Advise : What should I do about the nipples pos surgery ?

[doodler0]

Hi everyone,
First of all, I must say this forum is spectacular and I appreacite being able to talk about my case online.



I am 18 years old and I had gynecomastia surgery 2 years ago,
I want to do something about my nipple appearance, and I'm not sure what's the next step,
What would be more advised :
-Reconstructive Tatoo
-Reconstructive Surgery

I'm not sure if there are other options, so I'd like an opinion/advice about it.

I think I don't need to describe them because of the pictures, but If there's anything else that you should know and I didn't mention here , just ask , and I'll awnser as soon as possible.

Thanks !  
Pictures :
http://img838.imageshack.us/gal.php?g=dsc04324g.jpg

[Dr. Elliot Jacobs]

The photos are not great -- we really need some good quality close-up pix.

Also, we do not know what you looked like pre-op -- posting those photos would be helpful.

First off, you should lose some weight -- everything will get better -- including your chest.

If it is only the scars that are poor, then one might consider a scar revision, which is an operation on a scar to remove it and replace it with a better scar.  In the last extreme, tattooing would be an option.

Dr Jacobs

[doodler0]

Thanks for the quick reply.
I'll provide better pictures soon.
And Yes, the biggest problem are the scars and aureola size, they are too big.
I just wonder if they can really get better, or not.
My nipples are uneven, one is bigger than the other.
I really didn't want to go through this again, the pos-surgery was very, I'm not sure what word to use, let's say, harsh.
I'd prefer doing the tatoo thingy, however it might not solve my problem.
If the problem is somehow "solveable" then I might consider doing the scar revision surgery.
My chest is a little puffy at the moment, since the beginning of this year I gained 30 pounds of pure fat and lost alot of lean mass, I had a regular diet and was doing weight lifting four times a week, but I had a knee meniscus injury , had to have surgery and just stopped all my training/diet plan since then. I was way leaner, and looking quite a lot better than I am right now, but the scar did not get any better, neither the aureolas sizes got "even". So yes, losing weight will definitely help the chest look, and overall appearance of it, but still far from normal, been there done that.  

[DrBermant]

Hi everyone,
First of all, I must say this forum is spectacular and I appreacite being able to talk about my case online.



I am 18 years old and I had gynecomastia surgery 2 years ago,
I want to do something about my nipple appearance, and I'm not sure what's the next step,
What would be more advised :
-Reconstructive Tatoo
-Reconstructive Surgery

I'm not sure if there are other options, so I'd like an opinion/advice about it.

I think I don't need to describe them because of the pictures, but If there's anything else that you should know and I didn't mention here , just ask , and I'll awnser as soon as possible.

Thanks !  
Pictures :
http://img838.imageshack.us/gal.php?g=dsc04324g.jpg

It depends on what you are trying to achieve. Posting Standard After Gynecomastia Surgery Pictures can help others better understand your concerns. Options depend on what is really bothering you.

http://img202.imageshack.us/i/dsc04335tr.jpg/ shows a global body fat contour problem. Weight loss usually makes us feel much better about ourselves. If you are planning to lose weight, that is next step. Options then change as the issues of losing weight come into play.

If you are referring to the slight Crater Deformity, then using surrounding resources with revision surgery could be an option. If you are referring to the widened scars, it depends on the original problem, what was done surgically, the prior after surgery care, and many other critical points best explored during a consultation with an experienced revision gynecomastia surgeon. Wide Areola Deformity Reduction Surgery to reduce the diameter of the nipples is a challenging problem that demands a certain skill. Remove more skin and without the proper methods, the areola will stretch back to an even larger diameter.

Tattooing only manages a color difference. Pigments tend to drift and change over the years blurring the results.

Hope this helps,

Michael Bermant, MD
Learn More About Revision Gynecomastia and Chest Surgery

[doodler0]

Here are the new pictures :

http://img844.imageshack.us/gal.php?g=dsc04385m.jpg

Let me know if they are still not good enough.

Thanks 

[Dr. Elliot Jacobs]

The photos are a bit better.

First, lose the 30 lbs that you put on -- that is not helpful at all.

Second, it appears as if there is a scar completely around each areola.  Did your original surgery include surgery to reduce the size of the areolas?  If so, you are a prime example of why I do not recommend this -- the new areola tends to spread out again and oftentimes is deformed in contour.  And, you now have a scar completely around the areola.

Any attempt to try to reduce the size of the areola at this point will probably not result in the result you want.

One of the important points in being a surgeon is to know when you are up against Mother Nature -- and this is one of those conundrums.

My best recommendation is to lose weight and consider a medical-type tattoo to camouflage the scars and try to make the areolas as equal as possible.

Dr Jacobs

[DrBermant]

Here are the new pictures :

http://img844.imageshack.us/gal.php?g=dsc04385m.jpg

Let me know if they are still not good enough.

Thanks 

You are still missing critical images from the standard set such as showing flexing of the muscles to better understand the tissue under the nipples and other issues explained in that protocol. Options still depend on what bothers you, the original problem, what was done. Global body fat is is still an obvious contribution to the contour. An in office evaluation permits a direct examination of the tissue involved and for a patient to express what they are trying to achieve.

Hope this helps,

Michael Bermant, MD
Learn More About Revision Gynecomastia and Chest Surgery