This is a 20-year-old patient with gynecomastia.
He has a slim build, but the glandular tissue is relatively large, resulting in so-called “rocket-shaped” protruding breasts and a moderately enlarged areola.

Because he is young, we performed surgery using the keyhole technique with a minimal incision.
These photos were taken 2 weeks after surgery, before suture removal.

Since he is young, there is not much skin sagging at this stage.
However, at around 3 to 4 weeks, the sagging of the skin will appear more pronounced.
That said, after about 2 months, with regular massage and exercises to build the pectoralis major muscle, the skin laxity can be improved.

Even without performing a donut (periareolar) excision, we expect the areolar diameter to decrease by more than 20% as the skin contracts.