How my surgery went

[jonnylem]

I had my surgery done with lipo with Dr Boris in La. I'm 6' 195, low on bodyfat, and well built. I'm 5 days in and it seems like there has been very little difference. Could this be from lots of swelling that is yet to go down? My nipples are still a bit puffy and the way he did the surgery was with either smartlipo or vaser. He went in from the side and also the nipple. It seems weird to me that he went through the nipple as I've never heard of that being done. It's getting me worried, but I guess ill give it time since I've read on this forums that the end results take months. Any remarks or views would be nice

[DrBermant]

I had my surgery done with lipo with Dr Boris in La. I'm 6' 195, low on bodyfat, and well built. I'm 5 days in and it seems like there has been very little difference. Could this be from lots of swelling that is yet to go down? My nipples are still a bit puffy and the way he did the surgery was with either smartlipo or vaser. He went in from the side and also the nipple. It seems weird to me that he went through the nipple as I've never heard of that being done. It's getting me worried, but I guess ill give it time since I've read on this forums that the end results take months. Any remarks or views would be nice

5 days can be very early after surgery with some techniques.

Posting Standard After Gynecomastia Pictures can help other better understand your concerns.

How Soon Do You See Results After Gynecomastia Surgery depends on many factors, we tend to see instant results for my patients.  However, I prefer to optimize Healing After My Male Chest Surgery such that early results are possible.

Areola access is difficult for liposuction, but great for gland.  I prefer periareola scars since the anatomy hides them very well.

I see many patients who complain of residual Puffy Nipple Gynecomastia after another doctor's surgery.  There are many possible problems causing such a deformity.  The most common is remaining gland behind the areola as seen in these Anatomy of Puffy Nipple Drawings.  Check out the images with the link for remaining gland after surgery to see what I mean. 

Liposuction is great for fat, but does not do well for gland at all.  As shown in the anatomy link, there are usually fingers of gland between fingers of fat.  Liposuction no matter what technique (sharp cutting cannula, specially designed cannula, ultrasonic, laser, or "smart") targets the fat first.  Remove the fat and the gland remains behind condensing the fingers making a firm mass.
 
Even if the doctor achieves a flatter chest, that firm mass does not look like fat, move like fat, or compress like fat.  It just does not move well or look good (especially on animation).  That is why few doctors will show results with chest muscles tightened or arms up over the head or movies showing the tissues in motion.

Hope this helps,

Michael Bermant, MD
Learn More About Revision Gynecomastia Surgery

[jonnylem]

Tyvm for the help and info, much appreciated.  Just saw my doctor today for a post-op and I told him about my worries. He said I was just swollen and it is too early to tell. He said it even looked great and was coming along well. He will even do a free revision if I'm not satisfied, but he said he is sure 100% that it will come along and look great. Ill post up pics soon.