So i have had gynecomastia since i was 9 i am now 22 and it keeps getting worse i been lifting for a while now but they keep getting bigger . how bad does it look? what can i do to make them go down . How much do you think surgery would be ?
June 4, 2014
Answer: How bad is my gynecomastia? Hi and thanks for the question. You have significant gynecomastia. Because the condition has continued to worsen over the years, it is my opinion that you should see an endocrinologist to make sure that you don't have a hormonal imbalance.If your endocrine work up is negative than I would suggest a combination of liposuction and direct excision of the gland through a periareolar approach. It is very likely that you will be left with residual excess skin that may or may not require further surgical correction. I personally like to wait to see how much that skin will retract before proceeding with skin removal.Search for a surgeon certified by the American Board of Plastic Surgery with years of experience. Look at many, many before and after photos. Make sure that the photos that you are shown belong to patients of the surgeon that you are considering, not his/her partner or the clinic. Given the opportunity to view countless before and after photos will give you a very good idea to the consistency of the work. Are you being shown a few good results? The situation is analogous to the baseball player who hits a home run once in a while as opposed to the player who has a high batting average because he is consistent every time he steps up to bat.You need to be able to speak with the surgeon's previous patients. There is nothing like a one to one sharing of info. RealSelf has done a wonderful job in allowing dialogue among patients.Next, is the surgeon an individual who can earn your trust? Trust is key. You want to be guided along your journey by someone whom you trust. Trust is earned by being candid and truthful. It should not be easily given to the title of MD.How many years has he/she been performing cosmetic surgery? Do you want an experienced surgeon or one that has had limited experience? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications. Research, research and then research some more. I wish you the best on your journey. I hope that the info provided has been helpful. Should you require any further clarification, do not hesitate to contact our institute. I answer all questions personally, not through patient coordinators or other marketing individuals. Good Luck
Helpful
June 4, 2014
Answer: How bad is my gynecomastia? Hi and thanks for the question. You have significant gynecomastia. Because the condition has continued to worsen over the years, it is my opinion that you should see an endocrinologist to make sure that you don't have a hormonal imbalance.If your endocrine work up is negative than I would suggest a combination of liposuction and direct excision of the gland through a periareolar approach. It is very likely that you will be left with residual excess skin that may or may not require further surgical correction. I personally like to wait to see how much that skin will retract before proceeding with skin removal.Search for a surgeon certified by the American Board of Plastic Surgery with years of experience. Look at many, many before and after photos. Make sure that the photos that you are shown belong to patients of the surgeon that you are considering, not his/her partner or the clinic. Given the opportunity to view countless before and after photos will give you a very good idea to the consistency of the work. Are you being shown a few good results? The situation is analogous to the baseball player who hits a home run once in a while as opposed to the player who has a high batting average because he is consistent every time he steps up to bat.You need to be able to speak with the surgeon's previous patients. There is nothing like a one to one sharing of info. RealSelf has done a wonderful job in allowing dialogue among patients.Next, is the surgeon an individual who can earn your trust? Trust is key. You want to be guided along your journey by someone whom you trust. Trust is earned by being candid and truthful. It should not be easily given to the title of MD.How many years has he/she been performing cosmetic surgery? Do you want an experienced surgeon or one that has had limited experience? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications. Research, research and then research some more. I wish you the best on your journey. I hope that the info provided has been helpful. Should you require any further clarification, do not hesitate to contact our institute. I answer all questions personally, not through patient coordinators or other marketing individuals. Good Luck
Helpful
June 9, 2014
Answer: Gynecomastia Believe it or not, many of my gynecomastia patients specifically do not work out their chests because they have had the same experience as you. When the pectoralis muscle gets bigger it actually makes the breast appear larger. You have definite gynecomastia that will not resolve through diet or exercise. Please contact a board certified plastic surgeon in your area and they can even give you a ball park quote for surgery over the phone. No one can give you exact numbers until they examine you in a face to face consultation. I do wish you the best of luck, we are out there for you and ready to help.
Helpful
June 9, 2014
Answer: Gynecomastia Believe it or not, many of my gynecomastia patients specifically do not work out their chests because they have had the same experience as you. When the pectoralis muscle gets bigger it actually makes the breast appear larger. You have definite gynecomastia that will not resolve through diet or exercise. Please contact a board certified plastic surgeon in your area and they can even give you a ball park quote for surgery over the phone. No one can give you exact numbers until they examine you in a face to face consultation. I do wish you the best of luck, we are out there for you and ready to help.
Helpful