Author Topic: Need an opinion !!  (Read 3199 times)

Offline eclipse2000

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Hey im 19 years old... 175 pounds.. 6'0 tall pretty muscular... but have had puffy nipples/manboobs my whole life and am really sick of havin these things dictate everything i do... whether it be what i wear... havin sex... going to the beach... im really sick of them and and am considering surgery.. would the best thing be to get the gland incision and the lipo?? and i don't live near any of the plastic surgeons recomended on this board so do you think it would still be okay to go to a plastic surgeon nearby if they are board certified?? i live in central illinois... thanks !!

Offline Dave_8

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I think it's good to do both. Lipo itself will not get rid of most of the gland. If you look around on these boards, I'm pretty sure you'll find a post of some people having surgery with docs in Chicago. Don't know where exactly where those post are but I've seen a few. Most have said they've gotten great results.
If you have gyne, dont expect not be laughed at.

Just like if you walk into a locker room, you're gonna see some hairy asses and dicks.

Unfortunately for me, both have occured in my life way too many times.

DrBermant

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Hey im 19 years old... 175 pounds.. 6'0 tall pretty muscular... but have had puffy nipples/manboobs my whole life and am really sick of havin these things dictate everything i do... whether it be what i wear... havin sex... going to the beach... im really sick of them and and am considering surgery.. would the best thing be to get the gland incision and the lipo?? and i don't live near any of the plastic surgeons recomended on this board so do you think it would still be okay to go to a plastic surgeon nearby if they are board certified?? i live in central illinois... thanks !!


"Puffy Nipples" is a common public term for gynecomastia. 

The problem is the the term puffy nipples is a phrase that mean so many different things to so many different people.  Words just do not convey the actual problem very well - images do a little better, but still are not the same as an actual in office evaluation with your doctor.  This Gynecomastia Picture Gallery of Puffy Nipples begins to show some of the various problems patients have called "puffy."

Putting up pictures (using standard views before and after surgery) is one way to discuss what the problem was before surgery and what has happened.   Options depend on what is really going on.

Let us try to look what I mean by the problem of the words only descriptions.  "Large nips", "puffy nipples," "puffed nipples,"  and "puffy nips" are a common terms many give to a problem that extends to the region about the areola.   The nipple is actually the central raised structure inside the pigmented areola.  You can explore the components and Anatomy of Puffy Nipples by checking the different aspects on that last links drawings.

"Puffed nipples" can be a problem for some that involves long nipples above the areola where nipple reduction alone helps.

"Puffy Nipps" can be a problem behind the areola that can take many forms.  The deformity is usually a varying combination of fat and gland.  The gland can be firm or soft, spread through fat, or be a condensed mass.  There is a thin muscle under the areola skin that can flatten tissue when stimulated. Unfortunately it is impractical to keep stimulating these muscles.

In many of these patients with "puffy nipples," there was no firm tissue under the areola, just fat and soft gland.  Here is one example of puffy nipples in a muscular male.  Here is another example of   puffed nipples.  Here is another patient with puffy nipple gynecomastia.

"Puffy Nipples" can also be a combination of gynecomastia and big nipples.

I prefer my Dynamic Technique that adapts to the problem found during surgery to minimize such issues as residual deformity after surgery.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Breast Reduction Surgery


 

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