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Gynecomastia: Going under the knife
Sep 05, 2008 3:20 AM GMT
Since losing weight, I've noticed some changes to my body. My legs are shaping up nicely and my arms are killer!! My ass is not fat anymore.

The one part of my body that has been grabbing my attention lately is my chest. If you've seen my before photo, then you know how perky my nipples were.

The pecs fill in the front center and bring out the powerful form. The area near the pit and below the nipple sag and don't match with the rest of my body. I am considering a male breast reduction thtat will re-shape my chest and improve overall appearance.

Has anyone undergone this type of surgery or considering it?

Sep 05, 2008 3:40 PM GMT
Wait!!! Don't have surgery just yet. When I was teenager and very overweight, I had the same issue. Once I started losing weight, it seemed like they (my pecs) still didn't look right... but after lifting a few more years and losing still more weight, I was very happy I DIDN'T have the surgery. I ended-up with a pretty good chest I think.

Bottom line: Once you get to around 10% BF or less, the problem should go away. If it doesn't... then it might be time to consider surgery.
Sep 05, 2008 5:15 PM GMT
You might want to wail just a little longer like the gentleman above me said. It is fat tissue like any fat tissue. The lower your bodyfat, the less there is. Granted, like stomach fat, it is usually one of the last places to go. If you are still not happy, I say go for it. It is probably more noticable to you. I see pictures of guys without there shirts on and many guys have a little point to their nipple but if they are in good shape they still look hot.
Dec 04, 2008 7:33 AM GMT
I've had a mastectomy before. It was to remove benign tumor like growths under the nipples. I still have the tissue preserved in a bottle of formaldehyde. I'll have to take a photo of it and post it on here. Let me put it this way. You'll never look at shrimp the same way ever again cuz that's what it sort of looks like. Over cooked shrimp.
Dec 04, 2008 7:38 AM GMT
Oh and by the way, the fat tissue that accumulates near the arm pit and around the nipple area isn't the same as the fat on your belly. It's usually there as a result of hormone imbalances. Hormones can be thrown off due to obesity. Have a hormone profile done. Perhaps if you do indeed have higher levels of progesterone, progestin, estrogen, etc, you can use an ancillary like Arimidex to try and correct the situation.

I recommend getting a hormone blood panel drawn up to see where you're at hormonally. If all male AND female hormones are within healthy levels I'd try to do the lose the fat by exercise and diet.

atari84 Posts: 103
Dec 04, 2008 11:48 AM GMT
As the above posts point out - be sure to seek advice from a good physician to really work out what the issue/cause is and what options you have beyond surgery. Needless to say - surgery is expensive, painful and carries (albeit low risks) potential complications...

As for your Q re: anybody having had this type of surgery though - I recently had a bilateral mastectomy (late July this year) as part of my transition (I'm trans - female to male).

Obviously my situation was really different to yours, (in that I had a reasonably large female chest!) - so the techniques on offer to you would vary considerably from the approach my surgeon took.

However - in researching my options I came across some info on cisgender males with gynecomastia. My understanding is that surgery options are dependent on the cause of gynecomastia, the size of your chest and how much skin has developed. Surgeons may opt for either infra-areola incision (small-ish incision around nipple area) and/or a keyhole approach whereby fat and tissue is removed/dissolved (some times in conjunction with liposuction).

My surgery was a modified version of the above techniques - the surgeon made an incision around the top of my areolas and then extended it outward toward my armpit to remove tissue and reduce skin. I will need a second surgery to resize and shape my nipples as well as remove a little more tissue and skin.

I have a few pics of my chest a few weeks post surgery in the private gallery my profile - I'll unlock them for a few days so anybody who's interested can see.
Dec 04, 2008 12:01 PM GMT
Nah dude just do it.
Dec 04, 2008 12:34 PM GMT
muchmorethanmuscle saidOh and by the way, the fat tissue that accumulates near the arm pit and around the nipple area isn't the same as the fat on your belly. It's usually there as a result of hormone imbalances. Hormones can be thrown off due to obesity. Have a hormone profile done. Perhaps if you do indeed have higher levels of progesterone, progestin, estrogen, etc, you can use an ancillary like Arimidex to try and correct the situation.

I recommend getting a hormone blood panel drawn up to see where you're at hormonally. If all male AND female hormones are within healthy levels I'd try to do the lose the fat by exercise and diet.



Be aware, however, that Arimidex can be a bit expensive, ~$300 for 36 pills and rec. initial dosage is 1 pill/day. However quite often the dosage can be reduced to one pill every other day, or every third day and still be effective).

Dec 04, 2008 1:12 PM GMT
Here a video of a Dr that is known for the gyno surgeries...Dr Blau...Hes been doing it for years....hope it helps..