Surgery gone sour

[rocksteady]

Hello all,

Two years ago I got nipple reduction surgery. I did not suffer from a severe case of gyno, I just had what can be best described as "puffy nipples". I found a surgeon that said that they could complete the procedure using local anesthesia, which helped make the procedure significantly more affordable for me. Well, now that I've completely healed, it is clear that the operation was not a success. One nipple is still a bit puffy but the scaring is concealed well, while the other nipple is "crater" shaped when I lift my arm. So my first complaint is that one nipple looks like an "inny" and the other an "outy". Additionally, the very tip of the "inny" nipple caves in when I'm in the relaxed position, and scaring is somewhat obvious as well and runs through the bottom part of the nipple (in other words, a scar runs along the bottom of my areola). Unless both nipples are manually stimulated and hardened, my chest looks noticeably awkward because of everything I've mentioned. Although I don't have to worry about bulging with my clothing anymore, I am still uncomfortable topless in public, which makes the procedure somewhat of a failure despite being affordable (I guess you get what you pay for). I failed to go to the follow-up meeting with my doctor 6 months after the operation because I had gone back to school, but now I'm back in the area.

Anyway, I was wondering if there was correction surgery available, and about how much it would cost in the northeast part of USA, and whether it would get rid of the scaring that I described on the "inny" nipple. Also, can I expect my previous surgeon to do a correction free of charge even though its been 2 years?

If anybody has any other helpful info please share. Thank you.

[gynogynoman]

Out of curiosity, what was it you had done, did he remove some gland? Sounds like he took too much from one gland and not enough from the other too me...

I have read that there is things that can be put back under the nipple to fill the void, so it will no longer be pitted. But I'm afraid I can't tell you much more than that (I think it was on this site, so I would have a search if I were you)

As for the one that's still puffy, going back under the knife and having more removed may solve it (but if it's already pits at time I wonder if it may be stubborn fat that needs to be lypo'd)

I don't imagine i've been very helpful, but hopefully havent wasted your time!

[DrBermant]

Hello all,

Two years ago I got nipple reduction surgery. I did not suffer from a severe case of gyno, I just had what can be best described as "puffy nipples". I found a surgeon that said that they could complete the procedure using local anesthesia, which helped make the procedure significantly more affordable for me. Well, now that I've completely healed, it is clear that the operation was not a success. One nipple is still a bit puffy but the scaring is concealed well, while the other nipple is "crater" shaped when I lift my arm. So my first complaint is that one nipple looks like an "inny" and the other an "outy". Additionally, the very tip of the "inny" nipple caves in when I'm in the relaxed position, and scaring is somewhat obvious as well and runs through the bottom part of the nipple (in other words, a scar runs along the bottom of my areola). Unless both nipples are manually stimulated and hardened, my chest looks noticeably awkward because of everything I've mentioned. Although I don't have to worry about bulging with my clothing anymore, I am still uncomfortable topless in public, which makes the procedure somewhat of a failure despite being affordable (I guess you get what you pay for). I failed to go to the follow-up meeting with my doctor 6 months after the operation because I had gone back to school, but now I'm back in the area.

Anyway, I was wondering if there was correction surgery available, and about how much it would cost in the northeast part of USA, and whether it would get rid of the scaring that I described on the "inny" nipple. Also, can I expect my previous surgeon to do a correction free of charge even though its been 2 years?

If anybody has any other helpful info please share. Thank you.

Why not post some of my Standard After gynecomastia pictures so that others can better understand your concerns. You have 2 deformities I have coined the names for the many patients that came to me unhappy with what their prior surgeons did to them. Both the Crater Deformity and Residual Puffy Nipple Deformity are complications of surgery technique. In my recent analysis of over 500 complaints of liposuction failures, convenience for nearby location, and cost savings were both factors many that these individuals mentioned. You can find similar examples of each of those complications and how they were managed on my site.

It makes little sense to me to trust someone to improve a contour problem that was a result of what they did. If you bang your head up against the wall and it hurts, do you keep banging it up against the wall?

Choice of surgeon for revision is even more critical than the initial surgery. Revision surgery is much more difficult and with less resources available. Look for actual examples of that doctor's revision skills and methods before considering using that individual. This is surgical sculpture and each surgeon brings their own skill set to the operating table. Do not assume that what you see on one doctor's web site is going to be the same results you get when you go somewhere else.

Hope this helps,

Michael Bermant, M.D.

[Dr. Elliot Jacobs]

Your tale is a familiar one -- and it reinforces the notion that for elective surgery such as this, one should do extensive research and take your time to get the best surgeon for the problem.  Many times, part of the decision is to save money -- but as you can see, in order to improve your results, you will have to spend additional money.

At this time, two years after surgery, what you see is what you have.  You could return to your surgeon -- but two years is a bit out of the "free revision" time frame for most docs.

You should therefore look for an experienced gyne surgeon for revision.  Revision may require additional removal of excess tissue or replacement of tissue for the area of the crater.  This can be performed with adjacent fat flaps, a procedure that all plastic surgeons are familiar with.

If indeed you are interested in coming to the Northeast US, I would be pleased to offer a free consultation for you.  Please send me a PM with your real name and email address and I will, in return, start the process for you.

I am sure some improvement can be obtained for you.

Dr Jacobs