Gynecomastia Bilateral Chest Reduction for Excess Fat and Loose Skin.*

Our patient is a 75-year-old White male who came to Dr. Timothy Katzen with concerns about excess fat and loose skin in his bilateral breasts, a common change that can occur with aging. He felt that the fullness and sagging in his chest created an unbalanced, less masculine appearance, and he sought a long-term solution to achieve a flatter, firmer chest contour. After evaluation, Dr. Katzen recommended gynecomastia surgery with a bilateral chest reduction to address both the excess tissue and the skin laxity. Under general anesthesia, Dr. Katzen carefully planned the male chest contouring procedure to ensure a natural and symmetrical result. During surgery, the excess fatty tissue contributing to the fullness of the bilateral breasts was removed to reduce the bulky appearance of the chest. Because aging often leads to decreased skin elasticity, Dr. Katzen also removed the loose, stretched skin that was causing the chest to sag. This step is essential in gynecomastia treatment for older patients, as reducing volume alone may leave behind excess skin that can affect the final contour. Once the excess fat and skin were removed, the remaining chest tissue was reshaped, and the skin was redraped to create a smoother, flatter, and more masculine appearance. Careful attention was paid to symmetry between the two sides of the chest so the final result would look balanced and proportional. The incisions were then closed in multiple layers to support healing and promote better scar quality over time. These photos were taken 2.5 years after surgery, demonstrating remarkable, sustained results. Our patient’s chest appears significantly flatter and more refined, with improved contour and reduced excess skin, creating a natural-looking, masculine chest that has held up beautifully over time.