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Fig. 5. An athletic 42-year-old patient with breast tissue overgrowth. Note the lack of volume in the upper pectoral area, but also the female appearance of the right breast in the preoperative photographs (above). A new muscular and natural appearance is achieved (below) by gynecomastia open resection and dynamic definition chest liposculpture with bilateral 200 ccs and 50 cc fat graft in the upper and lower poles, respectively. Almost 3800 ccs of fat aspirate was removed in this patient. Note that abdominal etching was a great challenge because of the medical history of peritonitis following a perforated appendix requiring laparotomy approximately 10 years before high-definition liposculpture surgery.

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