25-34 year old man treated with Male Breast Reduction

A man in his late 20’s who is bothered by female breast development which started at the time of puberty. He does not have a history of marijuana or anabolic steroid usage (both of which can contribute to gynecomastia). Onset at the time of puberty is typical for “idiopathic” gynecomastia- a common presentation but with the cause being unknown.
He is shown just before and again, 6 weeks after power assisted liposuction/external ultrasound assisted liposuction of his chest. Access incisions in the upper lateral chest were placed at the site of prior stretch marks so they will be even less noticeable as they fade with time. He can expect further shrinkage as the swelling diminishes over the next 4-5 months. He is 6 feet tall and 232 lbs, giving him a BMI of 31.46.
When patients are overweight, we do not expect the skin to be as “tight” after surgery.