49 Year Old Male, Cleveland Ohio

hey i just had gyno surgery a few days ago.. i too live in cleveland and found dr medalie who was ranked one of the top surgeons. i am currently waiting for my post op visit.

Good luck, it's really a walk in the park..... kinda. From the only pic it's hard to tell if it's rather average. My Dr. told me to pay attention as he grabbed a handful of boob and pointed out where the gland area was and the fatty area was. Then I followed him....yup there it was....I could feel it, the rest was fat which he had to lipo. I feel it's rather an art form. He does plenty of breast enlargements and augmentations here in Las Vegas. So he knows the anatomy in that area.. Don't worry, check a couple youtube videos and you'll get the idea. Between the lipo and the gland removal, plent will go and you'll have a new look.

brother for you, its both. mine was just gland. look at pictures of me before. I was still lean. regardless, you will need direct excision

I simply wouldn't trust any doctor that says it's only fat. The vast majority of men have both or just glad. I think a "just fat" case is extremely rare. I interviewed 5 surgeons in my area and 2 of them told me I had just fat too. I immediately knew to stay away from them because I've read to many bad reviews from lipo only cases. Furthermore my doctor actually ended up pulling two beef paties of breast tissue out of me so I really don't know what those two other doctors were thinking.
Either way go with a doctor who will do both. Worst case scenario is you won't have much gland to pull out. On the other hand if you get lipo only then you might end up needing a second surgery to remove gland later (and who has time and money for that).
By the way if you are still interested in doing out of state consultations check my doctor out. He is probably the best in Minnesota and charges a modest price too.

For your best results, go with the a surgeon who says it may be breast tissue. Better to be safe than sorry.