I am about to go to my first consultation in Sweden and would like some help.
The surgent use lipo tohether whith removal of gland for good resoults. I would like to ask you before I ask my dr, if it is best to remove all possible gland behind the areola or just some?
From this site I belive Dr Bermant removes all gland and somehow fills the cavaty with fat and then sculpter the fat aroud the rest of the chest with lipo for a realy natural look. I dont anderstand how the fat behind the areola stays in place? I have never heard of this in Sweden but perhaps the surgeons does the same thing. If i ask my Dr to do this can I ask him if he is familiar whith this method?
In sweden I belive the most common way is to leave some of the gland to avoid cavatys. From the few people in swedish forums that talks about this surgery I hear complains about puffy nippols because of it. But most surgeons still wants to keep gland because of the risk of deformation.
So should I ask for full removal or just let him do his thing? (it could be that he removes all gland to)
How to pick your gynecomastia surgeon:
http://www.gynecomastia.org/smf/index.php?topic=16474.0Each surgeon has his / her own skills and techniques. However, not all methods work to the same degree. If you need to tell a doctor how to perform this operation, then you have picked the wrong doctor. Actually, I do see many
Gynecomastia Patients from Europe and around the world who prefer my techniques. It is so much easier performing this sculpture before some other less experienced doctor's misadventure.
Just as you would not be so bold as to instruct a Michelangelo how to sculpt, remember that your surgeon is a professional sculptor as well
Because the glandular tissue is actually a series of ducts that penetrate the skin it is not possible to remove it all without leaving a crater deformity.
Use great care in selecting your surgeon, then trust your decision and their skill.
Gland tends to be firmer than fat and does not compress the same way. Removing as much gland as possible helps minimize recurrence and optimizes how results move. That way when the areola muscles relax or muscles flex, the natural contour is preserved. The true test of how effective a sculpture is that it still looks good from all angles and while playing sports and living life, not just an acceptable contour in selected photos the views of which change from one patient to the next.
My
Dynamic Technique does start out targeting gland first. It is starting with the gland sculpture that is the hallmark of my Dynamic Technique that I have been describing for years. While no technique removes every trace of gland, take a look at the sizes of some of the
Gynecomastia Glands Removed with this method. The other elements of my artist's pallet then use the remaining tissue to contour the chest. Although I have managed many
Crater Deformities from Bad Gynecomastia Surgery done elsewhere, I have never had such a complication for one of my own sculptures.
I am always careful not to tell other people how to do their job. My problem is that in Sweden no plastic sergeon does this operation more then maximum perhaps 10 to 20 times a year.
I truly belive most of them are good anyway, but it is hard for a patient like me to select one.
And now when i have decided to go on my first consultation I just wanted to know if there where a standard for this operation and if my surgeon follows it.
I stumbled across this forum and read a lot about Dr Bermant and thougt that perhaps this is the new and best way of doing this operation. But as you say my sureon might do it another way with the same result.
This is truly hard and I just want it overwith.
I work with up to 8 gynecomastia patients a day and have been doing this sculpture for decades. Perhaps that is why patients chose to travel for my work. Our
Preliminary Remote Discussion is how our patients typically start to minimize travel to Virginia.
Hope this helps,
Michael Bermant, MD
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