Successful Surgical Management of Grade 4 Gynecomastia in a Renal Transplant Recipient.

This case report details the clinical presentation, surgical intervention, and postoperative management of a 36-year-old male renal transplant recipient with grade 4 gynecomastia, classified by the Rohrich scale. The patient had hypertension and was on nifedipine, metoprolol, allopurinol, prednisol, tacrolimus, and mycophenolate. With a body mass index of 31 kg/m2 and significant breast hypertrophy 4 months posttransplant, surgical intervention was chosen. The patient underwent bilateral breast tissue excision with free nipple grafting under general anesthesia. Postoperative management included overnight admission, and follow-up showed successful graft take and satisfactory wound healing.