullness was not purely fat but also included firm glandular tissue. There is a common misconception among men that weight loss alone will resolve chest fullness. In reality, gynecomastia often involves tissue that won’t go away without surgery.
The patient’s overall health and skin quality were in good shape. There was no excess sagging, and his chest skin had the elasticity needed for optimal retraction after surgery.
Based on this evaluation, we recommended liposuction-assisted gynecomastia surgery, which combines fat removal with direct excision of glandular tissue.
Surgery Day
The procedure was performed in our state-of-the-art facility and went smoothly from start to finish.
Small, hidden incisions were made near the lower border of the areola and the side of the chest. We began with liposuction to remove excess fat and shape the chest contour, followed by gland excision using a specialized instrument to carefully remove dense tissue without disrupting the surrounding muscle or skin.
The procedure lasted under two hours, and the patient was discharged home the same day.
Week 1 Post-Op
Mild swelling and soreness were present, as expected. The patient wore a compression garment around the clock to reduce swelling and support the healing tissue. He was able to resume light activities and return to work within a few days. At this stage, the chest already looked flatter, even with some residual swelling.
The patient reported that this early improvement gave him a psychological boost and reassured him that he had made the right decision.
Week 3 Post-Op
By the third week, the chest began to settle. The swelling had decreased significantly. The side profile no
longer showed the rounded projection, and the overall shape had improved considerably.
He was able to return to light exercise and began testing out shirts that previously made him uncomfortable. His posture improved slightly, which is a common change when patients no longer feel the need to hide their chest.
Week 6 Post-Op
At this point, the final results were taking shape. The contour was smooth, the chest appeared firmer, and there was no residual bulging around the nipples. The scars were virtually invisible and well hidden at the border of the areola.
The patient had resumed full physical activity and shared that he felt more like himself.
Final Thoughts
This case is a powerful reminder that gynecomastia is not just a cosmetic issue. It affects confidence, posture, and how a person shows up in their daily life.
For this patient, liposuction-assisted gynecomastia surgery at the Gynecomastia Center of Boston provided a result with a natural, masculine contour and no visible signs of surgery.
For men dealing with similar symptoms, this approach offers both precision and long-lasting improvement.
