Gynecomastia Removal

I'm a 20 year old male, my height is 6ft and I weight between 75-80kg (fluctuates between this figure quite regularly).

I've had Gynecomastia since puberty, which has further grown over the course of the last 5 years. I was able to hide this with fairly comfortable compression shirts, however since they've grown even larger, I'm now having to wear even stronger garments under my clothes at all times, in order to hide the gyne.

Whilst being within my 'healthy range' of weight for my height, I have a lot of additional fat on my abdomen (my lower abdomen is about 40 inches, which is 'abdominal obesity'). This, in addition to my flanks and chest, gives me an extremely feminine figure.

I searched around for fairly local surgeons, however as there is no VASER machines in the south of England, London is the only real option for me. I found a clinic near to myself who are able to do follow ups etc. locally, but the actual procedure will be up in London - with Dr. Jofilly.

At our consultation, he examined my chest and confirmed there are hard glands under my chest, which will require incision and removal.

I also decided to go through with VASER Lipo on my chest, upper and lower abdomen and flanks. The consultant clinic was extremely helpful and friendly, and explained the procedure quite well and the logistics of going through with the surgery.

I have a provisional date booked in for the end of this month, but haven't yet confirmed anything. But I'm probably about 20 days pre-surgery at the moment. I will add some photos in due course!

My aim is for a 'manly chest' with some definition, although I'm not sure if I have enough muscle underneath, since I've avoided training my chest, so as to not make my chest any larger.

My top two abs can be seen slightly if I 'suck in' my stomach, so I'm hoping for that sort of a result all across my abdomen, without sucking in, post procedure. I do think I have some muscle under there that can be worked on, just need this massive layer of fat gone!

I underwent Cyro/CoolScultping earlier this year, and in my honest opinion, it's a complete waste of money. It resulted in paradoxical hyperplasia in my chest (making them appear more 'pointy' if anything!) and also had a mild case of it on my upper abdomen.

Hyperplasia doesn't go away with just exercise and diet, neither do the gynecomastia glands, so surgery was ultimately my only real option.

I'll try and update this regularly, with pre/post-op photos, as and when I can!

1 month pre-operation photos.

I'm fairly skinny throughout my body, except for my torso, which without compression makes me look pregnant/female-esque (take your pick). Hope the next time I'm posting my photos, there's absolutely no resemblance to this current sorry state.

Had my pre-op screen earlier today. Had my pictures taken, blood pressure, blood tests and swabs done today, along with my weight and measurements for the compression garment. A brief medical history and medication check too.

Have to wear the garment for 4 weeks straight, although been told it won't be too bad to switch to a lighter compression after two weeks. Been told to have Arnica 30 tablets, starting a week before the operation. Was given some other information and documentation too. I'll be on general anaesthesia, with an overnight stay. She suggested VASER HD was more appropriate for me, considering I'm someone who's extremely scrutinising of my own body. I'm not expecting a six pack from this, just very slight definition as a result of a smaller level of fat, so I reassured her that I'd like to go through with it for certain. I also have 'great skin laxity' so with the glands removed, the chest should show a significant improvement right away, although the stomach won't for a while, purely because of the swelling being more prominent.

I have 4 MLD massages booked, all within three and a half weeks of the operation, with my first follow-up a week later, as they do the first MLD massage at the same time, and a week is the time they recommend before starting those, as the soreness is way too high for the majority of people.

She seemed slightly bewildered at the fact I'm so conscious about my body, especially when I told her I've never taken my top off in front of someone in 10 years. But I guess that's what Gynecomastia does to you; I could probably have been OK without it, confidence-wise.

So my surgery isn't really about getting 'ripped' (it'll of course), but it's about getting my confidence back and be 'normal' without having to worry about how to cover my fat and my chest at any possible opportunity; I'd love to be able to take my top off and not give it a second thought.

Pre-op nerves are creeping in now, about how much fat will be left and how natural it'll look (whether it'll even be worth the money). Also quite apprehensive of the recovery, for the first couple of weeks. I know I deal with pain fairly well, but I'd like some mobility.

Still can't believe I'm doing this, and following through with it. This is something I've been researching on and off since I was 15, never thinking I'd financially be in a position to afford it; nor going through operation, without anyone else in my family/friends knowing.

Going in to make my payment later this week. Turns out its £1,100 more than I was originally quoted, but this included the 4 massages, a driver on the day, the 'special' garments (this was included in the price originally). I haven't been charged VAT for one of the procedures however, so my total cost for this will be £7600 (inc all post op services). A lot costlier than I thought it would be, when I initially started this process of making it real, but I can *only just* about afford it, so took the hit. The gynecomastia surgery and a positive change in my body is, in my eyes, worth every penny.

My next update will probably be in the couple of days leading up to the surgery, shitting it.