Lipo only? (pics)

[crossfit99]

Sorry Docs if I seem to be bugging with all the questions. I am a very thorough person and do A LOT of research before I do little things in life, let alone chose a surgeon to get rid of a complex I've had since I could remember.

 I am 27 years old and, have battled this stuff since I can remember. Dodging each and every pool party, water park get together, beach trip etc since about 6th grade. When I graduated HS I had enough, I was about 6' 230 and chubby. Got into construction and started lifting 5x a week. I shot all the way down to 185 and looked pretty damn good with a shirt on. The problem was I STILL would not take my shirt off for the life of me.

Through the years I have continued to work out, diet has gone on and off, but I keep in the gym at LEAST 2-3x a week; I now have a Wife and Child so time isn't as easy to come by. I recent picked up crossfit hoping to shed a few lbs, which I have but again, the chest is, what it is. I am 6' about 235 right now but MUCH more solid and strong than I was back in the hs days. -- I take HORRIBLE photos, which in this case is good because it exaggerates my chest and even makes me look a little heavier than what I appear on a day to day basis. Anyway, I have seen 3 docs now. 1 seemed like he didn't know wtf he was talking about, other was way high in price, and lastly the one I went to yesterday said he thought that lipo only would do the trick. The only reason I even gave it the time of day is because he did this procedure on my buddy and it actually came out really nice.

When I mentioned (to doc#3) about excision, he said yea but then you have to worry about the scarring etc etc. When I told him i've seen hundreds of before/after photos and that wasn't a chief concern he then said sure, we can do excision. At that point I said what about excision+lipo, and he started to agree again. I felt like I was the doc at this point. He's a board certified plastic surgeon, but I just get the feeling he isn't all that comfortable with doing the excision. He didn't have ANY before/after photos which didn't make me feel good either, I think he was just hanging his hat on the fact I was referred..not sure.

Anyway, for those that maybe only had lipo, do you regret it? Maybe docs can chime in after seeing my photos to let me know. -- My main concern was the fact it seems the gland is what pushes the nip out and makes them more puffy, so losing the fat would be great, but I do NOT want puffy nipples anymore after the surgery.. Let me know what you guys think. I also posted a pic with my shirt on (notice its a compression like shirt to hold chest tight) to put things in perspective, because I really don't feel as fat as some of these pics make me look lol.

[Litlriki]

I can't really comment on the thought processes of the surgeons you've seen.  When I discuss surgery with patients, I typically presume that I will use a combination of liposuction and direct excision of sub-areolar tissue. On rare occasion, I don't need to do excision, but in most cases I do, and I plan accordingly.  The scars are typically not a problem in most patients. 

Based on your photos, I would expect that you should get a nice result, but you want to be treated by a surgeon who treats gynecomastia frequently and is comfortable with it.  I'm not sure you've found that surgeon yet.

Good luck,

Rick Silverman