What was this patient’s main concern?
This patient arrived at the Gynecomastia Center of Boston frustrated by years of persistent chest fullness. The size and shape of his chest had been a source of discomfort in both social and professional situations. He often avoided fitted clothing and didn’t feel comfortable going shirtless. His gynecomastia created a rounded appearance that didn’t reflect his overall frame or fitness level.
From both the front and the side, his chest projected outward in a way that made him feel self-conscious. Even though he had worked on his nutrition and exercise routine, the fullness never went away. That’s when he decided to explore surgery.
Was it true gynecomastia or just fat?
This was a classic case of true gynecomastia, not just fat. While the patient had some fatty tissue contributing to volume, there was also a dense mass of glandular tissue behind the nipple that could not be addressed with weight loss or exercise alone.
Gynecomastia surgery was the most effective solution. Specifically, we recommended liposuction-assisted gland removal, which combines fat sculpting with direct excision of glandular tissue.
What technique was used?
We performed liposuction-assisted gynecomastia surgery, a hybrid approach that allows for:
- Gentle removal of fat using liposuction
- Precise excision of glandular tissue through small, hidden incisions
- Smoothing and sculpting of the surrounding chest contour
The procedure was done under local anesthesia with light sedation, and the patient was able to return home the same day. No surgical drains were needed.
How was the recovery?
Recovery was straightforward. The patient wore a compression vest to help reduce swelling and support the new contour. He experienced some mild soreness for a few days, but it didn’t interfere with his ability to walk or return to daily tasks.
By the second week, the improvement was already obvious. Swelling continued to subside, and the overall shape of his chest became much more defined.
What do the before-and-after photos show?
These before-and-after photos are a strong example of how targeted gynecomastia surgery can create a dramatic change in the chest, even without weight loss.
From the front, you can see that the roundness and projection of the chest have been flattened significantly. From the side, the results are even more striking as the nipple no longer sits on top of a mound of tissue, and the transition from chest to torso is much smoother.
There’s also a visible improvement in symmetry, with both sides appearing balanced and natural.
How has this impacted the patient?
During follow-up appointments, this patient noted that he was wearing different clothes for the first time in years. He felt more comfortable in fitted t-shirts and had started exercising without worrying about how his chest looked.
This case is a reminder that gynecomastia surgery is about more than aesthetics. It restores confidence and removes a long-standing emotional burden.
Final Thoughts
For patients with substantial gynecomastia, liposuction alone isn’t enough. The key to success in this case was identifying and removing both types of tissue.
The Gynecomastia Center of Boston specializes in this combined approach, producing results that look natural, feel smooth, and hold up over time.
This patient now has the kind of chest contour he had always hoped for. His result speaks to the power of doing the right procedure, for the right reason, with the right team.