Question. Bermant, anyone

[mmaman]

During my consultation, after I took my shirt off, the doctor said that I have "good coverage;" Does anyone know what this means?

Also, before my surgery, the doctor only drew one line under each of my nipples real quick-like. I've seen others where they have markings all over their chest. I was wondering about this. Can anyone shed some light on these vague questions, maybe a doc.

Also, I am one month post-op today from excision and lipo and my nips are still kind of puffy. I can feel where the small amount of gland was taken, I think. It seems that I can feel chest muscle from angles that I couldn't before.  Is there possible excess skin from the 12 or so years of having gyne. It just seems that the areolas, which aren't that much bigger than average, just aren't tight. I can feel some gland left on the side that was bigger before surgery. When I lay down I can feel what I think is gland about an inch above the center of my nipple. When I stand up and squeeze my nipple, I can feel the mass behind the center of my nipple. I don't think that this is a protruding mass though. It's just kind of floating there. I don't feel that on the other side.

Is it possible that I need further work on my chest? Skin reduction. I am not overweight at all and am in excellent physical condition, so I just kind of expected to look great. I look better and can feel where the mass was removed, my nips are just stretched or something. 

[DrBermant]

During my consultation, after I took my shirt off, the doctor said that I have "good coverage;" Does anyone know what this means?

Also, before my surgery, the doctor only drew one line under each of my nipples real quick-like. I've seen others where they have markings all over their chest. I was wondering about this. Can anyone shed some light on these vague questions, maybe a doc.

Also, I am one month post-op today from excision and lipo and my nips are still kind of puffy. I can feel where the small amount of gland was taken, I think. It seems that I can feel chest muscle from angles that I couldn't before.  Is there possible excess skin from the 12 or so years of having gyne. It just seems that the areolas, which aren't that much bigger than average, just aren't tight. I can feel some gland left on the side that was bigger before surgery. When I lay down I can feel what I think is gland about an inch above the center of my nipple. When I stand up and squeeze my nipple, I can feel the mass behind the center of my nipple. I don't think that this is a protruding mass though. It's just kind of floating there. I don't feel that on the other side.

Is it possible that I need further work on my chest? Skin reduction. I am not overweight at all and am in excellent physical condition, so I just kind of expected to look great. I look better and can feel where the mass was removed, my nips are just stretched or something. 

One month is very early after surgery for some techniques.

Posting Standardized Before and After Pictures can help others better understand your concerns.

How tissues evolve after surgery depends on the problem treated, surgical technique, skill of the surgeon, after care, scar care, and how a patient heals.  I prefer my Dynamic Technique in which there is minimal bruising and swelling.  The biggest change happens on the operating table.  That is how I am able to post images the day after surgery.  However, further refinement happens over time as sculpted tissues evolves as they soften with scar care, compression, and healing.  As with any cut, tissues need to heal and soften.

You can see other examples of early results:

in this competition body builder here.

This one sided (unilateral) gynecomastia shows the swelling after surgery typical swelling after my gynecomastia surgery compaired to the side that had No Surgery. 

Here is another example of early healing after unilateral surgery typically seen with my techniques. 

Here is another example of typical minimal swelling and bruising in a 14 year old patient with more images images of tissue evolution and swelling here.. 

You can find many more examples on my website of primary gynecomastia tissue evoluation.

I perform many Revision Gynecomastia Male Chest Sculpture Operations on patients done by other doctors around the world. Each patient has told me how different their tissues were after my Dynamic Technique compared to their previous surgery.  They all have commented how the swelling was much less, comfort better, and their expectation met, even at their first view of the tissues after surgery.  You can see typical tissue evolution after Revision Gynecomastia Surgery here.

However, even with these techniques, the tissue continue to evolve over time.  Here is another example of a patient revised after initial surgery done in Australia, early and 2 years after his operation.

This is real surgery and tissues do need to heal just like any other cut or injury.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture