Bodybuilding and g surgery

[cursednips]

Hi i am a bodybuilder and i have g, im 21 and i've had them since i was like 12 , i was a skinny kid as a child but then gained alot of weight, reaching a peak of 364 lbs at 18 years old, i was aslo really tall to, was like 6'0 when i was in grade 9.  i over came alot and i began lifting weights and became obsessed, loosing over 120 lbs i am now 21 i weigh 237, 6'7", but my g is worse than ever. i am very close to having the surgery and i just wanna know will if i will ever be back to 100% at the gym cause i kill it everyday and yeah removing G is like having a new life. its something i want more than anything .
thanks

[DrBermant]

Hi i am a bodybuilder and i have g, im 21 and i've had them since i was like 12 , i was a skinny kid as a child but then gained alot of weight, reaching a peak of 364 lbs at 18 years old, i was aslo really tall to, was like 6'0 when i was in grade 9.  i over came alot and i began lifting weights and became obsessed, loosing over 120 lbs i am now 21 i weigh 237, 6'7", but my g is worse than ever. i am very close to having the surgery and i just wanna know will if i will ever be back to 100% at the gym cause i kill it everyday and yeah removing G is like having a new life. its something i want more than anything .
thanks

Congratulations on your weight loss!  Does it not feel much better with that weight off?  120 pounds is an amazing amount of weight loss!

I work with many Bodybuilders with gynecomastia. Return to the gym after surgery depends on the problem to be treated, what needs to be done, skill of the surgeon, and many other factors best explored with your surgeon. In general this surgery is like recovering from a sprain. Comfort is Nature's way of letting you know how you are doing. Push healing tissues too far too soon, and you can set back the recovery. In bodybuilding, no pain no gain. In healing, ignore the pain and you can hurt progress.

Weight Loss Can help with the fat of gynecomastia, but not the gland. Remaining fat, gland, and sometimes the skin can be residual contour concerns.

Standard Pictures to Show Gynecomastia and Loose Skin Issues After Weight Loss. Some are able to lose weight and not have a loose skin component.  This is not a black and white defined issue, but one of grays and subtleties.

Weight loss before surgery is usually much better than weight loss after surgery. Weight loss is a coarse tool, Plastic Surgery is better reserved for refinement. This is especially true when tissue sagging is a factor.  Why lift sagging tissue, lose more weight, and see that tissue sag again from further deflation? 

Weight loss and surgical sculpture is a series of compromises. What suites any one individual will vary.  Ideal sequence that I recommend my patients:

• Get to a weight you are comfortable living with.
• Let the skin adjust as much as it will. It can take from 6 to 18 months for skin equilibration after a gastric bypass and major weight loss.
• After Massive Weight Loss, Consider Tightening Lower Tissues First. There is little sense to lift the chest and then have a tummy tuck, lower the chest result, requiring a revision chest lift.
• Then Address the Chest.
• Use No Surgery Body Shaping Garments as emotional support not to rush the process.

Bouncing redundant flesh also can be a major emotional factor stressing any patient trying to lose weight.  That is why I posted Videos of Compression Garments dealing with gynecomastia and stabilization.

The remaining fat and sagging can be stressful for a work in progress, being patient, finishing off the weight loss first is a better option.

Hope this helps,

Michael Bermant, MD
Learn More About Male Mastopexy Chest Lift for Drooping Tissues

[Dr. Elliot Jacobs]

Having lost all that weight is terrific for you -- you are much healthier as a result.

The problem with having been heavy, though, is that the skin has been stretched and despite the fact that you are young, your skin is now less elastic.  It is predictable that your breasts will be slightly smaller after the weight loss (the fat component has obviously diminished) but the breast tissue itself does not respond to weight loss -- it remains there.  And coupled with the lax skin, it will lead to a residual,droopy breast.

Treatment of your gyne is certainly possible but it must be individualized to your specific needs.

Why not post some photos and let us take a look at your chest?

If you wish, I would be pleased to provide you with an email evaluation and recommendation for treatment -- for free.  Just send me your name and email address in a PM and I will be pleased to do so.

Dr Jacobs

[cursednips]

thanks i will be posting pics soon