What Will Surgery Do To My Gyno?

[titans321]

Hello everyone.  I, like yall, am on this site because I have the hell-case that is known as Gynecomastia.  I have just turned 16.  I got Gynecomastia when I was roughly 12 years old.  I felt the lump and had no clue what it was.  Nobody knows that I have it, or at least I don't think so.  I really want surgery, but it is very expensive.  I have been working out so that the Gyno is less noticeable.  It is also only on my left nipple.

I wanted to ask yall a few questions about my Gyno.

How severe is my Gyno?

What do you think my nipple will look like after surgery?  Will it look normal (like my right nipple)?

How do I look now?  Is it really THAT bad?

Please rate 1-10 of how bad it is (1 being very minor - 10 being very severe).









Thanks.

[Dr. Elliot Jacobs]

Yes, you do have some excess tissue beneath the left nipple.

If the condition has been present and stable for four years, then it is unlikely to disappear spontaneously.  And while exercise is great, you do appear to be slender -- so don't count on weight loss helping you.  In fact, if you build muscle, it might make the left nipple appear more prominent.

Best to first discuss the situation with your parents and then consult a gyne specialist surgeon for an opinion.  You can also consult your family physician, but be prepared for him to just pat you on the shoulder and tell you to be patient, wait it out and it will disappear.  (It won't).

Dr Jacobs

[titans321]

Yes, you do have some excess tissue beneath the left nipple.

If the condition has been present and stable for four years, then it is unlikely to disappear spontaneously.  And while exercise is great, you do appear to be slender -- so don't count on weight loss helping you.  In fact, if you build muscle, it might make the left nipple appear more prominent.

Best to first discuss the situation with your parents and then consult a gyne specialist surgeon for an opinion.  You can also consult your family physician, but be prepared for him to just pat you on the shoulder and tell you to be patient, wait it out and it will disappear.  (It won't).

Dr Jacobs

Thank you very much for the reply.  I've come to realize that this will not fully go away without surgery.

There are a few reasons, though, why I don't want to tell my parents about my Gyno:
1. It's very expensive and I'd hate to ask them for $5000 on something that isn't life-threatening.
2. It's pretty embarrassing.
3. I'm afraid even if I do tell my parents if I can have surgery and they say "Yes," like you said, the doctor will most likely tell me to wait it out.  Then, I would have told them for nothing and they will know.  It would be different if they knew and I got something out of it.

Thank you.

[titans321]

Yes, you do have some excess tissue beneath the left nipple.

If the condition has been present and stable for four years, then it is unlikely to disappear spontaneously.  And while exercise is great, you do appear to be slender -- so don't count on weight loss helping you.  In fact, if you build muscle, it might make the left nipple appear more prominent.

Best to first discuss the situation with your parents and then consult a gyne specialist surgeon for an opinion.  You can also consult your family physician, but be prepared for him to just pat you on the shoulder and tell you to be patient, wait it out and it will disappear.  (It won't).

Dr Jacobs

Also, is there surgery that is less expensive that typical Gynecomastia surgery, that only takes away that excess tissue instead of a full blown Gynecomastia surgery?  I'm asking this because I don't think my Gyno is near as bad as others I have seen, and I think I can save money if I do this. 

Also, is it less expensive to only have the surgery done on one nipple? 

[Dr. Elliot Jacobs]

Obviously, if surgery is done on only one side, it would cost less.

As I have often stated, there is no "minor" gyne.  Each case (small, medium and large) has its own potential surgical problems.  It takes an expert to do the job right.

When you are ready to consider surgery, then do your homework and find a gyne expert in your area.  It would be best to consult with several surgeons and then choose the one with whom you feel most comfortable and confident.

Dr Jacobs

[titans321]

Obviously, if surgery is done on only one side, it would cost less.

As I have often stated, there is no "minor" gyne.  Each case (small, medium and large) has its own potential surgical problems.  It takes an expert to do the job right.

When you are ready to consider surgery, then do your homework and find a gyne expert in your area.  It would be best to consult with several surgeons and then choose the one with whom you feel most comfortable and confident.

Dr Jacobs

Okay thanks.  What age do you think doctors will stop telling me to wait it out?  Also, would my nipples look different from each other after one has had surgery and the other one hasn't?

[Mark102]

Your gyne is pretty minor, but since it is only on one nipple, it looks a little weird

And yeah, if you have the surgery done with a specialized, reputable gyne surgeon, then your nipple with look as close as possible to your non-gyne nipple.

One question..how tall are you and how much do you weight?

[titans321]

Your gyne is pretty minor, but since it is only on one nipple, it looks a little weird

And yeah, if you have the surgery done with a specialized, reputable gyne surgeon, then your nipple with look as close as possible to your non-gyne nipple.

One question..how tall are you and how much do you weight?

Thanks for the advice.  It is much more noticeable because my other nipple is normal.

I'm about 5'9, 135 lbs.

Dr. Elliot Jacobs:  I read on your website, and it said that even if it looks like you only have Gyno on one nipple, you should probably get surgery on both because the nipple that you think doesn't have Gyno may really do.  It just may not be noticeable compared to the nipple that has it.

So I'm asking you if I should get it on both.  My right nipple doesn't appear to have it, but it may still have a little.  I want them both to look the same, and I don't want to have to go through this procedure again if it turns out that I do indeed have it on my right nipple.

However, I'd like to avoid surgery on my right nipple at all costs because, well, it costs more to have surgery on both.

Thanks.

[Dr. Elliot Jacobs]

Yes, that is true.  And that is why a complete exam by a gyne specialist will answer those questions.  If there is only one sided gyne, then the operation will be on one side.  If, however, there is some tissue on the other side, then both sides should be done.

Dr Jacobs

[titans321]

Yes, that is true.  And that is why a complete exam by a gyne specialist will answer those questions.  If there is only one sided gyne, then the operation will be on one side.  If, however, there is some tissue on the other side, then both sides should be done.

Dr Jacobs

Okay thanks.

[eyooh]

What country do you live in? I got my gynecomastia surgery for free since it had such a negative impact on my life.

[titans321]

What country do you live in? I got my gynecomastia surgery for free since it had such a negative impact on my life.

U.S.

Is that all you had to say to get it, or did you say that it caused pain and made your everyday routine different?  Is yours a mild case like mine, or a more severe case?

[eyooh]

What country do you live in? I got my gynecomastia surgery for free since it had such a negative impact on my life.

U.S.

Is that all you had to say to get it, or did you say that it caused pain and made your everyday routine different?  Is yours a mild case like mine, or a more severe case?

My case was more severe than yours, but it shouldn't matter as long as its really hindering your daily life when it comes to social situations and overall happiness.

I live in Europe.

[DrBermant]

Hello everyone.  I, like yall, am on this site because I have the hell-case that is known as Gynecomastia.  I have just turned 16.  I got Gynecomastia when I was roughly 12 years old.  I felt the lump and had no clue what it was.  Nobody knows that I have it, or at least I don't think so.  I really want surgery, but it is very expensive.  I have been working out so that the Gyno is less noticeable.  It is also only on my left nipple.

I wanted to ask yall a few questions about my Gyno.

How severe is my Gyno?

What do you think my nipple will look like after surgery?  Will it look normal (like my right nipple)?

How do I look now?  Is it really THAT bad?

Please rate 1-10 of how bad it is (1 being very minor - 10 being very severe).

Thanks.

Rate My Gynecomastia is a frequent question in this forum I addressed in this prior post:

https://www.gynecomastia.org/smf/index.php?topic=20438.msg139524#msg139524

You have subtle puffy nipple gynecomastia.

What surgery will do for your gynecomastia will depend on the sill of the surgeon. Subtle gynecomastia is its own art form. I have seen disasters, patients angry after surgery done by other doctors. You need to look for actual examples by the surgeon for this specific variation of gynecomastia. Check this answer to someone else asking about puffy nipple gynecomastia:

https://www.gynecomastia.org/smf/index.php?topic=21136.msg143473#msg143473

Hope this helps,

Michael Bermant, M.D.
Board Certified
American Board of Plastic Surgery
Member: American Society of Plastic Surgeons and American Society of Aesthetic Plastic Surgeons
Specializing in Gynecomastia and Surgical Sculpture of the Male Chest
(804) 748-7737

[titans321]

What country do you live in? I got my gynecomastia surgery for free since it had such a negative impact on my life.

U.S.

Is that all you had to say to get it, or did you say that it caused pain and made your everyday routine different?  Is yours a mild case like mine, or a more severe case?

My case was more severe than yours, but it shouldn't matter as long as its really hindering your daily life when it comes to social situations and overall happiness.

I live in Europe.

Oh okay.  My Gyno definitely does that.  I don't think I go 10 minutes without thinking about it, even at school.

Rate My Gynecomastia is a frequent question in this forum I addressed in this prior post:

https://www.gynecomastia.org/smf/index.php?topic=20438.msg139524#msg139524

You have subtle puffy nipple gynecomastia.

What surgery will do for your gynecomastia will depend on the sill of the surgeon. Subtle gynecomastia is its own art form. I have seen disasters, patients angry after surgery done by other doctors. You need to look for actual examples by the surgeon for this specific variation of gynecomastia. Check this answer to someone else asking about puffy nipple gynecomastia:

https://www.gynecomastia.org/smf/index.php?topic=21136.msg143473#msg143473

Hope this helps,

Michael Bermant, M.D.
Board Certified
American Board of Plastic Surgery
Member: American Society of Plastic Surgeons and American Society of Aesthetic Plastic Surgeons
Specializing in Gynecomastia and Surgical Sculpture of the Male Chest
(804) 748-7737

Thank you for the help.  What should I look for in a surgeon in order to determine whether or not she'll do a good job?  I don't have many choices where I live.  She doesn't have any before and after pictures either of Gynecomastia.  I looked up reviews of her, however, and people were praising her.

I was looking on your website at your prices for Gynecomastia, and I saw that it was $2800, but that doesn't include all those extra fees.  How much do you think the total price would be?

Also, Dr. Bermant, what is your stance on free Gynecomasta surgery?  How do you think I can get it?  How have previous patients been able to get it?  Thank you.