Okay here's my story in a nutshell: I had my gynecomastia removed in the summer of 2007. The doc removed a combo of gland and fat. The gland was interlaced with the fat and he only removed about 10cc's of fat from both sides. At the time, my bodyfat percentage was probably about 9% so I was lean and in great shape. I was happy with the results.
Fast forward to today, a little more than two years later. Due to a lot of personal circumstances in my life I'm in pretty bad shape. My bodyfat percentage is probably in the high teens and my chest looks bad. I wear my stage two garment to improve the contour.
So, my question is this: Once I get back into shape again will my chest look like it did after surgery in 2007 or do I need to get some sort of surgery again? I know this is a broad question to answer depending on a variety of variables but I'm curious to hear what others think. Also, does fat gain cause the gland to grow back? My guess is no but I'm curious to hear what some of you think. Thanks.
Male Body Fat goes on first on the chest, stomach and flanks. It comes off these regions last. After weight gain followed by weight loss, a final contour is not totally predictable. Fat that has increased on the chest, may not resolve with subsequent weight loss.
Then there are skin issues. With weight gain, skin can be stretched. With weight loss, there can be an element of
Male Chest Drooping or Sagging that can cause contour issues.
Factors causing weight gain can sometimes
Cause Gynecomastia Gland Growth. Obeisity itself may increase leptins in the body that can stimulate breast gland growth. I have seen patients with much larger gland elements after weight gain than what they were able to demonstrate with younger photographs.
I see many patients after weight loss. The most common factor is that the patients tell me they feel better about themselves. Many also report a significant improvment in their chest contours. When the weight loss, leaves residual deformity, then revision surgery may be an option.
Body Shaping Garments can offer temporary contouring while stabilizing other factors.
Hope this helps,
Michael Bermant, MD
Learn More About Revision Gynecomastia and Chest Surgery