Hi all been lurking on here for a while, here's my story, i have always been moderately / fairly overweight and have always noticed i have carried extra fat on my chest, this has been the way for over 10 years now, i am 34 and the situation is getting worse all the time.
I started propecia about 9 months ago just after i had a hair transplant, i have always been very conscious about my chest but have always put it down to being overweight, but being bald bothered me more......now i am happy with my hair, the issue of my chest is paramount in my mind (all the time).
I weigh 190lbs and am 5'10 so i need to loose 15 to 20 pounds before i will seriously consider surgery, i am in the process of losing weight i am on a new regime of cardio 5 times last week, plus some weights, i have reduced the amount of weights i am doing as i think it has just given me some muscle with the fat over the top making my moobs look even bigger.
Obviously i need to reduce the fat i have but am now becoming paranoid that propecia is making it harder for me to loose weight, anyone have any experience in this?
Also i am in the UK and wondered do all the surgeons charge a consultation fee?, i would like to know whether i have gyno or am just overweight
Unfortunately, it can be difficult to distinguish just what is causing the problem. Gynecomastia male breasts can be fat, gland, or most commonly a combination of both. Sometimes skin and sagging tissues can be a factor. Pseudo Gynecomastia is supposed to be fat only gynecomastia. The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland. This gland can be very small, but it is present almost all the time. So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat? Reality just does not work that way.
Defining the problem with photographs sometimes can help.
However, it is impossible to tell from photographs if the deformity is from fat or gland. The dynamic images,
of my standard set of images can show a region that compresses differently. Even clinical examination differentiation can be difficult.
Fat tends to be soft, gland tends to be firm. Fingers of gland often dissect between fingers of fat. Look at this
drawing and move your mouse over the arrows. However, gland can be soft and fat firm confusing the picture. Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.
Men with excessive fat do tend to have certain contour issues. Check out this
link about Sumo Wrestlers. Men tend to carry excessive weight in their chest and stomach.
Weight Loss Before Surgery is typically better than weight loss after surgery. Losing weight is a coarse tool. Plastic Surgery is best reserved as a refinement tool. You cannot pick where the weight comes from, nor goes onto. Men typically gain weight first on the stomach, love handles, and chest. We typically take weight off the same areas last. Major weight loss after surgery may not come from your chest. If like most men, you do not lose as much from the chest, it may look as if your gynecomastia has recurred. Some of my patients loose their weight after surgery and get away with it. However, weight loss after surgery is a gamble.
Getting to a weight you are comfortable with is often best. Taking weight off, having surgery, and then putting weight back on is a problem. If as with most men, weight is put on the breasts, it can look like the gynecomastia has come back.
After major weight loss, there may be loose drooping tissues.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture
Topic: Newbie here, advice needed (Read 2827 times)
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