gyno scarring

[paul6676]

Hi, Ive been approved for gyno surgery here in the Uk. The Dr told there will be some scarring as I my need incisions to each side of the nipple and also below as lipo will only do so much. Has anybody had these incisions and how big are the scars. I'm due to have the op around Nov/Dec on the NHS and I'm a bit worried about how it will look after. I asked the Dr a little about the procedure but i was a bit scared/shocked so didn't ask enough as was in a bit of a daze when they finally told me it would be going ahead. Can anybody give me some info.

Many thanks

[Reverence]

I was approved by my GP twice and the first time they made me try tamomaxifen which didn't do anything so i am seeing the surgon sometime next week so i will most likely be getting it done also since i have been at them for years (22 now) i am worried about the scarring because my family keep trying to scare me out of having it done.

My only problem is having puffy nipples really because the gland pushes them out so hopefully when its gone they will return to normal or atleast abit better, my chest however only sticks out slightly but because i workout it's not so noticable.

Hopefully the scars won't be too bad but i suggest waiting for a reply from someone who has had it done.

[Gynosaur]

Hey Paul - I strongly recommend rethinking your NHS procedure.  People on this site who get NHS surgeries tend to be (very) unhappy with their outcome.

If you want a good outcome, you NEED to see a skilled cosmetic surgeon with plenty of experience in gynecomastia surgeries.  Your NHS surgeon simply will not have the skill set required to perform a good surgery.  You need to worry about more than just scarring....there's the possibility of craters, uneven results, and pigmentation issues.  A cosmetic surgeon will approach the procedure with the intent to minimize these issues.  An NHS general surgeon won't know how to avoid them.

I got my surgery in May from a surgeon who specializes in gyno procedures.  The scars are small, but visible, and still fading.  My result looks incomparably better than every single result I've seen from NHS patients.  It's worth the money to get a good job done.  The last thing you want is to hate your chest worse AFTER surgery than before.

[saints]

I had incisions on both sides as well and the scarring is pretty bad.  And the results were uneven.  Ill be posting some pictures later, but I recommend seriously considering your decision because there is no guarantee that you will love the results.

[DrBermant]

Hi, Ive been approved for gyno surgery here in the Uk. The Dr told there will be some scarring as I my need incisions to each side of the nipple and also below as lipo will only do so much. Has anybody had these incisions and how big are the scars. I'm due to have the op around Nov/Dec on the NHS and I'm a bit worried about how it will look after. I asked the Dr a little about the procedure but i was a bit scared/shocked so didn't ask enough as was in a bit of a daze when they finally told me it would be going ahead. Can anybody give me some info.

Many thanks

We see many UK Gynecomastia Patients who prefer to travel for my techniques.

Remote access for gynecomastia attempts have been available for quite some time. Patients complain about the under arm scars, their length, and how they show especially with the arms up playing basketball or volleyball.

Under Arm Incisions Require Sculpture from a remote location and depending on either liposuction or long fine cutting tools.  Some doctors may try the remote location first and then add additional scars by the areola.  I prefer to limit the scars on the surface and internally.  Two surface scars are much better than 4 or more. The color interface of the areola and chest is a great place to hide a scar. My typical at the edge of the areola is now typically 1.6 cm (0.6 inch) long. I can sometimes even improve another surgeon's scar by moving it to this interface as in this  Revision Gynecomastia Surgery.

I have seen just too many unhappy patients with Puffy Nipple Complication After Gynecomastia Surgery remaining after axilla or armpit attempts alone using sharp cutting cannula or other such instruments by other doctors.

I have also seen patients with channel problems between remote access sites and the areola / nipple.  Scars, adhesions, and depressions can look terrible.  Check out the lateral (side views) and posterior oblique (side from the back views with and without muscle flexion here to see what I mean.

For a liposuction cannula to remove gland, it can also remove connective tissue and other structures which can lead to more bruising and scars.  I have seen so many patients who were unhappy from doctors that used special remote instruments to remove gland, that I just prefer to go directly to the problem itself.  Primary surgery is usually better than needing a revision.  All male breasts have gland.  With access to the gland directly, I can peel it off the areola muscle, minimize bruising and bleeding with direct control of the tiny blood vessels, and then reconstruct the contour.

The incision at the edge of the areola  opens up my entire spectrum of artist's pallet of tools for my sculpture.  A remote incision robs me of many options and just does not looks as nice.  I prefer to avoid this unnecessary additional scar.  Gland removal by any technique can still leave a depression when  a major part of the problem is from gland.  For gland removal, I prefer the greater precision of removal under direct visualization and feel.  This also give me access to many more elements for my artistic palette of my Dynamic Technique to sculpt the remaining tissues.

This approach permits me to maximize the removal of the firm gland and sculpt the remaining fat.  How tissues move is important.  The human body is beautiful in animation.  Scars to be considered include the sculpted tissues, yes the entire zone operated on.  That is why I show pictures of the chest with arms up, down, and with muscles tight / relaxed in addition to the results from multiple views.  Such analysis of the results as well as how tissues evolve, the possible need for drains, comfort level after surgery, are important factors in picking your doctor.  It is like an artist selecting a paint brush.  The results are what matters, not with what tool they sculpt.  But the results should be much more than a few of the best possible photographic views that can obscure the true nature of the contour of the living male chest sculpture.

Hope this helps,

Michael Bermant, MD
Learn More about Gynecomastia and Chest Sculpture

[Enterprise19]

Go to a plastic surgeon! I am very unhappy with my results, I had surgery on 1 side only with extended horizontal scarring - it looks like shit.