Considering Surgery.

[Iamnotannumber]

Hi, 
I was very overweight as a child/teenager. I have managed to lose the weight but I've been left with a flabby chest, excess skin & huge nipples. What kind of procedure do you think I need & what kind of result can I expect. I had surgery in 1994 on the NHS in 1994 with unsatisfactory results. This has haunted me my whole adult life & really need to get it sorted out before I'm too old. I'm 41. Any advice or opinions would be really appreciated. Thank You

[Paa_Paw]

I have reviewed your first three posts and your response from Dr. Jacobs. 
Dr. Jacobs' professional reply will be better than anything I might add. 

[Iamnotannumber]

I thought i would put an update on here.
I have now seen a couple of surgeons. Both of the surgeons have the same opinion that in my case a conservative approach is best. They have said initially i need lipo & gland removal and hopefully the skin will tighten sufficiently to give a satisfactory outcome. 
After 9 months if the result is not satisfactory then i will need to consider a revision & have the skin removed. This will be included in the cost. 
Considering now whether to go ahead. 

[George Pope, M.D.]

In my opinion you're not a good candidate for the classic procedure of liposuction and tissue excision.  In fact, from what you say in your post, you've already had that done, with a poor outcome.  At your age (older) your skin will not contract to the degree that you will want.  Your best bet is a procedure that removes all of the breast tissue and excess skin.  Your nipple/areolas can be grafted back in proper place - that way their diameter can be improved upon.
Dr. Pope, MD