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Particular conditions : There are none

Procedure requested: Improving the appearance of the chest

Local objective examination: Thoracic asymmetry. Left gynecomastia type I. Swollen left areola syndrome. Left mammary gland hypertrophy. Without lipomatosis at the level of the chest

Indicated procedure: Subcutaneous mastectomy and liposculpture

Procedure performed: Subcutaneous mastectomy and liposculpture

Particular conditions : There are none

Requested procedure: Correction of the areas

Local objective examination: Minimal areolar asymmetry. Gynecomastia type I

Indicated procedure: Subcutaneous mastectomy and liposculpture

Procedure performed: Subcutaneous mastectomy and liposculpture

Particular conditions : There are none

Procedure requested: Correction of the appearance of the chest

Local objective examination: Minimal adipose layer at the level of bilateral thoracic subcutaneous tissue. On ultrasound, the mammary glands were not hypertrophied

Indicated procedure: Liposuction and bilateral chest liposculpture

Procedure performed: Liposuction, liposculpture and subcutaneous mastectomy

Discussions: Although it was recommended to the patient that the removal of the mammary glands will most likely not be necessary because they were not enlarged so as to require mastectomy, as minimal hypertrophy of 5 mm bilaterally was confirmed by ultrasonography, the patient specified that he also wants a mastectomy. In certain circumstances (excessive local heat or after exertion) he states that the areolas enlarged and sometimes he felt a pain when palpated. This can be a sign of glandular hypertrophy which in time could lead to a significant growth of the mammary glands.

Particular conditions : There are none

Procedure requested: Improving the appearance of the chest to be able to feel better when going to the beach

Local objective examination: Thoracic subcutaneous lipomatosis. Minimal areolar asymmetry. Minimal bilateral glandular hypertrophy. Gynecomastia grade III

Indicated procedure: Liposuction with liposculpture and subcutaneous mastectomy

Procedure performed: Liposuction with liposculpture and subcutaneous mastectomy

Particular Conditions : The patient states that he is not in a weight loss process

Requested Procedure : Improvement of chest appearance to be able to wear tighter shirts or t-shirts

Local Physical Examination : Severe bilateral subcutaneous thoracic lipomatosis, moderate/severe glandular hypertrophy confirmed by ultrasound, minimal skin laxity. Gynecomastia grade V

Indicated Procedure : Liposuction, liposculpture, and mastectomy with thoracic lipectomy, areola repositioning, and recreation of the infrapectoral fold

Performed Procedure : Liposuction, liposculpture, and mastectomy with thoracic lipectomy, areola repositioning, and recreation of the infrapectoral fold

Discussions : The patient was aware of the difference that would appear between the chest and the abdomen, as the abdomen would not be altered, but he was very satisfied with the result.

Particular conditions : There are none

Requested procedure: Reducing the size of the areoles

Local objective examination: Gynecomastia type I

Indicated procedure: Liposculpture + subcutaneous mastectomy

Procedure performed: Liposculpture + subcutaneous mastectomy

Particular conditions : There are none

Procedure requested: Improving the appearance of the chest

Local objective examination: Minimal subcutaneous thoracic lipomatosis and moderate glandular hypertrophy. Gynecomastia type III

Indicated procedure: Liposuction, liposculpture and subcutaneous mastectomy

Procedure performed: Liposuction with water jet, liposculpture and subcutaneous mastectomy

Particular conditions : There are none

Procedure requested: Improving the appearance of the chest so as not to feel embarrassed when going to the gym

Local objective examination: Moderate to severe bilateral thoracic subcutaneous lipomatosis, without a glandular hypertrophy confirmed by ultrasound

Indicated procedure: Liposuction with water jet and liposculpture

Procedure performed: Liposuction with water jet and liposculpture

Particular Conditions: None

Requested Procedure: Improvement of chest appearance to avoid feeling self-conscious when wearing a tight shirt

Local Physical Examination: Glandular hypertrophy with projection at the areola level. Gynecomastia type I and a minimal adipose layer in the lower chest area

Indicated Procedure: Liposuction, liposculpture, and subcutaneous mastectomy

Performed Procedure: Liposuction, liposculpture, and subcutaneous mastectomy

Particular conditions : There are none

Procedure requested: Reduction of chest size

Local objective examination: Moderate/severe subcutaneous lipomatosis at bilateral chest level, bilateral hypertrophic mammary glands confirmed by ultrasound

Indicated procedure: Liposuction, liposculpture, subcutaneous mastectomy

Procedure performed: Liposuction, liposculpture with definition of aesthetic regions, subcutaneous mastectomy with periareolar incision