Gynecomastia Before and After | White T-Shirt Fit Changes in Simon Grade IIa Gynecomastia – 7-Month Results
Can gynecomastia surgery improve the fit of a white T-shirt in patients
with Simon Grade IIa gynecomastia?
Yes. Gynecomastia surgery can flatten the protruding area beneath the areola
by removing excess glandular tissue and combining liposuction when needed.
As the chest contour becomes more masculine, the fit of thin T-shirts improves naturally,
with scars continuing to fade over the following months.
[ Learn More About Gynecomastia Surgery at Lesarts Plastic Surgery ]
Written by Dr.Kukhan Lee, Lesarts Plastic Surgery
This article was written directly by the attending surgeon.
※Unauthorized reproduction, editing, or redistribution is prohibited.※
Hello, I am Kukhan Lee from Lesarts Plastic Surgery.
During the hot summer months, more men visit our clinic
because thin clothing makes the chest contour more noticeable.
Many patients try to improve a prominent chest or puffy nipples
through exercise and weight loss,
but often see little improvement.
This is because the problem is not always excess body fat.
In many cases, the underlying cause is glandular tissue overgrowth,
rather than fat alone.
In this article, we present the 7-month postoperative results
of a patient with true gynecomastia
whose chest prominence did not improve
despite regular exercise and diet control.
We’ll also examine how well the surgical outcome has been maintained.
The patient was a man in his 30s,
measuring 170 cm in height and weighing 66 kg.
Although he maintained a lean physique
through consistent exercise and a healthy diet,
the protruding appearance of his chest
made him uncomfortable when wearing thin T-shirts
and affected his confidence in daily and social life.
Physical Examination Before Gynecomastia Surgery
On physical examination,
the pectoralis major muscles were well developed,
and the subcutaneous fat layer was relatively thin.
These findings reflected
the patient’s consistent efforts
to maintain his physique
through regular exercise and healthy lifestyle habits.
However, the lower chest showed
a generalized protrusion centered around the areola,
and the most prominent point of the chest
was located at the areolar region
when viewed from both the side and oblique angles.
T-Shirt Fit Before Gynecomastia Surgery (AI Simulation)
This type of chest contour
becomes even more noticeable
when wearing a thin T-shirt,
making it one of the primary concerns
for many patients.
Ultrasound examination revealed
a thin layer of subcutaneous fat
over the upper chest,
along with well-developed pectoralis major muscles.
However, excessive glandular tissue,
rather than fat or muscle,
was identified beneath the areola,
which was consistent with
true gynecomastia.
Based on both the physical examination
and ultrasound findings,
the patient was diagnosed with
Simon Grade IIa true gynecomastia,
characterized by moderate breast enlargement
caused by glandular tissue overgrowth.
Surgery consisted of
subcutaneous gland excision
to remove the enlarged glandular tissue,
combined with liposuction
to create a smoother,
more natural chest contour.
[7 Months After Gynecomastia Surgery]
Recovery 7 Months After Gynecomastia Surgery – Dr. Kukhan Lee, Lesarts Plastic Surgery
The most technically challenging aspect
of this surgery
was the patient’s small areola.
The smaller the areola,
the shorter the incision must be
to keep the scar naturally concealed
within the areolar border.
As a result,
removing a sufficient amount of glandular tissue
through this limited incision
without extending beyond the areolar margin
made the procedure
considerably more technically demanding.
Scar Appearance 7 Months After Gynecomastia Surgery – Lesarts Plastic Surgery
At 7 months after gynecomastia surgery,
the scar remained visible
upon close inspection.
However, because the incision healed
along the natural border
between the areola and the surrounding skin,
the scar blended in naturally
and was not easily noticeable
during everyday activities.
Chest Contour Changes Before and After Gynecomastia Surgery – Dr. Kukhan Lee
The most noticeable improvement
was the overall chest contour.
Before surgery,
the highest point of the chest
was centered around the areola,
creating a protruding appearance.
After removal of the enlarged glandular tissue
combined with liposuction,
the prominence of the areolar region
was naturally reduced.
As a result,
the highest point of the chest
shifted from the areola
to the upper chest,
creating a flatter, more masculine chest contour.
Changes in Chest Projection After Gynecomastia Surgery – Lesarts Plastic Surgery
T-Shirt Fit Before and After Gynecomastia Surgery – Dr. Kukhan Lee
These improvements were noticeable not only from the front,
but also from the side and oblique views.
The chest projection that had been especially visible
under thin T-shirts was significantly reduced,
resulting in a flatter and more masculine chest contour.
At 7 months after gynecomastia surgery,
most postoperative scar tissue and internal adhesions (BioBond)
have substantially softened,
allowing both the feel and appearance of the chest
to become more natural.
As healing continues,
the tissues are expected to become even softer,
while the scars are expected
to continue fading over time.
True gynecomastia cannot be permanently corrected
through exercise or weight loss alone.
If the same concern returns every summer,
it is worth considering whether the underlying cause
is true gynecomastia,
rather than simply excess body fat
or insufficient exercise.
See More Gynecomastia Surgery Cases
↓ ↓ ↓
Many patients tell us after surgery,
“If I had known about true gynecomastia sooner,
I could have avoided years of unnecessary frustration.”
Looking back,
many say they wish they had recognized the condition earlier
instead of believing
that exercise alone would solve the problem.
If the appearance of your chest continues to concern you,
whether you are dressed or shirtless,
we encourage you to seek a professional evaluation
rather than dealing with the uncertainty on your own.
Through a physical examination and ultrasound,
we can accurately determine whether you have gynecomastia
and provide a detailed explanation
of the most appropriate treatment options
based on your individual condition.
FAQ
Q1. Can Simon Grade IIa gynecomastia improve with exercise alone?
No. Simon Grade IIa true gynecomastia is caused primarily by enlarged glandular tissue
rather than excess fat. While exercise can reduce body fat, it cannot remove glandular tissue.
Q2. How long does it take to see the final results after gynecomastia surgery?
Most swelling improves within the first few months. By around 7 months,
the chest contour is usually more refined, scar tissue has softened,
and the scars continue to fade over time.
Q3. Will the scar be noticeable after gynecomastia surgery?
The incision is typically placed along the border of the areola to help conceal the scar.
As healing progresses, the scar usually becomes much less noticeable during everyday activities.
Q4. Can gynecomastia surgery improve how T-shirts fit?
Yes. Removing the enlarged glandular tissue and contouring the surrounding area
can flatten the chest, making thin T-shirts fit more naturally and creating
a more masculine appearance.
Q5. How is true gynecomastia diagnosed?
Diagnosis is based on a physical examination and ultrasound.
These evaluations help distinguish enlarged glandular tissue from
excess fat and determine the most appropriate treatment plan.
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