Down 60LBS, about none off the chest

[JC27]

Well, I have successfully dropped 60 LBS of fat off my body, and have about another 50 to go! The problem is my chest (as you mught have guessed), I have always had man boobs, but chalked it up to being fat. Well, some has come off at first but no more! I have attached some pics so you can help me judge. I have not worked out in a few months after losing that 60 (but still maintaining my weight), want to go back but my chest is just so much bigger than before.





I go home from college in about 2 weeks for break, and am considering seeing a doc about it.

[DrBermant]

Well, I have successfully dropped 60 LBS of fat off my body, and have about another 50 to go! The problem is my chest (as you mught have guessed), I have always had man boobs, but chalked it up to being fat. Well, some has come off at first but no more! I have attached some pics so you can help me judge. I have not worked out in a few months after losing that 60 (but still maintaining my weight), want to go back but my chest is just so much bigger than before.

I go home from college in about 2 weeks for break, and am considering seeing a doc about it.

Congratulations on your weight loss!  Does it not feel much better with that weight off?  60 pounds is quite an achievement.

After Major Weight Loss skin and supporting tissues retract only so much leaving sagging and drooping.  These are usually global factors affecting most regions of the body.  For men, the sagging chest is often the biggest concern.  However, there are often issues of the stomach, thighs, buttocks, arms, and more.  While a Tummy Tuck Abdominoplasty can help with the front, a Lower Body Lift helps deal with the stomach, thighs, and buttock sagging. 

Low Nipples Do Not Look Good on the Male Chest. At the least, a patient should know about such issues before the operation.

Excess Skin of the Male Chest with Gynecomastia comes in various degrees.  Here are my Standard Pictures for Evaluating Extra Skin on the Male Chest.

Weight loss before surgery is usually much better than weight loss after surgery. Weight loss is a coarse tool, Plastic Surgery is better reserved for refinement. This is especially true when tissue sagging is a factor.  Why lift sagging tissue, lose more weight, and see that tissue sag again from further deflation? 

Weight loss and surgical sculpture is a series of compromises. What suites any one individual will vary.  Ideal sequence that I recommend my patients:

• Get to a weight you are comfortable living with.
• Let the skin adjust as much as it will. It can take from 6 to 18 months for skin to equilibrate after a gastric bypass and major weight loss.
• Consider Tightening Lower Tissues First. There is little sense to lift the chest and then have a tummy tuck, lower the chest result, requiring a revision chest lift.
• Then Address the Chest.
• Use No Surgery Body Shaping Garments as emotional support not to rush the process.

For some patients, my small incision skin reduction chest lift is an option.  This eliminates the unnatural very obvious unnatural vertical scar.  For smaller problems, I have evolved my Internal Lift Male Mastopexy Surgery that has even smaller scars.  My internal lift is not suitable when the excess skin is a major contributing factor for the deformity.  A Male Donut Mastopexy when pushed too far will leave a star burst deformity that detracts from the result. That is why picking your surgeon carefully can be so important.

Yes, scars are a compromise.  We need some place to remove the excess skin.  The shorter the scars, the less skin that is removed. 

At this point, tissues need to heal after the liposuction. The other compromises still remain.  Options are best explored during an evaluation.

Hope this helps,

Michael Bermant, MD
Learn More About Male Mastopexy Chest Lift for Sagging Tissues

[JC27]

Thanks for the reply Doc, but by the judgement of my pics, what do you think?

[fluffy_tits]

Honestly I think you can lose somemore and some more will come off but eventually you'll need surgery at some point if you want everything gone (which i kno you do)

[krucial]

contact surgeons!!!

[headheldhigh01]

obvious gyne.  you've made good progress, you should make a little more as prep for the op, but as you figured out for yourself, the weight loss will not get rid of it. 

[DrBermant]

Thanks for the reply Doc, but by the judgement of my pics, what do you think?

We are glad to help you explore your concerns and offer specific advice during a consultation or a Preliminary Remote Discussion. Without the additional details we use during that process, opinions are not worth very much and doctors giving specific advice can be held responsible.  That is why my discussions on forums are always given in general framework.  If interested in learning more or my specific advice, Jane is my office manager.  She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Hope this helps,

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

[cursed1]

my suggestion, lose some more weight then hit the weights and hit them hard..also do some cardio in between the days u hit the weights..and the main thing..diet, high protein with some carbs and fat would be good