Photos before and after surgery


Increasing in size puffy nipples


Gynecomastia in a bodybuilder



Examples proportionally to the degree of gynecomastia


Class I gynecomastia. It was treated with a small incision from 3-9 hour, removal of the glandular tissue while retaining a small section to avoid retraction of the nipple-areola


Class IIA gynecomastia. The patient underwent surgery with an incision from 3-9 hour and additional liposuction


Class IIB gynecomastia with moderate skin relaxation. The patient was submitted in a circular skin removal along with removal of glandular tissue. Additional liposuction was required.

Class III gynecomastia. The patient underwent surgical removal of skin and breast while the nipple-areola was repositioned.

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