This patient underwent type 2 gynecomastia removal. Type 2 is characterized by a rounded, feminine appearance of the chest fold as well as greater overall breast tissue size. This full, rounded appearance is particularly bothersome because it is particularly noticeable with fitted shirts. While Type 2's typically have significantly more volume than type 1's; however, they often have similar puffy nipple. Therefore, having puffy nipple does not mean you are a Type 1. As you can see, the biggest difference is that the breast tissue drapes over the pectoralis muscle border. This disrupts the muscle definition and overall masculine appearance.
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