Gyno

[GetBig10]

well ive got puffy nipples, i think ive had them since i was a kid and i was wondering should i just go to the doctor and ask him what to do instead of going straight to a plastic surgeon...id rather save the money by going to a doctor and him referring me somewhere, because im covered here in canada.. so i wont have to much even if i have to pay at all?

what should i do im very confused.

 

[GetBig10]

bumpy for helpy

 

[The Godfather]

Not really sure what answer you're looking for....... Yes you can have a doctor remove the tissue and probably have insurance cover it. However, I have never met someone who didnt agree that the best bet is to go to a plastic surgeon. These guys are trained to make it asthetically pleasing to look at, not like a doctor who is just removing it from a medical standpoint. Most times you get what you pay for in life, I'd find the best plastic doc I can afford after all you only get one body

 

[kaoz]

i also had gyno from teens i just had my surgery 6 weeks ago dude it looks way better cut the gland out and lipo best 2600 i ever spent

 

[lookingforanedge]

any before and after pics?

 

[drbermant]

well ive got puffy nipples, i think ive had them since i was a kid and i was wondering should i just go to the doctor and ask him what to do instead of going straight to a plastic surgeon...id rather save the money by going to a doctor and him referring me somewhere, because im covered here in canada.. so i wont have to much even if i have to pay at all?

what should i do im very confused.

any before and after pics?

"Puffy Nipples" is a common public term for gynecomastia.

The problem is the the term puffy nipples is a phrase that mean so many different things to so many different people. Words just do not convey the actual problem very well - images do a little better, but still are not the same as an actual in office evaluation with your doctor.

Putting up pictures (using standard views before and after surgery) is one way to discuss what the problem was before surgery and what has happened. Options depend on what is really going on.

Let us try to look what I mean by the problem of the words only descriptions. "Large nips", "puffy nipples," "puffed nipples," and "puffy nips" are a common terms many give to a problem that extends to the region about the areola. The nipple is actually the central raised structure inside the pigmented areola.

"Puffed nipples" can be a problem for some that involves long nipples above the areola where nipple reduction alone helps.

"Puffy Nipps" can be a problem behind the areola that can take many forms. The deformity is usually a varying combination of fat and gland. The gland can be firm or soft, spread through fat, or be a condensed mass. There is a thin muscle under the areola skin that can flatten tissue when stimulated. Unfortunately it is impractical to keep stimulating these muscles.

In many of these patients with "puffy nipples," there was no firm tissue under the areola, just fat and soft gland. Here is one example of puffy nipples in a muscular male. Here is another example of puffed nipples. Here is another patient with puffy nipple gynecomastia.

"Puffy Nipples" can also be a combination of gynecomastia and big nipples.

I prefer my Dynamic Technique that adapts to the problem found during surgery to minimize such issues as residual deformity after surgery.

It does not take much to disturb the cut look of someone with a low body fat % such as a bodybuilder and I have sculpted many. Bodybuilding can help with fat and muscles, but will not help with gland and you cannot pick where the fat comes from. My bodybuilding patients typically tell me that what is on top of the muscle gets pushed out further in making bigger muscles.

You can find some examples of pictures before and after gynecomastia surgery

Here - Gyno and BodyBuilding

Puffy Nipples and Bodybuilding

Here - Gynecomastia and BodyBuilding

Here - Gynecomastia Treatment

and

Here - Gynecomastia BodyBuilding.

I would suggest looking beyond each link's first page at all of the views for each patient to better understand the difference in the look before / after surgery. There are other examples of lean patients, but thought this would be a good start.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

 

[georgie24]

doc

i had the surgery, why do i still get puffy nips and the hellish itch?

 

[drbermant]

doc

i had the surgery, why do i still get puffy nips and the hellish itch?

Gynecomastia Surgery Does Not Prevent Regrowth


I caution each of my patients that surgery does not typically stop male breast growth. If there is a problem with growing breasts, recurrence can happen. Any of these medical problems and or these medications can cause gynecomastia. So, if you want to get worried about regrowth, you could get yourself evaluated for each of these conditions to see if they could be a factor.

Surgery also does not prevent weight gain in the chest. Men tend to put weight on the belly and chest regions. I educate each of my patients that this surgery will not prevent further breast growth. It is like changing/fixing a tire with a nail. Fixing/changing the tire will not prevent you from getting a new nail in that tire.

I take care of many patients with gynecomastia, as many as 8 in one day alone. With all the gynecomastia surgery I have done, it is very rare to have regrowth for patients I have sculpted. One patient (who had surgery on only side by another doctor) came to me with pro hormone induced gynecomastia that only came back on the side that had no surgery. His growth was massive on the one side and none on the other. His surgery by that other doctor had left a massive crater - the skin was adherent against the chest wall with normal fat surrounding the ugly deformity. One side looked like the deformity seen here. The other side was almost a B cup breast so tender that I could barely examine it. As with each patient who presented to me with current breast growth, he was referred for an endocrinology evaluation and stabilization before considering surgery. I do not know if such radical surgery was a factor or not. Even if it did, removing all fat under the skin just gives an unnatural look.

I prefer to target the gland first with my Dynamic Technique. This permits me to remove most of the gland and then sculpt the remainng tissue to minimze contour problems. Any surgery technique, even radical breast mastectomy for male breast cancer can leave gland behind. The problem is that there are fine fingers of gland that dissect between fingers of fat and can extend quite far into the chest.

You can see what I mean by fingers of gland here.

By concentrating on the gland first I am able to minimize the chance of breast regrowth. It is very rare for my patients to have recurrence. However, gynecomastia surgery does not stop breast regrowth. For patients having breast growth, I have advised for many years that they should get their problem under control before surgery. There are exceptions, such as young men with massive breasts that have not stopped growing. That is why each case needs to be individually evaluated.

Prevention of gynecomastia, when possible, is much better.

Secondary Surgery is often an option for those who had prior surgery. Such issues are better discussed during a consultation with your surgeon or someone who can advise you about your options. We help patients explore such issues during consultations or preliminary remote discussions.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

 

[georgie24]

i will be in touch!!

 

[nisser512]

Getbig10, are you in alberta? I have a consultation with a surgeon coming up in Calgary who gets it billed to Alberta health including gland removal + lip. If you are, get in touch with me and I can help.