Thanks for the help doctors. The reason I got gyno was because I used steroids. I've currently stopped since a few weeks ago and started using PCT, or in other words anti estrogen products. Problem is, I thought that this would take care of the gyno, but I was wrong.
I'd rather remove the gland and suck some fat out, so that this problem can never occur again.
On a side note, I went to the hospital and they said they'll do it for free. I'm Kuwaiti and we're given free health care. I'm scheduled to see a specialist in about 5 weeks. The doctor that examined me said it was a minor case, and that if I wanted surgery for it, it would be considered purely cosmetic. I made up some excuse that it hurts to sleep on my chest, anyways he said that it's fine, and that even if it's a cosmetic issue only, they'll go ahead and operate.
I know that Kuwait generally has well trained doctors, but i'm still kind of worried about the doctor that may be operating on me, messing up my chest either by leaving scars or cutting out muscle or some other horrible thing that can happen.
Edit: Yes DrBermant, the reason the second set looks not as bad, is because of the room temperature. When it is hot, they puff up and protrude really badly, when it's cold it's not noticeable and my chest looks great.
Free is worth the price only if they do it well. I have posted here How to Pick a Gynecomastia Surgeon:
http://www.gynecomastia.org/smf/index.php?topic=16474.0I have seen many patients from Kuwait and around the world who prefer my technique. To minimize travel, most start out with my
Preliminary Remote Discussion.
Being patient can be quite important. With a cycle that is not properly suppressed, gland can be stimulated swell and enlarge. It can also grow in size. Once the swelling goes down, the damage can be better assessed. For some after the swelling subsides, there is little contour deformity. For others, what has grown remains a problem.
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.
If you are using something that can stimulate breast regrowth, shreds of gland remain behind with any surgical technique. It is just not practical to remove all elements of gland. The problem is that there are fine fingers of gland that dissect between fingers of fat and can extend quite far into the chest. Take a look at the
Anatomy of Gynecomastia to see what I mean. Even with a radical mastectomy (a disfiguring technique used for some male breast cancer problems), some gland can remain. 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.
Regrowth of gland from stimulation can occur where shreds of gland remain behind. This can be behind the areola, along the deeper edges or margins of a zone of excision.
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.
Here is another example of
Gynecomastia Breast Regrowth on my site. Caution this is a graphic picture of the massive gland regrowth removed on the operating table.
This patient is rather unusual. He was a misdiagnosed genetic female who has lived his entire life as a male. His birth certificate says male as does his driver's license. Yes, a terrible mistake labeling him male made from birth and early on not recognizing his
Congenital Adrenal Hyperplasia. His body has been exposed to high levels of androgens and estrogen since within his mother's womb. This results in an a condition better called
Intersex than the older phrase Hermaphroditism.
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.
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.
However, for someone who is only 3 months into breast growth, the answer is being patient and possible Endocrine evaluation. If it goes away on its own the results will be better than
any surgeon's scars.
Hope this helps,
Michael Bermant, MD
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