Abstract

Gynecomastia is an extremely disturbing deformity especially when it occurs in young male adolescents. It is of frequent occurrence in obese persons and even more so after severe weight loss. Following massive weight loss, there is excessive redundancy of the skin breast mound as well as the chest skin around it. This deformity needs to be corrected to regain a male chest contour or if possible, even better a masculine or an ideal male's chest wall appearance. Gynecomastia following massive weight loss can be classified in only two categories based on the required correction. Type 1 gynecomastia characterized by mild skin redundancy or breast ptosis that can be corrected by concentric circumareolar excision of the excess skin and Type 2 gynecomastia characterized by major skin redundancy and breast ptosis that necessitates excision of chest wall skin with shifting of the nipple position for correction.