i weighed around 190-200 when i was 13-14, now i'm 150 lbs, about 6ft and 22 years old. i originally thought it was just gyno, but i think there's still some fatty tissue there and a bit of sagging skin (one pic shows some around my gut too). unless i put on a bunch of muscle, i'm guessing the only way to fix this would be through surgery for gyno and chest ptosis....just wanna see what people who can relate or at least educated on the issue have to say. it sags and points out and screws my confidence. it just sucks that i lost the weight and got into shape n i'm still screwed over. thx for the input
i could view the pics on my computer, but they didn't pop up on my phone n i'm guessing everyone else couldn't view them either. hopefully the links will work and you can view them. could someone comment on whether or not they can view them?
Weight loss has its limitations. After major weight loss, loose skin, residual fat, and gland can all be factors deforming a cut look of the male chest. I have seen so many patients over the years of my practice who have come to me frustrated after losing the weight only to have residual contour issues that act as cruel reminders of their deformity.
Your bending over view is the most critical of what you have posted. You have used a partial collection of my Standard Male Mastopexy Gynecomastia pictures I evolved to demonstrate loose skin and the male chest. Low nipples do not look good on the male chest. In particular the lower edge of the areola should lie higher than the lower edge of the pectoral muscle. That is why that set has an extended flexing muscles view (to demonstrate the nipple relationship with the muscle and the bending over views use gravity to show just how much loose skin is there. The standard set evolved to analyze the problem patients were coming into my office with as well as document just how successful the surgical sculpture.
My patients with major loose skin are carefully educated about the compromises needed when considering this component. Leaving the low nipples, skin reduction surgery which has scar compromises, my Internal Mastopexy Lift (raises low nipples but leaves loose skin an issue), and body shaping clothing. I have taken the time to document with examples each of those options on my site.
By targeting gland first I have been able to document an amazing shrinkage of skin with surgery. It is this same system of careful standard images that has permitted me to evolve my surgical techniques to achieve what I demonstrate on my website. Areola shrinkage has been a topic here before:
https://www.gynecomastia.org/smf/index.php?topic=19991.msg152393;topicseen#msg152393The amazing demonstration seen on that page does not happen with skin stretched by weight loss. There is some shrinkage, but nowhere as great. Now we come to the crux of the matter, actual documented results vs. words. Look for actual examples, before and after pictures, that demonstrate claims of success. You will not see such pictures on my website for major skin shrinkage just by targeting gland first on the after major weight loss, because it does not work well. Yes, someone can say the method works but not demonstrate it with actual examples. Look for documentation like the standard loose skin pictures mentioned and even better videos demonstrating that the method works.
I have seen many patients come to my office complaining they had surgery done by another surgeon but did not get the results that surgeon said they would be getting. When I ask did they see pictures before surgery, a common answer was no. They were shown something else, not their problem specifically. The best way to avoid that situation is to actually look for such careful documentation of the method of that surgeon's techniques for that specific problem.
Hope this helps,
Michael Bermant, M.D.