Gynecomastia 25

57 year old male preop and 2 months postop gynecomastia surgery. My approach is using the VASER Hi Def Lipo technique for better fat extraction of the gynecomastia and sculpt the anterior and lateral rib cage. In an older man, skin laxity is common and I use the Renuvion subdermal skin tightening technique to avoid skin excision. This gives satisfactory results in most patients in this older age group, but it is not perfect. Cannot reverse 40-50 years of sun damage totally.