Ziggy -
I am also a fat boy - way big... 6'5" and 367 pounds at the time of my surgery. Having the surgery was the best thing I have ever done for my self esteem, and probably the best thing I've ever done for myself.
I hope my story helps you - I've read posts here for about a year and have never posted or responded and it is time for me to start doing so. I think my experience can people.
I share with every story of shame and teasing and social withdrawal and depression and bad relationships, etc. My emotional healing still goes on. I have always been a chubby kind of guy. The summer between 5th and 6th grade I started growing my boobs on top of being chubby.
I was always told by coaches, parents, dr's, that I should lose weight to try to lose the boobs. When I was 20 I put on a full charge diet and got down to a weight of 215 pounds, the skiniest I have ever been, and the boobs persisted. Still kept my shirt on with my girlfriend, no public swimming, hot tubs. I got kicked out of the gym for fighting with a college basketball coach (a-hole) because I wouldn't go skins.
I have lifted weights since I was 15 on-and-off to try to fill out my muscles and try to work off the boobs - my bench press went up, but the boobs did also.
PLEASE HEAR THIS! The people who tell you how lucky you are that you are fat, so you can just lose the boobs when you lose your fat DO NOT UNDERSTAND GYNECOMASTIA. It is a thing that is just there in your chest, and it is not just fat - Yes, when I was skinnier the boobs were smaller, but they were also almost more noticeable because they were so out of place - being fat, does somewhat help blend the boobs because of fat everywhere, and only wearing the right kind of shirt(s) helps to hide it, skinny or fat.
At 33 years old and almost 370 pounds, in early 2006, I met with a Dr. that I researched thoroughly, met with, and talked over my circumstance. "Wow those are really big", was also my diagnosis (maybe we saw the same Dr.) and although I was/am heavy, I am in great health otherwise. He recommended surgery even at my heavy weight. The cost estimate was HUGE compared to what I thought it would be. I met with him one more time, then set the surgery date for the end of July 2006.
I did the surgery - was under for 6 hours and came out fine. I was out of work for 2 1/2 weeks, and wore the bandage for about a month. Was really sore for the first 2 weeks, but it went away. Having the drains pulled out was the worse part - I never took 1 vicodin for pain until right after that, but that was it.
My Dr. did an unbelievable job - my chest is un-freaking-believable (to me). With a shirt on it looks like a buffed dudes chest (the weights I've lifted all my life help me now, I'm sure). I wear any tshirt I want, without layers, without any hesitation or fear - I could not be happier.
Now, there is a down side that you should know about. I lost feeling initially across my entire chest, and it is now 5 months after the surgery and about 80% feeling has come back. I still have no feeling directly on or around my nipples - for me that is actually good, because I was very sensitive before, and any rub would just remind me of the boobs, now I have no boobs, and no nipple feeling - maybe it will come back, maybe not, I really do not care. I REALLY DO NOT CARE. The boobs are gone, and that is enough. I also have some dark spots on the nipples, but again, I don't care.
By the way, the Dr. warned me that because of the enormous size of my gyne, that I would lose some feeling and possibly have some nipple scarring (the dark spots). For me before the surgery it was a good trade-off, and I can say confidently now after the surgery that it is still a good trade-off.
If you can relate to this, or if anyone else can - I have been suicidal at times over the gyne, and in general just plain depressed. Not doing things in life I want to, and not feeling like a man. Slouching all the time, not talking confidently in front of people, and women. I fucking hate gynecomastia - and that is all there is to it. Not having the boobs, depression, suicidal thoughts, hatred for the blowing wind, and stares from other people is an incredible feeling.
For me, being fat and having the surgery worked out fine. Like I said, at least for me, even losing the weight did not help my gyne. I am now extremely active in the gym, and have taken off about 25 pounds in the past 4 months. I play basketball, volleyball, and softball, all without the swinging and bouncing and I HAVE NEVER FELT BETTER!
I am more than happy to share the name of my Doctor, my costs, and my pictures.