Do I need a breast lift or do I have gynecomastia? Will chest be droopy or tight after surgery? (photos)

Question

If I get gyno surgery, will my chest be "droopy" or will it be "tight"?

Joe Gryskiewicz, MD, FACS · Answer

You are a good candidate for Gynecomastia.  Removing the gland and doing some liposuction would get you a great result.   Breast lifts are only needed in severe cases when a lot of breast tissue is present and sagging occurs past to a certain length or measurement.

Keshav Magge, MD · Answer

Hi- thanks for your question.  Based on your photos I wouldn't recommend an initial skin excision gynecomastia procedure.  The skin often retracts, and based on your skin excess I don't think you would necessarily have "droopy" tissue after.  Tight is a relative term- of course lifting and adding muscle and decreasing body fat will help with overall appearance and dealing with the skin.  Best to speak to a board certified plastic surgeon in person.  All the best,

Otto Joseph Placik, MD · Answer

Hello, hard to tell from photos and without proper assessment, to get a better idea, i suggest booking a consultation. Give us a call Monday-Friday 9am-5pm, 847-398-1660

Daniel Barrett, MD · Answer

Dear Peaceful463,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Andrew M. Ress, MD · Answer

It appears in the picture that you have a small amount of redundant skin and pretty good skin tone. The elasticity of the skin is the force that allows it to snap back once the fatty tissue underneath is removed by liposuction and the breast tissue removed by a pull through minimum incision technique

Michelle Copeland, MD, DMD · Answer

Thank you for sharing your photos! Fortunately, the condition is often easily reversed with liposuction just by making a small incision under the nipple reducing the size of the breast using virtually a scarless technique. Liposuction with ultrasound and fine laser beams liquefy the fat and glandular tissue recontouring the breast around the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible. I recommend making an appointment with a board certified plastic surgeon who can go over your surgical options with you.

Antonios Mitsakos, MD · Answer

Depending on your age I am confident that your skin will hopefully contract post liposuction+/-gland excision. Excisional surgery is carried out in more advanced grades of gynaecomastia usually

Arian Mowlavi, MD, FACS (license on probation) · Answer

Since your skin looks like it has good texture, gynecomastia surgery by itself will result iin recoil of your skin and correction of any skin redudnancy. This is definitely the best option for you as you will get great result without the stigma of long incision linnes. Please consider a consultation with a high definition provider to get more details regarding your surgery.

Mats Hagstrom, MD (license on probation) · Answer

The skin laxity will limit the improvement with traditional open glandular excision and fat removal using liposuction.  Loose skin vo cause a bulging contour that will simply make the outcome look like you were partially treated.

With your pectoralis muscle and skin under tension by putting your arm behind your head after the treatment it will be flat if it’s done correctly but most likely your chest to a bulge when you put your arm back down.

Male chest lifts are a bit tricky and some surgeons do them better than others.

The same principles used in a female breast lift surgery cannot be applied to gynecomastia if glandular excision is going to be done at the same time.

Consult with a few plastic surgeons in your community to see what each one has to say.

In the end it will be a decision between having scars with an improved contour or a partial result with less scars.

Best,

Mats Hagstrom MD

J. Michael Morrissey, MD (in memoriam) · Answer

Thank you for your question and photos. Gynecomastia surgery performed from a mininmally invasive incisioin in the arm pit should leave you flat and tight. You do not appear to have a significant excess of skin that we see in massive weight loss patients. Those patients tend to require full skin reduction or breast reduction with nipple graft vs. the less invasive gynecomastia surgery.Consult with a board certified plastic surgeon in your area to discuss your options. Best to avoid incision ON the chest or around the areola as they tend to heal unpredictably.Best wishes,Dr. Morrissey

Do I need a breast lift or do I have gynecomastia? Will chest be droopy or tight after surgery? (photos)

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