Little worried about "crater" afterwards

[rcbrown23]

Maybe I'm paronoid, but after my last operation...it's OK to be paranoid.

I had a lipo only op 1 year ago. It did not get the gland and I've been waiting  for another operation. Well, the time has come and I've scheduled it for 3 weeks with Dr. Hamas down here in Dallas.

What worries me is this: after the first op, it did not get the gland but it did manage to get a thin layer of fat from my chest. I am thin/athletic and didn't have much fat there in the first place. Now when I raise my arms straight in the air, I can feel a liitle depression underneath my nipples towards the inside of my chest. I don't think it was there before and the tissue is definitley thin. The Dr. told me it was just where my peck muscle ended, but I'm not so sure... Does everyone have this? (everyone who has small % body fat, that is) I'd take pics, but it's barely noticeable and I don't think it'd show up. I'm just a little worried that when the gland is removed, that depression will be bigger.

Anyway, I want as much of the gland taken out as possible so I have less chance of re-growth, but I REALLY don't want a noticeable depression. I just read on Bermant's site that athletic people with little body fat sometimes get depressions after the gland is removed (so he does a "fat flap" technique).

Anyone with athletic build that already had the op know what I'm talking about?? Do normal people have a dip under the nip just toward the center of the chest?? Am I paranoid??....I hope I'm just paranoid.

Thanks         -Brown

I'll try and get a picture of what I'm talking about.

[Spleen]

It's possible, I suppose. Is the depression something you see, or is it just something you feel?  I'm pre-surgery but the tissue under my nipple is hardly uniform in thickness or density.

[DrBermant]

It's possible, I suppose. Is the depression something you see, or is it just something you feel?  I'm pre-surgery but the tissue under my nipple is hardly uniform in thickness or density.

Craters can be something seen, felt, and in some cases much worse on animation like moving your arms or tightening chest muscles.  You can see examples here and here.

Each doctor has his or her own preferences.  Revision surgery is an art form for which I prefer to chose from among many possible tools of my Dynamic Technique.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

[rcbrown23]

It's something I can see and feel...but it's not very noticeable. I told both surgeons about it (consultation's) and they said it was nothing.

I have a feeling it is not nothing. I looked at the examples that Dr. B offered, and what I see looks like the second example, only not near as bad. When my arms are straight up, I see a depression like that poor fellow. It's just a slight dip in one side, but I do believe it is an adhesion. It's only visible when I throw my arms straight up in the air, but I'm thinking that if the gland was not under there too push out, it would be a bigger depression.

I tried to take pictures of it, but you can't really see the depression. I have already scheduled an operation with Dr. Hamas and paid the $250 deposit, and now I'm not so sure. I'm supposed to pay the entire amount in two days! AAARRRRGGGGGGG!!!

Dr. Bermant, I know your just going to suggest scheduling a consultation, and I will if you think you may be able to help, but it would be nice if you could give me some input. I have heard that you've told people in the past that there is not enough surrounding tissue to perform the operation on them. When is that the case? In cases like I'm describing?

What (roughly) is the wait time to get in to see you? 2 weeks...one month...three months?

    Thanks for your time and any advice.
                                                                   -Brown

[rcbrown23]

Well...now I've gone and done it.

I scheduled a consultation with Dr. Bermant all the way out in Virginia. I also called Dr. Hamas and post-poned my op date with him, probably forfeiting the $250 deposit I already paid.

I really hope I'm making the right decision here...

Oh, well. Better safe than sorry I guess. So much for the summer, again


         This sucks            
                                                                       -Brown
             

[jc71]

Brown,
Nothing like a bad experience to jump start that emotional roller coaster known as paranoia.

I'm not telling you anything you don't already know, but pound away on the importance of removing the gland.

If it's barely noticeable, I wouldn't worry about it. Sounds like a real concern for you, don't know what to say. Make sure you have realistic expectations.  I guess you did the first time.

Hamas vs. Bermant?  Both seem very highly qualified.  From what i've read from others, I don't think you can go wrong with either one.  Isn't Hamas local?  

I'd encourage you to stop thinking so much.  You can think until you're blue in the face (and a lot of guys have).  Not to sound weird dude, but when deciding on which surgeon to use, stop thinking, go with your heart, not with your head.  

Good luck with your decision.

jc71


**Addition to post**
You need to have peace of mind with your decision or it'll be way to easy to 2nd guess yourself.

[rcbrown23]

I saw Dr. Hamas at the consultation, and the more I thought about it, the more I started thinking maybe I should at least do a consultation with Bermant. I still may go through Hamas, just not sure yet. He seemed like he could get the job done, but he really didn't make me feel like "This is the guy I want to do my surgery!", you know?  

I'll keep posted on what happens and who I decide to go with.

[STILLgotIT]

RC, I think that is where part of the gland was before.

I have the same situation. I have a big crater on one side, and a smaller crater on the other side where it used to be gland/lumps.

I think the thinner you are the more it will stand out. If you carry a bit of extra meat (read: fat) then it won't show. But, for a thin/athletic guy it will show up more.