Skin Excess in Surgery — 25yo Man | General Surgery | SMLE Q#17827
SMLE Question #17827
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 25-year-old man reports bilateral breast enlargement that began at age 18 and has been stable for several years. He denies anabolic steroid use and is not taking medications. Examination shows symmetric, rubbery subareolar glandular tissue bilaterally with skin excess and ptosis, without a discrete mass or nipple discharge. He is significantly distressed by the appearance. What is the most appropriate management?
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