Author Topic: puffy nipples opinion and advice please  (Read 3480 times)

Offline yelp

  • Posting Member
  • *
  • Posts: 9
My puffy nipples have been bothering me for about 5 years and are not going away.  I am 19 now.  They have the disc shaped glands underneath and I have almost no body fat.  I am pretty sure I would only need glandular incision. So I've got a few questions:
1)  I am wondering how small the incision can be made, like smallest possible.
2)  I am concerned about scaring, it is difficult to find surgeons who have closeup pictures of only where the incision was made, not the chest contour.  (and also dates past surgery for those photos would be nice).
3)  How much would you charge for this surgery?
4)  If there are noticeable scars the surgery won't be worth it to me.  What are the odds of no noticeable scars and a timeframe for that?

Thanks a million,

Yelp

Offline Dr. Elliot Jacobs

  • Elliot W. Jacobs, MD, FACS
  • Senior Moderator
  • Senior Member
  • *****
  • Posts: 4740
    • Gynecomastia Surgery
You are putting yourself and any surgeon in an untenable position.

There is no way to magically remove your puffy nipples without an incision -- and any incision will leave a scar.  There are only certain things that a surgeon can do in terms of getting a wound to heal as well as possible -- and plastic surgeons are well versed in those maneuvers.  The rest of the healing is up to your body -- and you do not have any control over that.  The scars around the areola tend to heal extremely well -- but every patient is an individual and sometimes it may not heal quite to your satisfaction -- and it is no one's fault and is entirely unpredictable.  Scars go with the territory -- they are a trade-off for a better shape.  If you are not willing to make the trade, then don't do the surgery.

In addition, the length of the scar is determined by the surgeon's needs during the operation.  There is no surgeon that I know of who would willingly go into surgery with a restriction of his freedom to lengthen a scar if necessary in order to get the job done correctly.

If you want to see close-up photos of typical scars, go to my website's photo gallery and look at "peri-areolar scars.

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
4800 North Federal Highway
Boca Raton, Florida 33431
561  367 9101
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.c

Offline Litlriki

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 1375
    • Dr. Silverman's Website
I would have to agree with Dr. Jacobs' comments about the scars.  They are rarely an issue, but no surgeon can predict how your scar will appear after the surgery, and each patient heals differently.  If the condition is not severe enough to justify the possibility of having a scar, then it's likely that you don't need to have surgery to correct it.  That said, the photos on my site can be clicked on to enlarge, and the scars are quite difficult to make out in most of the photos. That's because they usually heal very well and in an imperceptible way.  But I still wouldn't guarantee that to any patient.

Rick Silverman
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458
617-965-9500
800-785-7860
www.ricksilverman.com
www.gynecomastia-boston.com
rick@ricksilverman.com

Certified by the American Board of Plastic Surgery

Offline yelp

  • Posting Member
  • *
  • Posts: 9
what do you think about an incision under the armpit?  I was told about a procedure where first you use ultrasonic lipo to help break up the gland, and then a multi jointed cutting instrument to remove the rest. 

Offline DrPensler

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 869
    • gynecomastiachicago
There is an old surgical axiom which states wounds heal from side to side not end to end. The incision needs to be large enough to remove the required amount of tissue. If you are seeking guarantees before surgery no credible surgeon will provide you with one.
Jay M. Pensler,M.D.
680 North Lake Shore Drive
suite 1125
Chicago,Illinois 60611
(312) 642-7777
http://www.gynecomastiachicago.com

Offline Litlriki

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 1375
    • Dr. Silverman's Website
I make a very short incision in the armpit fold, through which I do liposuction, but this doesn't eliminate the need for excision through the areolar incision in most patients, and certainly not with your sort of "puffy nipple" gynecomastia. 

RS


 

SMFPacks CMS 1.0.3 © 2024