Pectoral Implants and Gynecomastia Reduction

Q: Dr. Eppley, I am interested in pectoral implants. I had gynecomastia reduction done twice in the last 10 years. I still have divets because I think too much tissue was removed on the outside areas of my pecs. I am also considering pectoral implants to even this out and provide a more contoured even look. I work out often and I still am not able to get my pecs looking good. I have read about your expertise with male cosmetic enhancements.

A: It sounds and looks like the combination of pectoral implants combined with some fat grafting to the nipple-areolar divots would create a more contoured chest result. It is hard to argue with the immediate and dramatic improvement in chest shape that pectoral implants can create. But they alone would not fix any indentations from over resection from gynecomastia surgery. That will need to be addressed directly with fat grafts put right into the soft tissue defects.

Gynecomastia reduction, particularly if done by liposuction, can often leave the chest looking deflated particularly in older men. Pectoral implants can make for an instant change in chest size through muscle enhancement.

Dr. Barry Eppley

Indianapolis, Indiana