Remember our recent post about gynecomastia and shirts off and shirts on guys?

Julian, a handsome 24-year-old black dude, is very much a shirts-on guy AND a jackets on guy, to boot.

Even on a hot day at the beach, he wears some kind of a jacket to hide his huge, sagging breasts.

His man boobs are so large, the areola (the brown skin surrounding the nipples) have been stretched out.

Moreover, it is verboten for his lovely girlfriend to touch his chest. So Julian, tired of hiding part of his anatomy, saves his money until he can afford the attention of a board-certified Newport Beach (California) plastic surgeon.

While the story is told on a YouTube segment, it was actually filmed for the old Plastic Surgery: Before & After, a program that aired on the Discovery Channel before its host, Dr. Jan Adams, ran into extremely serious trouble over the death of Donda West and a subsequent D.W.I.

(Later on, we will post a blog about why Ms. West’s death could have been prevented by a physical before plastic surgery.)

Dr. Adams’ show depicted actual surgery which starts with liposuctioning of as much of Julian’s breast fat as possible.

The  surgeon makes a small incision on the bottom side of Julian’s areola and then removes the actual breast tissue – yes, like woman have – which doesn’t yield to liposuction.

Julian receives a bonus on healing when he discovers his areolas are smaller.

And he may go back to the surgeon in three to four months to remove some excess, sagging skin on his now flatter chest.

The final frames hold a lesson for many plastic surgery procedures.

Julian is thrilled to take his shirt off in public — for the first time ever! — but  his chest is still a little swollen.

The lesson? Final results often take more months than patients like.

Plus, the lady in his life is thrilled that his chest is no longer off limits!

Watch the gynecomastia video – which may also remind you how much Plastic Surgery: Before & After is missed!