Too much excess skin after gynecomastia for a donut lift? (Photos)

I would definitely NOT do the lollipop procedure. This is for women, not men. Likewise I recommend against a scar that comes across the middle of the breast. A peri areolar skin resection is reasonable. Your nipple position is extremely low which would allow another option, that being a free nipple graft technique. The downside of this however would leave you with a relatively long scar along the inframammary crease. Fortunately you have a lot of hair which would help to hide it. Take your time before making a decision. Good luck.

Hello, and thank you for your question. Here are some common post-operative healing issues that can occur with this procedure:Asymmetry during the healing processLumps or firmness under skinProlonged swelling (edema)Skin Pigment changesProlonged redness of the incisionBlood clotsHematomaBreast contour or shape irregularitiesAnesthesia risksInfectionScarringFluid accumulationPersistent painTemporary or permanent changes in breast or nipple sensationAnd some definitions of these issues:Contour Abnormalities: Although the doctor will make every effort to give you a “perfect” result, the area of excess tissue removal may end up with a contour that is slightly too high or too low. You may feel the “edge” around the areolar dissection. Massage and time (4-6 months) usually eliminates or reduces this problem, if it occurs.Reduced sensation of nipple: Any surgery of the breast can lead to reduced nipple sensation. Reduced sensation is usually temporary, but may take months to resolve. In unusual cases, some permanent loss of sensation may occur.Recurrence of Breast Enlargement: This is uncommon, but can occur. If this happens, you may require further surgery later.Seroma Formation: A collection of fluid under the skin occurs occasionally during the postoperative period. Aspiration of the fluid with a needle is frequently helpful. Secondary surgery is rarely necessary.Harness Within Breasts: Postoperative scarring within the breast tissue may cause areas of hardness. Occasionally, areas of hardness, when discovered later may cause worries about cancer. Mammography or even biopsy is occasionally indicated.Now, one of the best things to remember is that if you find yourself concerned at all about the healing process at any point you should visit your surgeon to have the area examined and make sure that everything is progressing as it should. There can always be complications, but revisions are possible if needed. Best of luck.

As you are finding, everyone has an opinion. And frankly, without assessing you in person, I wouldn't venture to contradict someone who has. Luckily, you have a hairy chest which is going to go a long way masking any type of scar so keep that in mind when making your decision....

There are any ways "to skin a cat."  Some might lipo only as a first step and see how much flatter they get. Your skin needs to be evaluated. If loose, perhaps a skin excision as well. Good luck.

Skin removal as a form of treatment for gynecomastia needs to be uncommon. Based on your photos and my experience, you certainly don't need a lift of any kind. Your skin will actually retract quite well with "standard" treatment alone. The skin of most patients has an impressive ability to retract after adequate treatment. At the very worst, I would rather have a small imperfection than scars on my chest. The "lift" with an incision around the areola is not powerful and can leave very noticeable and unattractive scars (like a pizza pie). The idea of a vertical lollipop scar skin reduction is best for female patients as the purpose of this lift option is to shape and cone the breast--not something most men want. We want it flat with small areolas and nice definition of the chest muscle.

I would tend to conservative and do the "removal" survey first and then "wait". There will be a significant amount of skin shrinkage and depending on your expectations you may or may not need further surgery. Once the skin has had a chance to fully shrink, even if you do more surgery the scarring should be less. Yes, there is the chance for a second procedure but it's a reasonable compromise. Hope this helps.