Does a post-op chest age better

[flatness13]

It seems that most men as they age will start to get saggy chests and I don't mean gyno necessarily. Does a person with a succesfully treated gyno chest where most of the fat cells and glands were removed and skin got tightened, have more longevity to keep a flat chest?

[DrPensler]

Interesting question. I do not know of any data on this but my guess would be yes for the reasons you mentioned plus the decreased weight locally to reduce the gravitational pull.

[Dr. Elliot Jacobs]

Agree with Dr. Pensler.  There are no long-time studies addressing this situation.

I have been doing gyne surgery a long time and have not had any of my very early patients return for a long-term followup.  Therefore, I can only assume they are pleased with the long term results.

However, in general terms, as one ages, the skin loses its elasticity and it may droop slightly.  Just look at some of those recent pix of Schwartznegger and compare them to his young and very muscular photos.

Dr Jacobs

[Litlriki]

I would agree with my colleagues. I do see some of my patients many years later, especially related to bodybuilding activities, and the decreased fat that follows a procedure certainly helps to minimize sagging of the skin and tissue. I have also treated patients who were treated many years earlier with only excision (by other surgeons), who needed to have the fat suctioned.  Had it been more comprehensively addressed with their first procedure, I think that it would have been less likely that they'd need additional surgery. 

[flatness13]

Thanks for the answers. This should be a feel-good thread for all of us who have gotten the surgery.

[Dr. Schuster]

To the extent that their breast tissue is not there, and there is usually less fat after the treatment, I would say that "yes" they age a little better. BUT the skin will still lose the elasticity it would have otherwise. It's just that there is lees bulk beneath the skin. This is my un-scientific opinion. Unfortunately I don't think any of us (meaning experienced gynecomastia surgeons) ever see enough of our own patients back 20 years later to be more precise.