So I had my first visit with my plastic surgeon today and he assessed my chest to be a mild case of gyno. I have no 'grape like' hardness under my nipple but it is puffy and the rest of my chest area sticks out and is fatty/ breast like. I am within a healthy weight range and 19. And he just told me that is the way my body distributes my fat. I do have some smallish lumps around my nipple, but not directly under and sometimes they can be sensitive.
Now to my question. He recommended just lipo in my case and believes he can remove the small breast lumps scattered around my nipple via lipo.
Anyone heard of this/ have any suggestions?
Liposuction is fine for fat but will not help with gland. Clinical exam alone does not differentiate gland from fat.
If someone can back up such claims that liposuction managed gland with images including multiple angles, arms down, arms up over head, and flexing muscles such as my
Standard Photographs for Revision Gynecomastia or
Standard Videos After Gynecomastia Surgery, then perhaps I might believe. It would also be nice to see gland on suctioned fluid showing it was removed during the canula's work. This portion is normally discarded so that may not be realistic demonstration. To date such I have yet to see such proof anywhere. However, I see just too many patients unhappy after such claims were made. I recently reviewed over 600 patients unhappy after other surgeon's techniques over the past few years. The largest segment was from those who were told by their surgeons that liposuction alone will manage the problem.
For gland, liposuction does not remove gland, it digs a hole in the fat around the gland as you can see in these
Puffy Nipple Complications of Gynecomastia Surgery. Firm gland is easily removed through a small incision with good sharp scissors. Softer gland cuts easily but is harder to differentiate by feel from the surrounding fat. This makes the job of targeting gland first more difficult.
Leaving this gland behind would not be a problem if it did not affect the contour on animation. That is why judging results while living life such as playing volleyball, football, swimming all with the chest exposed is the final answer as to if a technique works. Be wary of a doctor's claim without such documentation. Look to see how the results move! If there is a contour problem after surgery, you will be like the hundreds of others I have seen in the past angry after spending money on other surgeons and still seeking a decent result.
I have posted how to pick your gynecomastia surgeon here:
http://www.gynecomastia.org/smf/index.php?topic=16474.0Hope this helps,
Michael Bermant, MD
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