Excess Skin on Pectoral and Abdominal Area After Weight Loss? (photo)

Question

I am 26 years old 6'0 feet tall. I've recently lost 120lbs going from 318lbs to 198lbs in 22 months. I dropped 101 in less than a year and the final 19lbs I slowly lost. I have a decent amount of excess skin left around the pectoral and lower abdominal areas, there seems to be no fat left behind just skin. I was wondering from the pictures I have posted what could be done, better yet what the surgery and recovery would be like and how much would it cost me to pursue the procedure.

Jed H. Horowitz, MD, FACS · Answer

According to the American Society of Plastic Surgeons the average #cost of #gynecomastia surgery can vary widely. #Surgery quotes should include the procedure itself, operating room facilities, anesthesia fees, surgeon’s fees, medical tests, post-surgery garments, prescription medication and other related costs. Most plastic surgery offices offer convenient finance plans that allow patients to pay a low monthly payment. Costs will also vary with geographic location. Estimated costs can be found here on RealSelf.com, PlasticSurgery.org or Surgery.org.Three options exist for surgery. Smaller procedures can actually be done in the office with light oral sedation. Adolescents frequently do better with a light general #anaesthetic.Twilight or IV sedation are another great choice. All procedures are outpatient either in the office or a certified outpatients surgery facility.The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.  Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation

Tim Neavin, MD · Answer

Wow.  Amazing job.  You will need skin excision in addition to any residual fat and breast tissue.  This is a complex surgery and you should seek someone with body lifting and post-bariatric weight loss surgery experience.  Take a look at gallery below to see examples of the incisions in some of the cases we perform.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Congratulations on your weight loss!  In reference to your question you would need removal of the loose skin of your chest with removal of the nipple and areola and sewing it back on to the newly contoured chest.

	Dr. ES

Larry S. Nichter, MD, MS, FACS · Answer

Congrats on the weight loss - you have accomplished much. 

	
	You are correct that exercise which indirectly and to a small degree fills out some of the skin by increasing underlying muscle bulk  cannot correct the redundancy that you have. The reason for this is that you can not exercise skin or return its lost elasticity and therefore you will need to reduce the excess skin for best results. There are a number of techniques available but most important is to choose your plastic surgeon wisely: make sure that he/she is board certified and experience with massive weight loss patients in addition to gynecomastia surgery.

Kenneth Hughes, MD · Answer

I would address the loose skin of your chest my removing the loose skin and repositioning the nipple areola complex. Your abdomen appears to have much less skin from the pictures, but an exam would be necessary to make proper recommendations. Find a board certified plastic surgeon with ELITE credentials who performs many of these procedures every year. Kenneth Hughes, MD Los Angeles, CA

Babak Dadvand, MD · Answer

Hi Ga2rblaque,Thanks for the post and photos. Great job on the weight loss! You will require gynecomastia surgery with skin tightening and free nipple graft to reposition the nipple and areola to the proper place on your chest. Seek out an experienced gynecomastia surgeon.Sincerely,Dr. Dadvand

C. Edwin Pittman, MD · Answer

Congratulations on your weight loss, 120 lbs. is certainly an accomplishment! Dramatic weight loss often results in excess skin that cannot be resolved through diet or exercise. You may be good candidate for male breast reduction surgery. This procedure applies liposuction to remove residual fat and surgical excision of glandular tissue and excess skin for a smoother chest. Other post-bariatric procedures can address other areas, but male breast reduction specifically targets the chest area to create a more masculine appearance. It’s best to schedule a cosmetic surgery consultation with a board certified plastic surgeon to discuss your specific options, the associated costs, and recovery plan with a board certified plastic surgeon when planning your surgery.

Arnold S. Breitbart, MD, FACS · Answer

Congratulations on your weight loss. As with other areas of the male body, the chest can develop loose skin after weight loss. Gynecomastia surgery can address this loose skin by removing the extra skin with minimal scarring. You should consult with a board certified plastic surgeon to discuss your options.

Thomas P. McHugh, MD · Answer

Congrats on the weight loss. Male breast reduction can be as simple as liposuction but with your type of weight loss the skin reduction is the most important. This is a fairly straight forward procedure with a free nipple graft. A Board Certified Plastic Surgeon and go over all the options and risks. Again, Congrats!

Mordcai Blau, MD · Answer

This is a very sever case of gynecomastia, but otherwise you did a remarkable job.congratulation.You need an experienced Board Certified plastic/gynecomastia surgeon.

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