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Some patients who have lost a massive amount of weight have not just gynecomastia but extreme breast sag and excess skin. There are several ways to remove the skin from the chest but when that sag is quite severe, nothing can produce a result like a full elliptical excision with free nipple grafting. This patient is thrilled with his chest shape four months following the surgery. The pink of the scars will lighten considerably over time.

Surgeon: Dr. Thomas Hubbard

Case Number: 691

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