Author Topic: Can it come back?!  (Read 2168 times)

Offline ryan08

  • Posting Member
  • *
  • Posts: 29
Hey Guys!

Pretty daft q probs! But can ur gyne come back?!

I know generally its a hormone imbalance during puberty that causes the Testosterone in your body to be converted to estrogen and hence the development of the chest!

But can things like the type of alcohol you drink? (I'm a jack d and coke man...nothing major probs jus once a wk)

Or even protein shakes??

Cause your gyne to come back!? As I say probably daft asking but I would appreciate any information or feedback!

Offline Jock

  • Silver Member
  • ***
  • Posts: 131
Have a read of Mr K website, he answers the question "In a word NO"




Jock
21 days to go
Took the plunge and had consultation with Dr. Karidis 7th January 2009.
Surgery 26th February 2009.
Just wish I'd been able to do this years ago.

http://www.gynecomastia.org/smf/index.php?topic=17004.0

DrBermant

  • Guest
Hey Guys!

Pretty daft q probs! But can ur gyne come back?!

I know generally its a hormone imbalance during puberty that causes the Testosterone in your body to be converted to estrogen and hence the development of the chest!

But can things like the type of alcohol you drink? (I'm a jack d and coke man...nothing major probs jus once a wk)

Or even protein shakes??

Cause your gyne to come back!? As I say probably daft asking but I would appreciate any information or feedback!


I caution each of my patients that surgery does not typically stop male breast growth.  If there is a problem with growing breasts, recurrence can happen.  Any of these medical problems and or these medications can cause gynecomastia. So, if you want to get worried about regrowth, you could get yourself evaluated for each of these conditions to see if they could be a factor.

Surgery also does not prevent weight gain in the chest.  Men tend to put weight on the belly and chest regions.  I educate each of my patients that this surgery will not prevent further breast growth.  It is like changing/fixing a tire with a nail.  Fixing/changing the tire will not prevent you from getting a new nail in that tire.

I take care of many patients with gynecomastia, as many as 8 in one day alone.  With all the gynecomastia surgery I have done, it is very rare to have regrowth for patients I have sculpted.  One patient (who had surgery on only side by another doctor) came to me with pro hormone induced gynecomastia that only came back on the side that had no surgery.  His growth was massive on the one side and none on the other.  His surgery by that other doctor had left a massive crater - the skin was adherent against the chest wall with normal fat surrounding the ugly deformity.  One side looked like the deformity seen here.  The other side was almost a B cup breast so tender that I could barely examine it.  As with each patient who presented to me with current breast growth, he was referred for an endocrinology evaluation and stabilization before considering surgery.  I do not know if such radical surgery was a factor or not.   Even if it did, removing all fat under the skin just gives an unnatural look.

I prefer to target the gland first with my Dynamic Technique. This permits me to remove most of the gland and then sculpt the remaining tissue to minimize contour problems.  Any surgery technique, even radical breast mastectomy for male breast cancer can leave gland behind.  The problem is that there are fine fingers of gland that dissect between fingers of fat and can extend quite far into the chest.

You can see what I mean by fingers of gland here.

By concentrating on the gland first I am able to minimize the chance of breast regrowth.  It is very rare for my patients to have recurrence.  With my techniques and my Red Flag Evaluation System before surgery, I have only a few patients over the many years I have been doing surgery that I know have regrown.  However, gynecomastia surgery does not stop breast regrowth.  For patients having breast growth, I have advised for many years that they should get their problem under control before surgery.  There are exceptions, such as young men with massive breasts that have not stopped growing.  That is why each case needs to be individually evaluated. 

Prevention of gynecomastia, when possible, is much better. We help patients explore such issues during consultations or preliminary remote discussions.

Hope this helps,

Michael Bermant, MD
Learn More About Revision Gynecomastia and Chest Surgery


 

SMFPacks CMS 1.0.3 © 2024