What degree of gyne do I have?

[FredL]

I am 57, 5' 10" 164 lbs. I was a fat kid and I've had breasts since before puberty. People wouldn't say I'm a fat guy, but I'v never been lean or muscular.

Will surgery fix this?

[Dr. Schuster]

I would say that you have moderate gynecomastia with mild to moderate skin laxity issues. Routine correction should work but you might benefit from additional peri areolar skin excision.

[FredL]

Thank you Dr Schuster for taking the time and posting.

When I went for my first consultation with a PS two weeks ago, the Dr said I looked good for a simple gland removal and lipo. He felt that I did not have enough extra skin to worry about. Personally, I disagree because I feel it hanging when I hunch. Where are my boobs gonna go when they're emptied out? I don't see my skin snapping back like it would on a guy half my age. I was standing straight so maybe it wasn't as obvious.

I have a second appt on Jan 5, and surgery scheduled for Jan 20. I will definitely bring up my concern about extra skin.

[Dr. Elliot Jacobs]

Obviously, your 57 year old skin does not have the elasticity of a 27 year old.  You would certainly have a marked improvement of your chest with appropriate liposuction and gland excision.  In cases such as yours, I have actually undermined the skin quite widely in order to try to coax the skin to self tighten.  You would not be left with a loose, sagging area of skin.  On the other hand, your chest skin will not be drum-head tight.  Appropriate surgery by an expert in gyne surgery should provide a reasonably good result for you.  If there is  any residual skin laxity after six or more months of healing, you could address that with a very minor procedure -- but most guys are happy with their initial results.

Good luck!

Dr Jacobs