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POSTED UNDER Gynecomastia Surgery REVIEWS

37 Year Old Athletic Male, 5'10" & 165 ponds Saskatchewan, Canada

ORIGINAL POST

I thought I always had extra fat around my chest...

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Cooper08
$9,000
I thought I always had extra fat around my chest and know matter how much muscle I gained or skinny I got, it didn't make a difference. My "normal" (high school) weight was 180 pounds. Over the years I have put on 30 pounds of muscle, weighing 210 pounds, and have slimed down to 162 pounds in order to try and get rid of the problem area with no success. After consulting with Dr. Tholen I found out that it was actual breast tissue or gland and the only way to get rid of this problem area was surgery. I did my research and felt Dr. Tholen was the best choice for myself. I still feel nervous going into surgery as I have seen some before and after pictures from various Doctors that didn't look good. I understand that shape of the patient can have a huge influence on the overall result. My procedure consisted of gland removal combined with lipo suction on chest and the area between the edge of my chest extending under my arm pit to my Lat muscle. There seemed to be a ridge of fat or tissue which I had pointed out before surgery. Cost of this portion $6,185

I had a little extra fat on my lower back that I decided to get liposuctioned being that I was already going to be under general anesthesia. I had this arranged the week before for an extra charge of $1,765.

I asked the morning of surgery to get a little fat removed from my abdomen. Dr. Tholen had indicated that I had very little fat there but I chose to have it done anyways. The extra cost of that was $900.

Dr. Tholen and his team were friendly, professional and caring. I really can't say enough good about the quality of care I recieved. I am looking forward to seeing the results and will post my progress along the way.

Cooper08's provider

Richard H. Tholen, MD, FACS

Richard H. Tholen, MD, FACS

Board Certified Plastic Surgeon

4.9 | 349 Reviews
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Cooper08

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Replies (7)

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January 10, 2015
Thanks for taking the time to write a review, and for your kind words about my staff, without whom I cannot do what I do. Sarah, my director of patient services, is so good at taking care of my out-of-town (and out-of-country) patients and their scheduling, recheck appointments, and coordinating emails, digital photographs, and follow-up, which is so essential for patients outside our local area. i am fortunate to have such a caring, capable staff, and we are glad you came to us for your care. Thanks for posting! Dr. Tholen
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January 11, 2015
Yes, Sarah and all your staff are the absolute best. I was able to fly into Minnespolis alone and have my procedure done leaving myself in their care. My wife said she called numerous times during the surgery and was reassured that everything was going well and was encouraged to call with any concerns. She wasn't able to come with me as we didn't feel comfortable leaving our young children in another's care. It is an excellent service that you provide for your non local patients.
January 10, 2015
The "before" pics don't look bad at all, especially from the front. Will be interesting to see how it turns out. Were the incisions made around the nipple?
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January 10, 2015
Thanks for your kind words but the outer edge of my chest has always bothered me and the issue is a lot more visible from the side view. I could never get that well defined line on outer edge of my chest no matter what I did. Yes, the incision was made around the nipple. I haven't seen it yet but can definitely feel it.
January 10, 2015
Wow, I am also planning to have a gynecomastia procedure. We have incredibly similar upper bodies. I've really looking forward to seeing your future post-op pictures. Thank you for sharing.
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January 10, 2015
I am really excited and nervous to see the results as well. I have seen some less than desirable before & after pictures on the Internet but Dr. Tholen was very confident he could help me out. Good luck with your upcoming procedure and I will be sure to post pictures of the results along the way.
January 11, 2015
Sounds great. Best of luck healing and looking forward to what I believe will be great results.
UPDATED FROM Cooper08
1 day post

Morning before surgery pictures

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Cooper08
At this point I haven't lifted weights for almost a year and just concentrated on cardio. My weight when pictures were taken was 167 pounds.

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UPDATED FROM Cooper08
1 day post

1 Day post opp

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Cooper08
I woke up after sugery feeling a little sore and uncomfortable but not as bad as I expected. I find the pain of the gynecomastia surgery about the same as lipo suction. They inserted drains into my chest which depending on the discharge am expected to keep them in for approximately 10 days.

I didn't sleep much the first night as I was a little uncomfortable and not used to the required sleeping position. I have to lay on my back with my head and feet slightly elevated. I think I will get used to it as I did fall asleep for about an hour this afternoon.

I met with the Dr. Tholan today and he said the surgery went great. I am supposed to wear a chest compression shirt and a compression band around my waist for at least three weeks. At this time I can switch to athletic compression shirts. I am excited to see the results however it was explained that it will take up to 6 months to see final result but should be able to get a good idea of what it will look like in next 3-6 weeks. I am not to shower until the drains come out which as mentioned earlier is about 10 days.

Replies (2)

January 19, 2015
I am glad you got it done. Ive been having the same fat fold at the bottom of the pec as you but mines thicker. I am getting the surgery done next week along with abdomen lipo. How did you feel right after the surgery? Are you mobile or were you bed tied? Would love to know your experience
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January 20, 2015
I didn't feel that bad after surgery and basically rested in bed when I got back but did take short walks. On second day I had no problem getting myself ready and took a cab to my follow up appointment after which I rested for a while and then took a short walk to the sushi restaurant next door to the hotel. I was expecting it to be more painful but I did take it easy as that is what I was advised to do. The hardest thing then and still what I find most difficult is sleeping. I am used to sleeping on my stomach/side but during the healing process I am required to sleep on my back with my head slightly elevated. My chest was definitely more painful than the lipo but this could be attributed to the drains. I think the drains were a good idea as I think it minimized the swelling and stopped the bruising in order to hopefully produce better results. The only concern I have about the drains is the potential for scarring but I did receive a bottle scar recovery gel which is supposed to help minimize it. I am also restricted to lifting no more than 5 pounds for first two weeks which is hard but have been able to accomplish thus far. I plan on contacting the office later this week to see if I can increase this a little as I was told earlier that by week 3 I could do moderate exercise (need clarification) and potentially even start lifting light weights on week 4. It also wouldn't be a bad idea to have some stage 2 compression garments (Underworks, Spanx, Under Armour) ordered before your surgery. I am still waiting for mine to arrive and have heard that wearing the waist binder without the foam pads under can be very uncomfortable and I want to ditch the bulky foam as soon as I can. I hope you have a good experience and results. I know that this is a life changing process for me and can't wait to see the final results!!