I'm Almost 18 Years Old and Have Severe Gynecomastia? (photo)

Judging from your photos and your comments, I would likely recommend trying liposuction only first.  The scars are minimal, and the bulk of your breast will be reduced.  If there is excess skin after your recovery, you may elect to undergo further surgery and accept the additional scarring.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Many young men suffer emotionally from gynecomastia.  When breast tissue grows on the male chest, it is often difficult to hide.  Many young men become overweight in an attempt to hide their chest prominence.   Other young men wear multiple layers of clothes or even binding garments to flatten the breast area.

 

The photo that you presented suggests that you are a great candidate for a gynecomastia repair.   Fatty tissue can first be treated with liposuction using a very small incision.  The breast tissue not removed by the liposuction is then directly removed with a fine line incision at the bottom of the areola.  This heals great, and most of our patients find that the scar is not possible for others to see.

 

What are you waiting for?    Consider a consultation with a skilled, experienced gynecomastia specialist in your area.   Make sure that he/she is a board certified plastic surgeon!

A minor liposuction procedure, followed by subareolar excision of fatty tissue and fibrous tissue if appropriate, will help solve your problems with gynecomastia.  Surgery90210

The good news is that this is not a particularly difficult surgery.  A small incision about 1/4" is made just to the side of your chest and tumescent fluid placed into the chest/breast area.  Liposuction will decrease the size of your breast and the size of your nipple areolar complex.  Next, a 3/4" incision is made just at the edge of your nipple areolar complex and some gland is removed.  This has to be done very carefully.  If too much gland is removed, you will have an inverted, unattractive looking nipple.  Also, this tissue must be sent to pathology since male breast cancer is a reality. 

Scars on transsexual males at the edge of the areola may be more visible because something is being put in, and therefore there is more tension leading to increased scarring.  The incision at the edge of your areola should be less visible because actually we are taking some out which would lead to less tension, therefore less scarring. 

Gynecomastia, whether it is fat or gland or both, is incredibly embarrassing and I feel your pain, but if you do this for yourself, it will make a world of difference in your life.

Hi Darragh,Thanks for the post and the photos. I am sorry to hear that you have been bullied because of this.  I highly recommend that you seek a board certified plastic surgeon who specializes in gynecomastia surgery. You need to be evaluated with a detailed history and physical examination. Determining the necessary incisions requires an in person exam to assess for the skin tone, the nipple position, etc. Based solely on your photos, I do not think you would need the larger incisions that worry you so much.Sincerely,Dr. Dadvand

Thanks for sharing your issues. Best to obtain in person evaluations from boarded PSs in your city. It is a trade off of flat chest to one with scars that could be very small. 

I'm sorry to hear about the difficulties you have experienced because of the appearance of your chest wall. Fortunately, the situation can be corrected with a well performed procedure. I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

I would suggest that you achieve a long-term stable weight prior to undergoing this procedure. I would also suggest that you meet with well experienced board-certified plastic surgeons for in person consultation. 

 Best wishes.

You do have severe  gynecomastia,that fortunately is very amenable to correction.

Depending on the nature of your tissues most of it could be corrected with liposuction

which will leave minimal  scarring .A small incision may also be necessary around the areola to excise any firm glandular tissue.The scar in this area usually heals very well

Usually the small incision results in minimal,inconspicuous scar when done by an experience surgeon.

In most cases male breast reduction for gynecomastia can be performed through a very small incision at the bottom of the areola and is usually not noticeable.  This may be an option in your case.  If the skin is substantially loose or excessive, it may be necessary to remove a ring of skin around the areola along with the underlying breast tissue.  In this case the scar would be a circular one around the areola but in most cases is well worth the trade off of a smaller, more masculine chest.  Best wishes.