This 31 year old patient presented to Dr. Siamak Agha for revision Plastic Surgery of his chest and a Tummy Tuck after weight loss. The patient had lost over 60 pounds through bariatric surgery and had excess skin of his chest and abdomen. He had undergone Gynecomastia surgery once before with another surgeon in Beverly Hills, but was unhappy with the results. He came to Dr. Agha to have a Gynecomastia revision surgery and a Tummy Tuck.

Upon examination, Dr. Agha found that the patient had significant skin and tissue laxity in his breasts and outer chest. He also had very large nipple areolae that were stretched out after his previous surgery, which created an unnatural appearance to the chest.

Dr. Agha began the procedure by creating incisions around each of the patient’s areolae. Through these incisions, he reduced the size of the patient’s areolae so that they would be more proportional to his chest and placed the areolae centrally and symmetrically in the ideal position. Then, he removed the excess chest skin through incisions on each side of the areola. Through these incisions, the remaining breast and outer chest fat and skin were removed to create a flat chest surface without any rolls or sagging.

Before After

After his surgery, the patient had a much smoother, flatter chest and much more ideal areola size and shape. The patient also had an extended tummy tuck during the same surgery.

The patient’s Gynecomastia revision and Tummy Tuck after photos were taken 6 months after his procedure and he was very happy with his results.