These pictures are at 2 weeks. Excision and Lipo bilateral. As you can see some are relaxed and some flexed. Relaxed not so bad, but flexed I see all kinds of problems. Crater Deformity, Keloiding, Bad animation, uneven contour. I am trying to be optimistic and not judge the doctors work to early but how can I not. My intuition tells me that this will not be corrected with time and healing. I worry if it can be corrected at all as I am a fairly lean person.
In fairness to the doc I will not say who it is just yet because it's only 2 weeks. However I can share that he is considered a leading doc in this surgery but does not participate on these boards. I am trying to be and level headed and fair to all parties.
Few Questions...
The right side did have a larger mass removed. Is that the reason for the indent on flexing? How does the body fill the hole?
Will this fill out with time some how? My Dr. said it would but I am doubtful.
Is this a normal thing when flexing at the 2 week mark?
Would building up my chest (mine is normally more muscular) hurt or help with this?
Is this correctable?
I so wish I had went to Dr. Bermant or Dr. Jacobs. I went to a local guy who was suppose to be "one of the best" in the country. I always had such a nice chest except for the fact of the Gyne that i had developed in the past 3-4 years. I was always lean and in shape with a nice chest. I pray that I am being impatient and am totally wrong but I feel this is false optimism. My feeling is as the swelling goes down it may get even worse. GOD help me! 7K later and its worse then I started with. This is making me feel ill and I can't sleep just thinking about it.
Thoughts? Professional or otherwise.
2 weeks is early with some surgery. Being patient and waiting to see how tissues evolve is typically the first step. I prefer techniques that look good at the end of surgery. I plan and execute my surgical sculpture to have the appearance I want in the operating room, not waiting to see how the tissues develop. This requires a commitment to
minimal brusing and swelling and after surgery care such that peak swelling occurs in the operating room.
After Gynecomastia Surgery Tissues Evolve. However, in my opinion it is better to start out with a contour I am happy with and then see improvement with the healing process.
How tissues move after surgery is critical for a sculpture that people are living with and enjoying life. It is much harder to sculpt tissues that look good both relaxed and flexed. Unfortunately, most doctors document only the relaxed condition. That is why I evolved over the many years my
Standard After Gynecomastia Surgery pictures to challenge myself to a more demanding result and document the problem and track as complete a picture as I could.
Standard After Gynecomastia Video is even more revealing, but this is difficult technology for a doctor to master and takes a good deal of time to process it for web consumption / patient education. Being aware of the power of such documentation and picking a surgeon demonstrating skills beyond still pictures then becomes an option for someone yet to have surgery or a revision.
Your limited views do not tell the entire picture. Yes, the flexing photos do reveal issues of contour. They may yet improve over time. It can take 6 months or longer to see such changes.
Hope this helps,
Michael Bermant, MD
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