Author Topic: Thinking about surgery, here are my pics tell me what you think  (Read 2852 times)


Offline Grandpa Bambu

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  • 31 Year Gynecomastia Victim...
You've got Puffies for sure there dude....

Hey, if they bother you, surgery is the way to a happier you!  ;)

And yet another sufferer 6'+... Most G guys are 6'+...  interesting huh?

GB
Surgery: February 16, 2005. - Toronto, Ontario Canada.
Surgeon: Dr. John Craig Fielding   M.D.   F.R.C.S. (C) (416.766.8890)
Pre-Op/Post-Op Pics

Offline Dr. Elliot Jacobs

  • Elliot W. Jacobs, MD, FACS
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Although the photos are not great, it does appear that you are slender (BMI 25.3) and do have puffy nipples, which is indicative of excess breast tissue immediately below the areolas.  Assuming this condition has been stable for a few years or more, you would probably benefit by having surgery.

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 George Pope, M.D.

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This appears to be a case of glandular tissue sitting behind a nipple/areola.  The tissue does two things: it pushed the nipple/areola out, and to a lesser degree stretches the skin, causing the diameter of the areola to expand.  In most cases of gland excision, you see a decrease in diameter of the areola.

Regarding steroid injection, it is effective in thinning out dermal (skin) tissue, and that is why it's sometimes effective in making thick scars flatter.  But there can be adverse effects of even local steroid injection.  It's pretty common with repeated steroid injections to see neovascularization, or development of new superficial blood vessels in the skin surrounding the scar.  So that creates another problem that has to be dealt with.

Dr. Pope, M.D.
George H Pope, MD, FACS
Certified - American Board of Plastic Surgery
Orlando Plastic Surgery Center
www.georgepopemd.com
Phone: 407-857-6261

Offline Dr. Elliot Jacobs

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The photos are still of poor quality but they do seem to show a larger diameter areola with a puffy, or dome-like quality.  This is indicative of excessive breast tissue beneath the areola.  Note I said excessive -- because all men, even men with no gyne, normally have breast tissue directly beneath the areola.  The difference is in the excess amount of breast tissue.

When surgery is performed, it is directed to removing the excess tissue while leaving sufficient breast tissue (a thin layer is usually enough) to prevent collapse of the areeola (the "crater" deformity).  The result is usually a smaller diameter areola which lies flat and flush with the surrounding skin.

Re steroids:  these are powerful drugs and must be used properly.  When excess scar tissue results after surgery, steroid injections are helpful to reduce the thickness of the scar tissue.  But they must be used carefully because if overused, they can result in atrophy
(excessive thinning) of the tissues, loss of pigmentation and new, small blood vessels which become visible on the skin.  Most plastic surgeons are quite conversant with the use of these injections.

Dr Jacobs


 

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