Too muscular for surgery WTF????

[graeme87]

I recently posted that I was refused gyno surgery because my BMI is over 30 (classifying me as clinically obese)

This is not the case I’m 5,11 250lbs at 10% bf however the consultants concern was that I am at risk of complications due to general anaesthetic.

Do you know of any evidence that supports the claim that people with excess muscle mass are at a great risk for complications due to general anaesthetic?

I know people with a BMI of over 27 are classed as being at a greater risk but I believe these studies were done on fat people not bodybuilders.

Any help or information you can provide would be very much appreciated.

Also for you guys that have had gyno surgery can you post your BMI or just height, weight and if possible bf at the time of surgery.

Thanks

Too muscular for surgery WTF????

[elpropiotorvic]

Tons of bodybuilders get gyno surgery, just Google it on Youtube and you will see clínics and ask them questions

[graeme87]

Tons of bodybuilders get gyno surgery, just Google it on Youtube and you will see clínics and ask them questions

I know but my the surgeon is being a prick about it so I'm looking for some medical info if possible.

[elpropiotorvic]

Try and see if u can contact the clinics on YouTube pretty much all their pictures are from bodybuilders

[Merc.]

I recently posted that I was refused gyno surgery because my BMI is over 30 (classifying me as clinically obese)

This is not the case I’m 5,11 250lbs at 10% bf however the consultants concern was that I am at risk of complications due to general anaesthetic.

Do you know of any evidence that supports the claim that people with excess muscle mass are at a great risk for complications due to general anaesthetic?

I know people with a BMI of over 27 are classed as being at a greater risk but I believe these studies were done on fat people not bodybuilders.

Any help or information you can provide would be very much appreciated.

Also for you guys that have had gyno surgery can you post your BMI or just height, weight and if possible bf at the time of surgery.



Thanks

Too muscular for surgery WTF????

Actually it is probably a good thing they didnt end up doing your surgery.. They might have ended up messing you up .. Make sure you go to a Dr. that has done a lot of gyno surgeries on body builders ( Like Dr Blau in New York .. he does a lot of the Pro's gyno surgery )...

as for the BMI ... it was created back in the 70's by the insurance compaines , and is complete BS .. as well as totally inacurate ..



Merc.

[urbanbody]

Nasser was 305 at his last surgery for gyno, not sure what clinic your going too??

Id get a new doc, almost any plastic surgeon will do this surgery hands down

[Merc.]

Check this out .. It's a link to Dr Blau site showing some of the bodybuilders he has done the surgery on . .. Dave Palumbo ( he did John Romano's about a year and a half ago).. plus many many others that he doesnt have list on his site..


http://www.gynecomastia-md.com/subpa...ybuilders.html



Merc.

[Merc.]

this link also .. shows pics of bodybuilders before and after the gyno surgery ..

http://www.gynecomastia-md.com/subpa...s-gallery.html



Merc.

[spywizard]

get a new doc.. go to their office and revoke their ability to share information..

[Merc.]

get a new doc.. go to their office and revoke their ability to share information..

Well said Spy ....




Merc.

[Deltasaurus]

post a pic up i wanna see what 250lbs 10% looks like

[graeme87]

Thanks Merc, those links are helpful

I am still trying to find medical studies comparing heavily muscular individuals to obese people but those links at lest give examples of guys with high BMI’s getting the surgery successfully.

Knowing my doc he will say, yeah its been done before but they were high risk cases and I don’t want to take on a high risk case. But at least I have evidence of it being done safely.

[El Corvino]

sounds like your doc is trying to cover his ass due to your high BMI... when I was in medical school the instructors told us to use common sense... if someone has a high BMI but they are also 6% body fat... then use another scale.

[Merc.]

Thanks Merc, those links are helpful

I am still trying to find medical studies comparing heavily muscular individuals to obese people but those links at lest give examples of guys with high BMI’s getting the surgery successfully.

Knowing my doc he will say, yeah its been done before but they were high risk cases and I don’t want to take on a high risk case. But at least I have evidence of it being done safely.

I read tons of medical studies.. I dont think you will come up with any that will compare bodybuilders .. maybe with obese peeps ( or something along that line ) ...

Dr Blau ( as well as many other Doc's ) preform gyno surgery on athletes ( with tons of muscle mass ) in their offices everyday ... So it is hardly a rare high risk case by any means .. Not sure where your Dr is going with that ..



Merc.

[Merc.]

I briefly looked in my database and found this study that analyzed gyno surgery over a 10 year period .. Its not the best study , but it is saying that BMI and a high weight of the specimen ( what they remove) increases the risk of the surgery( so if you had 40g or more removed.. so its not the just the size of the person... it also has to do with how much they have to remove) .. I saw nothing that was conclusive stated showing a correlation between BMI and increased complications with anesthesia ( I would have to look further into it to come to any conclusion though ).. like i said I would go to a Doc that has done the gyno surgery on peeps with a lot of muscle mass ...



A. E. Handschin1 , D. Bietry1, R. Hüsler1, A. Banic1 and M. Constantinescu1

(1) Department of Plastic and Reconstructive Surgery, University Hospital of Bern, CH-3010 Berne, Switzerland

Published online: 17 November 2007

Abstract
Background Gynecomastia is defined as the benign enlargement of the male breast. Most studies on surgical treatment of gynecomastia show only small series and lack histopathology results. The aim of this study was to analyze the surgical approach in the treatment of gynecomastia and the related outcome over a 10-year period.
Patients and methods All patients undergoing surgical gynecomastia corrections in our department between 1996 and 2006 were included for retrospective evaluation. The data were analyzed for etiology, stage of gynecomastia, surgical technique, complications, risk factors, and histological results.
Results A total of 100 patients with 160 operations were included. Techniques included subcutaneous mastectomy alone or with additional hand-assisted liposuction, isolated liposuction, and formal breast reduction. Atypical histological findings were found in 3% of the patients (spindle-cell hemangioendothelioma, papilloma). The surgical revision rate among all patients was 7%. Body mass index and a weight of the resected specimen higher than 40 g were identified as significant risk factors for complications (p < 0.05).
Conclusions The treatment of gynecomastia requires an individualized approach. Caution must be taken in performing large resections, which are associated with increased complication rates. Histological tissue analysis should be routinely performed in all true gynecomastia corrections, because histological results may reveal atypical cellular pathology.



Merc.

[yourmouth]

Graeme87, how much was your doc charging you for surgery??

[darkcrayz]

i agree, find a new dr that works with bodybuilders. kind of amazed they used bmi, maybe an excuse not to perform?

[lovbyts]

I know but my the surgeon is being a prick about it so I'm looking for some medical info if possible.

dont bother. I would go for one more visit just so I could look him in the face and tell him you will just go find someone else who is obviously more educated than him and get it done.

[graeme87]

Thanks for the advice guys, I’ve been searching on google and can’t find any evidence to support the claim that a high BMI due to muscle mass leads to increased risk due to anaesthesia.

In obese patients with a high BMI yes but those studies were done on fat people not bodybuilders.

My GP agrees with me and is appealing to the surgeon on Friday, I’ll post feedback when I get it.

[elitepeptides]

What a retarded doctor... he must have just recently gotten sued.

[Vitruvian-Man]

Thanks for the advice guys, I’ve been searching on google and can’t find any evidence to support the claim that a high BMI due to muscle mass leads to increased risk due to anaesthesia.

In obese patients with a high BMI yes but those studies were done on fat people not bodybuilders.

My GP agrees with me and is appealing to the surgeon on Friday, I’ll post feedback when I get it.

I'm not a doctor, but I do have a degree in biological-psychology.

I can tell you that muscle % vs. fat % does play a VERY significant role in determining how the anestiologist administers anesthetics.

When giving anesthetics through an IV one will feel there effects almost immediately, as the anesthetic flows is pumped throughout your whole body in a matter of seconds (through direct blood flow in veins.)

When someone is extremely obese these becomes a challenge, because the amount of anesthetic needed to sedate the person will be on an INDIVIDUAL basis (fat can store anesthetic, meaning a slower release over a longer period of time... even when administered through an IV).

The reason this is so disconcerting to doctors is because it's a very high risk - they don't want their mal-practice premiums going up due to an unnecessary & high-risk surgery.

Now, back on track, the reason why it's so hard to administer anesthetics to a BB is because the sheer about of muscle mass ALSO displaces the amount of anesthetic needed to sedate the patient. (the > the amount of muscle, and quicker the effects of the sedative.)

"The anesthesiologist is responsible for a patient's life functions as the surgeon and other members of the medical team operate."

There is a reason why anesthesiologists get paid around $300k - 600,000 / year. They are putting human beings (the most complex creatures on Earth) under extremely strong sedatives (while keeping them alive.) and then post surgery, they administers drugs that reverse the effects of the anesthesia.

In any case, it's probably not your doctor whose 100% hesitant to do the surgery, there may just be no anesthesiologists willing to preform the surgery for reasons I have previously outlined...

Hope that helps clear up your questions.

[graeme87]

Thanks for the technical reply, the more info I have the better.

I will still press forward with my appeal.

I imagine excess muscle mass could hold anaesthesia but not to the extent fat would. Plus there have been many pro bodybuilders with much more muscle mass than I have.

Also gyno surgery can be done under general or local anaesthetic. Does local anaesthesia carry the same complications?

I'm not a doctor, but I do have a degree in biological-psychology.

I can tell you that muscle % vs. fat % does play a VERY significant role in determining how the anestiologist administers anesthetics.

When giving anesthetics through an IV one will feel there effects almost immediately, as the anesthetic flows is pumped throughout your whole body in a matter of seconds (through direct blood flow in veins.)

When someone is extremely obese these becomes a challenge, because the amount of anesthetic needed to sedate the person will be on an INDIVIDUAL basis (fat can store anesthetic, meaning a slower release over a longer period of time... even when administered through an IV).

The reason this is so disconcerting to doctors is because it's a very high risk - they don't want their mal-practice premiums going up due to an unnecessary & high-risk surgery.

Now, back on track, the reason why it's so hard to administer anesthetics to a BB is because the sheer about of muscle mass ALSO displaces the amount of anesthetic needed to sedate the patient. (the > the amount of muscle, and quicker the effects of the sedative.)

"The anesthesiologist is responsible for a patient's life functions as the surgeon and other members of the medical team operate."

There is a reason why anesthesiologists get paid around $300k - 600,000 / year. They are putting human beings (the most complex creatures on Earth) under extremely strong sedatives (while keeping them alive.) and then post surgery, they administers drugs that reverse the effects of the anesthesia.

In any case, it's probably not your doctor whose 100% hesitant to do the surgery, there may just be no anesthesiologists willing to preform the surgery for reasons I have previously outlined...

Hope that helps clear up your questions.