gyno surgery

[seriouslifter]

so i have made a few appointments with plastic surgeons on getting gyno surgery. I have had it for years and it will not go away with any treatment... ralox, nolv or letro. its a big tissue lump that needs to be cut out. who has had gyno surgery and how are you now? i imagine i will be out of the gym for probably 4 weeks atleast.

Is it a simple procedure? Cut out tissue and do some lipo around chest? obviously you want to find someone that does that often, but that is actually hard. I am sure every plastic surgeon can do male breast reduction or has experience.

I hope insurance can cover it or it will be about 5 grand I found that would be the cheapest. some have quoted up to 10k. I need to get it done, enough is enough with this annoying lump in the nipple i see through the shirt. its also painful to touch if i press it.

[Back In Black]

What country are you in?

[kelkel]

If in the states I believe Dr. John Crisler in Michigan has a more modern procedure that requires less down time. Research your doctor of choice very well.

[seriouslifter]

Yes, USA and I am not near Michigan. How could one plastic surgeon be different than another, if they both know how to make an incision and remove tissue, etc?

[Back In Black]

Gynecomastia dot org is a great resource.

[kelkel]

Doc's are always developing new procedures. More than one way to do things right! Found the below on his forum. It explains it much better than I could. Hope this helps:

kel



As many know, I have been working for several years to develop the best techniques for treating unattractive and troubling gynocomastia (breast tissue development) in men. Due to the nature of my medical practice, many of my patients present suffering this embarrassing condition, which erupts from a wide variety of causes. We can find significant relief in new cases through pharmacologic (using medicines and/or supplements) therapy—perhaps merely to halt further growth-- but if the condition has existed for any amount of time, often we must rely upon the surgical approach.

Additionally, many men suffer a combination of actual mammary (breast gland) tissue, along with fat deposition, adding to the unappealing appearance; this is known as lipomastia or pseudogynocomastia. As it turns out, it is precisely appreciation for the balance between the two different types of tissue which leaves previous gynocomastia removal techniques obsolete.
In working up the gynocomastia/lipomastia patient, the first step is to take a comprehensive Medical History; for many medical etiologies can produce male breast tissue enlargement. Thus the development of what--at first--seems like a purely aesthetic problem may actually signal a much more ominous, previously hidden, medical condition. And we must keep in mind a small percentage of all breast cancers actually occur in men.
We can also, if the patient desires, draw a detailed battery of laboratory tests, to look for estrogen (yes, males have female sex hormones, too) excess, or just imbalances between the various forms of estrogen in our bodies (using state-of-the-art 24 hour urinary testing). Other hormones—by deficiency or excess-- can cause gynocomastia as well. And, of course, the condition is heavily associated with hypogonadism (“Low T”); the detriments to health and happiness it causes being what originally brought the patient to my front door.

We also explore the patient’s diet and supplement choices. Amazingly, numerous foods, alcohol and other drugs (prescription and recreational), highly recommended supplements, and even skin care products can result in breast tissue overgrowth in males of all ages. Again, the appearance of “man boobs” is just the tips (ahem) of the iceberg for other health risks, due to the continuous assault on the male body by various estrogen-like substances.

Now, let’s discuss the traditional surgical approach.

First, it requires general anesthesia, and all that entails.

Mechanically, the strategy of lifting up the nipple, and digging down into the breast in order to scoop out excess tissue can leave much to be desired. Unless exactly the right amount of tissue is removed, the nipple may be left in an unbalanced position, or even collapse toward the chest wall. Any remaining mammary gland tissue is then left to proliferate once again—especially if the treating physician is not also well versed in Interventional Endocrinology. That is because the original cause of the gyno may still be in effect. That is why ALL the glandular tissue must be removed.

Now come the liposuction-based techniques, based upon a horizontal approach.

When the tissue is addressed via the horizontal approach--through a small, easily concealed “nick” in the skin at the lateral pectoral line (up near the arm pit)—any and all unwanted tissues may be removed. The physician can thus easily access whatever is there; from the lateral pectoral line to the sternum, and clavicle (collar bone) down to the inferior pectoral line. The problem with suction-based techniques is the actual glandular tissue is often too dense to draw through a cannula. Some will remain. This is especially a problem for those who choose to use anabolic steroids; the gyno just grows back.

I originally began surgically removing gyno using the traditional BodySculpting technique, where tumescent anesthesia (the word “tumescent” means ”slightly swollen”) fluid is pumped in, both numbing and voluminizing the entire space. We found this technique works very well for lipomastia cases, but frequently leaves much to be desired for those lean individuals whose issue consists almost entirely of mammary tissue (especially bodybuilders). The voluminization with tumescent anesthesia so inflates the compartment, the actual glandular tissue becomes more difficult to palpate, and therefore successfully draw out through the inserted cannula. The bodybuilders like how “ripped” their chests become, but a small mound of gyno could still remain.

Please remember that the outward appearance of the gyno may be quite misleading. Even a small mound of obvious gyno may yield half a cup of glandular tissue upon surgical extraction.

After much thought, following the experience of performing numerous gyno procedures, I began employing a combination of transdermal anesthesia along with many small localized injections of small volume, in a pattern dictated by the shape, and volume, of the particular individual’s gyno/lipomastia. This allows me to target the actual glandular tissue, from a horizontal approach, while working remotely from the lateral pectoral line (so the scar is hidden). Pre-procedure physical examination predicts the range of light vacuum pressures, and even customized fluid mixtures, we will use along the way. We often use as many as three different cannula (the metal tube inserted through the skin to suck out unwanted tissue) sizes as well.

We now also surgically excise the gland, combining a small incision near the border of the areola, in combination with horizontal suction through the cannula.

Patients usually report they experienced absolutely no pain whatsoever during the procedure. Sometimes the patient even falls asleep (no doubt aided by the oral medications we offer them beforehand). There’s an old saying in surgery: “a snoring patient is a happy patient.”

We would also note we can employ the new technique to target the actual glandular tissue, then introduce the tumescent anesthesia traditional to the BodySculpting technique for larger fatty deposits of significant lipomastia.

If the patient desires, we can also use the cannula to remove stubborn fat at the lower abdomen, love handles, and lower back at the same time.

Recovery from the procedure is simple, and without complication. We insist the patient remain in town overnight—that’s just common sense-- but then is free to travel home the next day.

If the patient also needs prescription hormonal therapy, we can work that in, too. Of note, we are currently developing several Over-the-Counter (OTC) supplements which will help stop, even shrink gyno in those who are just now developing it; as well as for those who have already had the procedure, in order to rebalance their hormones.

My new technique is quick (we are in and out of the procedure room in about an hour), quite painless, a fraction of the cost of other procedures, and produces a very satisfying result.

[Euroholic]

Only cost me 800 government paid for the rest. Because as fair as they are concerned gyno is a natural disease Its a day surgery so your in and out. 5-6 weeks you are back to normal.

[Euroholic]

How can shane warne be better then me? I know how to spin too. See my point? Someone is always better then someone else.

[Euroholic]

Yes, USA and I am not near Michigan. How could one plastic surgeon be different than another, if they both know how to make an incision and remove tissue, etc?

How can shane warne be better then me? I know how to spin too. See my point? Someone is always better then someone else.