How severe is my gyno? More importantly, I cannot seem to rid myself of flanks and lower belly fat. Any suggestion? (photo)

Question

Lipo? More weight loss? Build more muscle? How do I fix these problems you see in my pictures??? Thank you so much.

Jed H. Horowitz, MD, FACS · Answer

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding.Consulting with a board-certified plastic surgeon is highly suggested in order to determine if you are a surgery candidate and what treatments are best for you.

Jeffrey A. Sweat, MD · Answer

First, congratulations on your body transformation.  You are clearly working very hard toward your goals and have made tremendous progress since January.  Your gynecomastia seems very mild, though a physical exam in person would be more relevant than pictures.  Regarding your abdomen, you clearly have been able to attain a six pack, which means that your body fat composition is very low (likely well under 10%).  The excess skin that you pinch is exactly that, excess skin.  No amount of diet or exercise is going to tighten loose skin.  That being said, if you were to come to see me, I would very much discourage a tummy tuck, which is really the only guaranteed way to remove the excess skin.  Everyone has loose skin, which is why nearly anyone could have a tummy tuck.  However, that doesn't mean everyone should--scars are not always a good trade-off and for you, I would not recommend it.  Again congratulations and best of luck!

Mordcai Blau, MD · Answer

The only thing that maters is the following:How should I choose a surgeon?Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully. The decision is yours. What follows is some advice to assist in making your selection.1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.3. Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.

How severe is my gyno? More importantly, I cannot seem to rid myself of flanks and lower belly fat. Any suggestion? (photo)

Answers (3)

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