I am a 26 year old man who shed 45kg (100lbs) post high school. I am only 5'7, so I've been left with loose skin. I have met with several surgeons who have all recommended a belt lipectomy along with gynecomastia/chest lift. As my chest concerns me more than my abdomen, I'd prefer to get this procedure first and save to have the lower lift a year or so later. I am told it should be done the other way around as having the lower lift later may pull the chest skin lower again. Is this true?
Answer: Gynecomastia male breast reduction male breast liposuction body lift multiple procedures massive weight loss belt lipectomy Hi JH5150, Thank you for your questions regarding gynecomastia surgery and 360 circumferential lower body lift. Thank you for your history. Due to your significant weight loss of 100 pounds, you have excess chest scan. This will require a formal male breast reduction. Typically, after massive weight loss, the male chest requires an incision around the areola and in the inframammary fold. The inframammary fold is where the breast meets the chest. There is also another type of incision made from male breast reduction. This involves an incision from the armpit down the side of chest. An elliptical area of skin and fat is removed. The problem with this type of surgery is that the nipple is pulled to the side. Since the nipple is pulled to the side, an incision is made around the areola and the areola is then moved to the center of the chest. This is called a lateral, vertical male breast reduction. The benefit of this type of incision is that the incision is hidden. When your arms are at your side this lateral incision cannot be seen. Since you were considering a 360 circumferential lower body lift, I would suggest you have the 360 circumferential lower body lift performed first. During the 360 circumferential lower body lift, the abdominal muscles are tightened and the abdominal wall skin and fat are pulled down. The problem is that during the 360 circumferential lower body lift, the breast fold (inframammary fold) is also pulled down. Therefore, on male and female patients, I recommend having the 360 circumferential lower body lift performed BEFORE any breast surgery. Patients must realize if they have their breast surgery performed before the 360 circumferential body lift, they may require revision of their breast surgery. Therefore, if you can wait, please have your 360 circumferential body lift performed first and your male breast reduction surgery performed second. Another alternative is to have both the 360 circumferential lower body lift and the male breast reduction performed at the same time. For these combined procedures, it is imperative you find a board-certified plastic surgeon who is experienced in these types of procedures in patients after massive weight loss. Good luck! If you have any other questions regarding the 360 circumferential lower body lift or male breast reduction surgery for gynecomastia, please contact my office. Sincerely, Dr. Katzen.
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Answer: Gynecomastia male breast reduction male breast liposuction body lift multiple procedures massive weight loss belt lipectomy Hi JH5150, Thank you for your questions regarding gynecomastia surgery and 360 circumferential lower body lift. Thank you for your history. Due to your significant weight loss of 100 pounds, you have excess chest scan. This will require a formal male breast reduction. Typically, after massive weight loss, the male chest requires an incision around the areola and in the inframammary fold. The inframammary fold is where the breast meets the chest. There is also another type of incision made from male breast reduction. This involves an incision from the armpit down the side of chest. An elliptical area of skin and fat is removed. The problem with this type of surgery is that the nipple is pulled to the side. Since the nipple is pulled to the side, an incision is made around the areola and the areola is then moved to the center of the chest. This is called a lateral, vertical male breast reduction. The benefit of this type of incision is that the incision is hidden. When your arms are at your side this lateral incision cannot be seen. Since you were considering a 360 circumferential lower body lift, I would suggest you have the 360 circumferential lower body lift performed first. During the 360 circumferential lower body lift, the abdominal muscles are tightened and the abdominal wall skin and fat are pulled down. The problem is that during the 360 circumferential lower body lift, the breast fold (inframammary fold) is also pulled down. Therefore, on male and female patients, I recommend having the 360 circumferential lower body lift performed BEFORE any breast surgery. Patients must realize if they have their breast surgery performed before the 360 circumferential body lift, they may require revision of their breast surgery. Therefore, if you can wait, please have your 360 circumferential body lift performed first and your male breast reduction surgery performed second. Another alternative is to have both the 360 circumferential lower body lift and the male breast reduction performed at the same time. For these combined procedures, it is imperative you find a board-certified plastic surgeon who is experienced in these types of procedures in patients after massive weight loss. Good luck! If you have any other questions regarding the 360 circumferential lower body lift or male breast reduction surgery for gynecomastia, please contact my office. Sincerely, Dr. Katzen.
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April 6, 2017
Answer: Timing of Gynecomastia and Lower Body Lift Surgery This is an interesting question that you pose and different plastic surgeons can give very good reasons for doing either first. However, my advice to most patients deciding between the timing of two desired procedures is to have the one that bothers you most be performed first. Life can be unpredictable and so tackling the one that bothers you the most may lead you to have a different opinion on the second surgery afterwards.
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April 6, 2017
Answer: Timing of Gynecomastia and Lower Body Lift Surgery This is an interesting question that you pose and different plastic surgeons can give very good reasons for doing either first. However, my advice to most patients deciding between the timing of two desired procedures is to have the one that bothers you most be performed first. Life can be unpredictable and so tackling the one that bothers you the most may lead you to have a different opinion on the second surgery afterwards.
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April 4, 2017
Answer: Gynecomastia surgery I think you could have the surgery in order though it might make a little more sense to do the abdominal surgery first. Whatever loose skin remains on the lower chest after the abbdominoplasty could be addressed during the chest surgery. It is also true that the IMF can be pulled downward by the abdominoplasty. Good luck.
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April 4, 2017
Answer: Gynecomastia surgery I think you could have the surgery in order though it might make a little more sense to do the abdominal surgery first. Whatever loose skin remains on the lower chest after the abbdominoplasty could be addressed during the chest surgery. It is also true that the IMF can be pulled downward by the abdominoplasty. Good luck.
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March 31, 2017
Answer: Candidate for a male breast reduction? Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.
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March 31, 2017
Answer: Candidate for a male breast reduction? Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.
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March 31, 2017
Answer: Gynaecomastia and body lift Hi, thanks for your question and photos. Having performed many, many body contouring procedures after weight loss I see no problem with you choosing to have your gynaecomastia surgery performed prior to your bodylift. If you need significant skin reductions as part of your gynaecomastia correction it would be suggested that your surgeon "anchors" the natural creases under your chest to the underlying chest wall to further reduce the chance of these scars descending in the future. Whilst I would certainly not advocate an upper torso lift being performed at the same time as a lower (waistline) bodylift, it is certainly sometimes possible to perform a gymaecomastia correction at the same time as a bodylift if that was your desire. These decisions would be discussed during the consultation with your Specialist Plastic Surgeon. You'll be in good hands.
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March 31, 2017
Answer: Gynaecomastia and body lift Hi, thanks for your question and photos. Having performed many, many body contouring procedures after weight loss I see no problem with you choosing to have your gynaecomastia surgery performed prior to your bodylift. If you need significant skin reductions as part of your gynaecomastia correction it would be suggested that your surgeon "anchors" the natural creases under your chest to the underlying chest wall to further reduce the chance of these scars descending in the future. Whilst I would certainly not advocate an upper torso lift being performed at the same time as a lower (waistline) bodylift, it is certainly sometimes possible to perform a gymaecomastia correction at the same time as a bodylift if that was your desire. These decisions would be discussed during the consultation with your Specialist Plastic Surgeon. You'll be in good hands.
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