Thank you very much Dr. Bermant for your prompt response and explanations. All your comments made sense and now I have some understanding of the situation. You are retired now which is a good thing for you but bad for us and that would make it even more difficult to find a surgeon as talented and experienced as you. Your guide for finding a good plastic surgeon is very useful but it would take me a lot of time to visit plastic surgeons and then apply the guidelines on each one of them especially if I'm going to travel from one place to another. I was hopeful to get names but I can understand why you can't mention specific names. The surgeon I went to is a "board certified plastic surgeon" and he assured me that everything will be fine, but it turned out to be the opposite; so it's a gamble each time you go to a surgeon even if they are a board certified plastic surgeon.
I'm thinking of not doing anything at all to my chest and guess I'll have to live with it like I did with the gynecomastia because I think I did enough damage already and can't risk being butchered by another "Board Certified" plastic surgeon.
Thank you very much again Dr. Bermant and hope you enjoy your retirement, and please tour the country and have fun come to Florida
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.
Thank you for your kind words. Posting pictures has great power and can help with education of yourself and others.
Learning How To Evaluate Gynecomastia Pictures
is key when trying to evaluate the skills of a surgeon before traveling to see any doctor
. My patients usually came to me only after an extended discussion by phone and sending me images such that travel could be minimized. That was part of our Preliminary Remote Discussion
I posted an extensive set of standard pictures and videos to show typical results for my patients. When surgeons choose to share their skill levels in this fashion, it empowers the public with choice to see travel to see doctors for their care. The problem comes when doctors limit what they share, posting limited views and not showing how tissues move. If the public demands to see more and learn more, better doctors should be able to use these methods to attract patients seeking those skills.
It becomes a gamble when patients choose doctors without looking for such documentation. It takes more than just Board Certification in the process of Picking a Plastic Surgeon
. The question becomes what type of research does any patient perform? What steps did you do, what did you skip, what of our guidelines could be improved?
Sometimes posting pictures after surgery, in forums such as this one, is a way to share just what a surgeon results were like. This can be a factor when the surgeon has no examples for others to see or if the results do not look like what a patient was shown before surgery. Sometimes the pictures show good results and the patient has unrealistic expectations. Critical documentation was how I learned how to improve my own techniques. That is a tool I learned from my mentors and something I have been advocating for many years.
Of course the other option would be:
I'll have to live with it
but then what about the next patient, and did this forum offer enough for your education to let you move on?
Hope this helps,
Michael Bermant, MDLearn More About Revision Gynecomastia and Chest Surgery