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Gynecomastia or enlargement of the male breast may produce an unwanted feminizing appearance. This is typically caused by an increase in stromal (connective) and ductal tissue, however a serious underlying cause should always be considered. The incidence of occurrence in naval military exams is about 8 in 100,000. Gynecomastia is noted normally to some degree in pubescence with incidence as high as 65% in boys aged 14 to 15 years. By late teens this finding lessens to 7.7%. Cosmetic surgeons consider 3 grades: I. a button of extra tissue under the areola (the pigmented area surrounding the nipple) II. diffuse enlargement with indistinct peripheral margins. III. further mass effect with excessive skin involvement. Example 1   |    Example 2   |   Example 3   |   Example 4   |   Example 5 Patient 1: Moderate Gynecomastia, very noticeable in a tee shirt. Example photographs 1/1 - 1/5. 1/1 1/2 Same patient immediately post surgery, contours are now masculine (right side). 1/3 1/4 His left side post op. 1/5 Top Patient 2: Young adult male with fibrous glandular Gynecomastia, which did not respond to liposuction. Example photographs 2/1 - 2/2. 2/1 Post op following removal of mass, via a limited infraareolar incision which healed perfectly. 2/2 Top Patient 3: Another patient with droopy, pouting breasts and bilateral underarm (axillary) fat rolls. Example photographs 3/1 - 3/4. 3/1   3/2 Same patient post op. 3/3 3/4 Top Patient 4: 4/1: Pre-op showing  grade III enlargement 4/2 - 4/3:  Immediate post-op with reduction Top Patient5: Yatchsman complains of nipple enlargement and protrusion. 4/1 and 4/2: showing pre-op status. 4/3 and 4/4: showing immediate post-op result. (Click images for larger view.) 4/1 - pre-op. 4/2 4/3 - immediate post-op result. 4/4 - immediate post-op result. Top Many cases can be treated with liposuction techniques. Generally speaking only large cases with excessive non-elastic skin, or dense fibrous growth require open excision. Comprehensive fee for both breasts typically ranges $3,500.00 to $4,500.00.  Unilateral $2,500.00 to 3,500.00. Consultation is $250.

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