Grade 3Surgical path35-44

Heavier build, combined excision + lipo.

Heavier buildMixed

Heavier chest with mixed glandular and fatty fullness.

“On a bigger frame the swelling took longer to settle. Worth the wait — shirts fit differently now.”

Grade-3 on a heavier frame, mixed glandular and fatty. Combined approach to debulk the fat and remove the gland in one operation. Compression and patience through a longer swelling phase.

What happened

Excision + extended lipo. Drains 4 days. Swelling phase ~10 weeks given the volume removed.

Cases like this one

Grade 335-44
Mixed presentation, 18 years carried — combined approach.
Grade 445+
Grade 4 with skin laxity — staged excision.
Grade 225-34
Lean build, firm glandular core — surgery one year out.

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Heavier build, combined excision + lipo.

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Cases like this one