Wow, i posted this 3.5 years ago and i still have the lingering problem. I saw a specialist where there was a massive language barrier, with the way he presented himself he sounded like a breast cancer specialist that was incompetent. Since then i have gained 25 lbs . Back in 2005 i did zero weight training, so i had a skinny fat body. Now i'm leaning towards chubby.
The problem i'm in is that i don't have puffy nipples, no sagging (though my father had sag in his 40s, i'm frightened of that possibility). It simply looks like my fat deposits straight to my chest. From the age of 2 years old, i can see my chest being flabby. I've never had low body fat (still small figured, but no tone) , so i can't really tell if it's gyno or not.
Seeing as i log in here sporadically (i usually log in when i have severe anxiety about my chest), hopefully i log in here in a few months back in 2005 form, but with more muscle and less body fat! This will be my last ditch effort before going under the knife.
I advise my patients to get to a weight / body fat percentage they are comfortable with before considering surgery. You can
Calculate your BMI to see what is normal. BMI does not distinguish between what makes up the weight: bone, fat, muscle, water.
Body fat Analyzers can provide such details. It is not just a contour issue, does the extra weight feel good? My patients typically tell me that they feel so much better after weight loss!
For those with too much body fat,
Weight Loss Before Gynecomastia Surgery can help with the fat, but not the gland. However, you cannot pick where your fat comes from. The male breast contour comes from skin, fat, and gland. Check out the
Anatomy of Gynecomastia.
Plastic Surgery is not a good jump start tool for weight loss. I have seen disasters from patients from other doctors with deformities from significant weight loss after their surgery. Men tend to put fat on first in the belly and chest bands. We tend to take of those areas last. Early surgery and depending on weight loss to predictably change the body is a bad gamble.
No Surgery Body Shaping Garments are a better temporizing choice.
As a surgical sculptor, I view weight loss as a coarse tool and my plastic surgery as a refinement tool. I prefer to use the coarse tool first, and then my sculpture for refinement.
Hope this helps,
Michael Bermant, MD
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