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Of the five surgeons I have consulted with, I would have to rate this consultation as nothing short of outstanding!
Yes but it is not about who appears the most outstanding in a consultation is it!
I mean don’t get me wrong it is good to win your confidence, you need that in a surgeon or any doctor in fact BUT it comes down to how good a job he does and so far you haven’t had surgery with him so in all honesty you can’t really recommend jack.
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His office manager, Krysta, spent more time on the phone with me and never rushed. She was most pleasant and made me feel welcome. Upon arriving at Dr. Schwartz office, his staff was smiling and gave a warm welcome.
The doctor was very personable and immediatly addressed my concerns over the fat/gland composition issue, and examined me closely.
After that, the doctor took before photos of my gyne. Front, side, and 45 degree front view. He printed the photos real big on full sheets of paper. He used a black background to clearly display
Then he took a black sharpie pen and drew on the photos showing exactly where he would make the tiny incisions. Not one incision, but 3 around each breast. He then began to draw sweeping lines from the incision points displaying his method for cross tunneling and evenly suctioning the fat. He explained in detail WHY he does it this way, and the benefit for doing it this way. He also explained that the tiny incisions would vanish into my hairy chest and not be noticed.
While he is doing this, I am holding the Vaser probe in my hand so I now have a clear picture of the instrument he will be using.
So far so good….
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Because my gyne appears to be pure fat, based on X-rays and physical examination. Dr. Schwatrz said that he would approach this initially as all fat. IF during surgery he finds glandular tissue involved, only then he would include an incision at the nipple for the excision. His reason: Sometimes an incision at the nipple can distort the nipple, and there is no reason to do this if its not absolutley needed. Hence: Keep it simple!
AVOID like the plague!!!!
There is no way whatsoever to ascertain whether gynecomastia is fat or gland based upon ultrasounds x-rays or anything else this is complete rubbish!!
It is possible to see dense glandular mass, but totally impossible to see any diffuse glandular mass.
Dr Bermant has said on this website that the only way he knows whether gynecomastia is fat or gland is once he can examine it in his hand once it has been removed. This is because fat is usually soft but can be hard and gland is usually hard but can be soft and gland is often found between fingers of fat.
I myself once went and had an ultrasound and was told my gynecomastia was fat only. I told the doctor concerned that the gynecomastia only developed on testosterone replacement therapy and that I had not gained weight and that the method of action of testosterone meant there was a clear method of development and that testosterone converts to estradiol and that increases glandular mass. I told this doctor in no uncertain terms that he was wrong. His cocky nature and confidence evaporated in seconds.
When I had my operation the surgeon described it as extensive diffuse glandular gynecomastia.
I knew it was glandular gynecomastia, my chosen surgeon confirmed it. I also knew for a fact that gynecomastia cannot be diagnostically differentiated from pseudo-gynecomastia very easily and certainly not at all by ultra sound or x-rays. Unfortunately there are quite a few plastic surgeons out there who continue to peddle this fallacy.
I have seen many many men come through here for over two years and I have yet to see a single man happy who has had lipo only. Very often it simply reveals the glandular tissue that does exist even more and cause more distress.
You are welcome to see if you do any better, but I know so many guys that are on surgery number two or three because of lipo only and the ignorant idea that the diagnostic tools mentioned above help- they don’t!
If you pick a surgeon who says he is going to do both glandular excision and lipo then you know what you are getting, if he says he will choose during the op then it is very much up in the air!
Also I would love to know how exactly he comes to a given conclusion in the middle of an operation, can he see if there is glandular tissue under the nipple or in other parts of the chest- does he have that level of access via camera and lipo Mmmm
Also wouldn’t it just be cheaper for him once he has your money to say to himself lets not bother?
Given we ALL have some glandular mass, what does he consider acceptable, is it the same amount that his patient/you would find acceptable? Mmm
You know the guy might be ok, but I would not go near him with a barge pole such are the open question and the questionable things mentioned so far.
Topic: Dr. Robert Schwartz consult (Read 5790 times)
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