Odin123: We now know from twin studies that environment has little to no permanent impact on anyone's anatomy. It looks like you were born with a chin and jaw that are smaller than the anatomy of the upper two thirds of your face. It is much more likely that having this configuration (and the related inborn internal anatomy) causes your mouth breathing, instead of the other way around. Your nose appears to be attractive, masculine, and proportionate with the upper two thirds of your face -- so procedures that enhance the size and masculinity of your chin and jaw line would make more sense to bring the whole face into balance. There are now less-invasive methods to do just that, if the more invasive and expensive bony work is not of interest to you. David Teplica MD, MFA
No, sadly, solid implants and silicone sheets placed beneath the skin can cause major damage. With the usual changes in size that the penis undergoes and with repetitive motion, these often erode through the skin and can create horrible infections. Also, scar capsules form around silicone (even worse than in breast implants) and can lead to buckling and other major deformities.Instead, safer strategies should be considered.
Yes, a small amount of asymmetrical gynecomastia can have a big effect on the overall impression of an otherwise great male chest.One-sided, minor enlargement of male breast ducts or breast fat can lead to visual asymmetry. It appears from the photos that you also have minor enlargement of some surrounding accessory breast mounds, giving the chest a slightly softer look than many guys might prefer.The biggest danger for you would be to either ask for or to unknowingly receive surgical removal of a large amount (or even a typical volume) of tissue from one or both sides of the chest. Instead, the best approach would likely involve highly focused, small volume correction to avoid the appearance of postoperative flatness or actual nipple/areolar indentation that can show up more than a year later when all swelling finally subsides.Although I haven't examined you, I believe that relatively minor ASYMMETRICAL removal of volume with tiny cannulas and through small hidden scars would produce natural, masculine, symmetrical results. There are a few image sets on my website that illustrate how small volume shifting can produce big perceptual results.
Donie888:It may be somewhat reassuring to hear that it is very common for hard lumps of injured/healing tissue to form after gynecomastia surgery. These are called induration nodules and they begin showing up in many patients (60-70 % of patients in my practice) around the 4th week. It frustrates guys that these often persist for over a year -- but they almost always go away completely with time. Your body is attacking and degrading the tissue that was traumatized and it takes many months for swelling and lumps to settle down.Using highly standardized imaging techniques, I recently showed that every patient stays swollen (to a greater or lesser degree, depending upon their genetics) for a minimum of 18 months after gynecomastia surgery and plain liposuction as well. I wouldn't worry too much -- certainly not for many many months. You may be able to speed up the resolution of the lumps with GENTLE circular massage. But, I would totally avoid squeezing or pinching skin of the chest, as you want this plane to seal down to the underlying structures without being loosened.Patience and time will be your greatest helpers...dt
I explain to all of my patients that swelling takes over a year to go down completely. I certainly wouldn't recommend doing anything further until all that swelling is gone. Also, I wouldn't squeeze and pinch the area to test thickness -- you need to let the skin to tighten and seal down without being stretched.After a year, it's not uncommon for skin to be a little bit loose, but that doesn't necessarily mean that more tissue should be removed -- and cutting skin out often results in scars that are far worse than a little looseness...Dr. Dave Teplica
