How come you never see any of the pros with gyno?

[LivinLarger]

there are people out there who can use 1 gram of test per week and not even feel an itch under the nipple

Yup, I'm one of them, on 50mg Arol and 1G Test Wk and no itching or anything in the nips. I will only use anti e's if my BP gets to be a concern or post cycle.
Gyno has always scared the hell outta me glad I do not seem prone to it.

That paco's gyno looks baaad.

 

[blank212]

That is the first time I have seen a guy that shredded with breasts.

 

[drbermant]

Some of them have their glands removed(costly operation) so that its impossible for them to get gyno.

There have been a number of threads here about Gynecomastia and what surgery may have to offer to prevent recurrence. To supplement the prior information, I will try to answer why surgery does NOT prevent recurrence.

To appreciate the problem, we need to better understand what gynecomastia looks like:

Gynecomastia Anatomy

Click on the arrows on that page to see various degrees of gynecomastia.

Male breast enlargement can come from fat, gland, and most often a combination. The gland is often gathered under the nipple or areola.

The areola is the colored flesh around the nipple.

There are often strands of gland that extends through the tissues under the nipple into the fat. These fingers of gland extend into fingers of fat.

Men tend to deposit fat in the breast, abdomen, and love handle regions. Surgery can reduce excessive fat and a significant section of gland. The best gynecomastia surgery leaves a layer of fat under the nipple / areola. I try to duplicate the surrounding uninvolved regions. Take too much tissue, and there can be a crater and the skin can scar to the underlying muscles. Such scars look terrible on animation - chest wall movement. This remaining fat acts like chest fat with future weight gain.

Surgery that includes an excision of gland removes most of the gland. Strands of gland may remain behind. Stimulation of this gland can cause it to regrow. With less gland and fat, there is less to be stimulated but recurrences can occur.

Surgery can sculpt the male chest removing gland and fat excesses. It will not prevent recurrence.

Hope this helps,

Michael Bermant, MD