Gynecomastia is the development of breast tissue in men. This is commonly seen in teenagers and men in their 20s and 30s. Gynecomastia can produce a painful breast bud behind the nipple/areola and/or create a visible outpouching of the breast that can be seen through the T-shirt. This can make exercise such as running or contact sports difficult secondary to pain. It can also make one feel extremely self-conscious. Excision of the breast bud that develops behind the areola can often yield significant relief for the patient. In more fatty gynecomastia liposuction is often used to improve the contour of the chest.
The photographs demonstrate before and after excision of painful gynecomastia via a peri-areolar incision.