Hi Newpatient,
Good luck. I'm also one of those old guys with no good options and had to come to terms with having D-DD breasts.
Something to keep in mind, being a recluse, and dressing in "ill-fitting clothing" on the rare occasion of going out was your response to a situation that was not a physical health problem. Part of my response was custom fit suits that had the lapel fitting and shaped properly despite D or DD breasts. Gynecomastia, at over 50% incidence in a lifetime is normal and not generally a sign of ill health or a suicide inspiring incident. You had a hormone problem you said and it is now corrected. Have you discussed depression with any of your doctors? That could also be a result of hormonal or biochemical irregularities. Are you going to be able to sign an informed consent form that cautions you of the variability of results? Will you sign the form agreeing to mediation in the case of lack of satisfaction? Nobody can guarantee what your results will be.
I have worked in group health most of my life. Have realistic expectations and you will enjoy your outcome better. I have worked with a lot of people who have become home confined by health and have acquired a social phobia by virtue of behaving that way for some years and in some situations was a neuro-psychological occurrence that was part of their illness. Many have a difficult time re-entering society after recovering their health sufficiently partly because of acquired habits.
I've been suicidal for several years now and it's taken a lot of time to reach the point where I can have this surgery, I'd be spending most of my net worth to have it done. I can't imagine going through with this and being disappointed with the results, or it being a failure and the doctor saying I have to do it all over again
This is troubling. It may be possible that no surgeon can deliver what you want.
If anyone has any advice, I'd really appreciate it. What's the outlook?
Nobody here can express any opinion at all on your "outlook" because you give no information such as pictures and breast size. From the way you are speaking they sound like they would have to be hugely outstanding, like anti-gravity H-cups that stick out six inches or something.
With your previous statements you have set yourself up for problems. For all we know it may be impossible for the outcome you want so desperately to occur or perhaps your odds are good. You need to look at a lot of before and after pictures of guys with similar situations as yours and have a good idea whether what you see would be satisfying to you or not.
Understand that your results may not be able to realistically live up to your desperately desired results. You need to be ready for a compromise between your hopes and reality. I don't know your breast situation. To become an ill clothed recluse is not usually an indication of gynecomastia. It seems rather self punishing.
I'm not a doctor or psychologist. I spent decades in the group health business and sometimes was involved in researching lack of satisfaction complaints. The group of consultants I worked with worked for the plan trustees for the benefit of the plan members. We were on the patients side to get them up to the standards treatment. However, satisfaction isn't always possible.
So ask the doctor you choose what his or her rate of satisfaction is. Look for the absolutely best doc you can find, before and after pictures that give you an idea of the quality of work and know realistically that revisions are often needed and I don't know the stats. Also, I would advise letting the doc know how invested you are and your suicidal feelings. Be fair, a doc needs to know the score.
And to be realistic, there is ordinary "unsatisfied" and occasionally there is "disastrous" with the unfortunate patient wishing they had never come within a mile of a surgeon.
So how about posting some pictures the doctors can look at and we can look at and people can then give some genuine opinions. I spent decades with wrong diagnoses and treatment and chronic illness. I know the devastation of disappoint in a highly hoped for treatment that doesn't work, over and over. When the time comes and you have become educated on the matter, pick the best surgeon you can find and be prepared for a range of possible outcomes. Best of luck.