Author Topic: Revision Gynecomastia Forum - Unhappy After Surgery Considering Revising  (Read 4651 times)

Offline DrBermant

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Hey Dr. Bermant

Here is the email for opinions of my case.
Surgery was made on 11th of May 2011.

11 weeks post op photos are here:

http://www.uploadgeek.com/image-887F_4E35B898.jpg
http://www.uploadgeek.com/image-4A2D_4E35B8F8.jpg
http://www.uploadgeek.com/image-36F7_4E35B928.jpg
http://www.uploadgeek.com/image-C38F_4E35B949.jpg
http://www.uploadgeek.com/image-B19F_4E35B988.jpg
http://www.uploadgeek.com/image-8FDC_4E35B9B7.jpg

These are pre surgery photos:

http://www.imagenic.net/viewer.php?file=6qf7cny9ynrpq5n4la4u.jpg

http://www.imagenic.net/viewer.php?file=icoa4xxr3izy156qufe.jpg
http://www.imagenic.net/viewer.php?file=cch4kvzk371fcgx5q9fe.jpg
http://www.imagenic.net/viewer.php?file=jv0vylbi2pzi2hel0fw.jpg

Your honest opinions? Considering revision?
Thank you in advance! Appreciate your help!

Best regards,

DesertEagle

Your images are very hard to use or view. Some of your links are broken. Check that they work before posting. Consider uploading your images using the "Attachments and other options." You can include up to 4 per post. I enabled one of the link lines with the image button (far left on second row), but some of your links do not work. You will frustrate viewers when you post images that just are too big or do not show what you are trying to demonstrate.

Your non standard views and limited details obscure possible issues. What was your weight before surgery and your height? What was your BMI calculation? Have you ever used a Body Fat Analyzer?  What is your body fat percentage?

My guess from inadequate information you present is that your surgeon tried to perform surgery when there was a global body fat contour issue. Plastic Surgery is not an alternative to losing weight. When there is a global body fat problem, surgery does not remove the breasts only makes them smaller as in this case of Compromise Gynecomastia Surgery. That is why I call it a compromise. If that is the case, the issue here is patient education and realistic expectations.
 
Weight loss before surgery is better than after. Losing weight is a coarse tool, you cannot pick where the fat comes from.
Weight loss alone can manage the fat of gynecomastia
but gland and some fat will remain behind. Plastic Surgery is better for refinement. Men tend to put fat first on the breast and belly, we lose fat last from those regions. Lose weight after surgery, and lose it in the typical fashion, and it may look like your gynecomastia has recurred.

Is the issue residual Swelling After Gynecomastia Surgery? I have seen some postings from some surgeons' patients that had prolonged swelling after surgery. What I post on my site is typical for my patients.

Is the problem residual gland left behind?

Was it that the surgeon was not aggressive enough?

Do your results look like what the surgeon showed you?  Were there examples of your specific body type / body fat?

So the question remains, what was the original problem, what was done and what has happened during the recovery. This is something best explored during a consultation after gathering all of the appropriate information.

My surgery days are over, there are a few slots left for patients who have questions and want my specific opinion. After 8/31/11, I will only be available for non specific discussions on forums as I will no longer be practicing medicine. If interested, Jane is my office manager.  She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Breast Reduction
Michael Bermant, MD
Retired Plastic Surgeon
Surgical Sculptor, Artist, Creative Thinker, Problem Solver
Plastic Surgery
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