Bermant Gynecomastia Male Breast Reduction Plastic Surgery

Gynecomastia - Travel from Asia, India, China, Singapore, Vietnam, Thailand, and Srilanka

Forum Chat and Patient's Experiences with Male Breast Reduction Surgery

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Travel From Vietnam Asia For Dr. Bermant's Gynecomastia Male Breast Surgery - 3 Days After Operation

A rapid recovery

Hello Dr. Bermant and Jane,

It is now day 3 after the surgery. Although my chest is still a bit tender, the soreness and discomfort have subsided greatly. In fact today I didn't need any Tylenol, let alone prescription pain medication.

All indications are that I am making a speedy recovery. I continue to wear the compression garment. Except for some mild itching it is comfortable enough. The dressings are holding up well and appear dry and clean. Swelling appears to be reduced, although there is still some ways to go. Feeling is returning gradually. I have observed no bruising at all. Range of arm movement without discomfort is increasing rapidly.

Dr. Bermant, you are an exceptionally dedicated, focused and professional physician. Your staff is similarly talented and professional. It's clear that you take great pride in your work and care a great deal for your patients. I'm glad I decided to undergo the procedure with you and your team.



Dr. Bermant responds:

Thank you for the progress report and kind words. We look forward to learning more as you continue to heal.

Michael Bermant, MD

Travel From Vietnam Asia For Dr. Bermant's Gynecomastia Male Breast Surgery - 86 Days After Operation

Hello Dr. Bermant,

It's been 86 days since my gyne surgery. Recovery is proceeding quite well. The external scar is slight and fading. The fat sutures appear to have done their job and there is a natural-appearing layer of fat between my nipples and pectoral muscle. Animated movement also looks good. As you recall, I was concerned about some scar tissue under the left nipple adhering to the muscle and causing unnatural-looking animation. While still noticeable, that has faded a great deal and is not an issue for me.

Overall, I am very satisfied with my post-surgery recovery and appearance. I'm glad I selected the right surgeon for the job! I've written a summary of my experience below. You have my permission to use it on your site if you wish. I'm also posting the summary (verbatim) on some gyne message boards. Hopefully my experience can help others with their own decisions.



I had gynecomastia surgery on February 7, at the office of Dr. Bermant in Richmond, Virginia. The following is a summary of my decision to get the surgery and my experience with Dr. Bermant. I hope this post will help others with their own decisions.

My Condition
I'm a 37 year old white male, 5'10" tall and 165 pounds. I had mild gynecomastia. It had not been a problem in high school or in my 20s. I think it developed very slowly over a long period of time. One day I noticed it and I didn't like it.

It wasn't very noticeable wearing regular shirts, but it was there. Sometimes, I would avoid buying certain shirts or close-fitting clothing because I felt my chest stood out too much. It wasn't a huge deal, but have been buying closer-fitting clothes lately and didn't like it. It also affected my confidence in my physical appearance.

The Decision
For some time I had known about surgical correction of gynecomastia. Surgery is a big deal, however, and not a decision to take lightly. I Googled "gynecomastia" and found may great sites and forums for advice where I learned about the procedure and cost. For a few months I hemmed and hawed. I made my final decision one day in a taxi on a bumpy road. With every bounce of the taxi I felt my breasts jiggle. It was the last straw. "That's it. I'm doing it," I thought. My decision was made -- it was just a matter of timing and selecting a surgeon.

Surgeon Selection
A few years ago I helped to manage the care of a very ill family member, and one huge takeaway from that experience was that all doctors are NOT created equal. Some know more than others, some have more experience, some are better communicators, etc. I decided to do my research and pick a surgeon who had done hundreds of these procedures and developed a specialized practice on gyne. There is NO substitute for experience.

I spent quite a bit of time on gyne boards and surgeon websites. Dr. Bermant's site,, was by far the most comprehensive and informative. That was meaningful to me because of what it conveyed about Dr. Bermant's specialization and focus on gynecomastia surgery. I also found a few positive references to Dr. Bermant on different message boards. Lastly, I checked a medical website to see if Dr. Bermant had been the subject of any legal action but found none.

Since I live overseas, I made an appointment for a "Remote Consultation" with Dr. Bermant for $200. I took pictures of myself and sent in a questionnaire. During the call, Dr. Bermant impressed me with his extremely thorough explanation of the risks of surgery, alternatives to surgery and possible causes of my condition. Since my condition had developed well into adulthood, Dr. Bermant insisted that I rule out any other causes such as hormonal imbalances, cancer etc. He explained that surgery was pointless if I had a condition that would regrow the breast tissue after excision. He also pointed out that surgery is no guarantee that breast regrowth will not recur, or that everything would be perfect after the surgery. After the call I visited an endocrinologist and who ran some tests. She concluded that my gyne was "idiopathic," i.e. no apparent cause. Idiopathic gyne occurs in a sizable percentage of men as they age. Go figure. I decided to move forward with the surgery.

The Surgery
I traveled to Richmond in early February and checked into a hotel. The day before the surgery I visited Dr. Bermant's office for the the pre-op exam. His assistant, Jane, is an extraordinarily friendly person who is quite gifted at making people feel comfortable. Dr. Bermant examined my chest and made detailed measurements. Dr. Bermant is not a man for small talk -- he was all business and extremely focused on his work. He asked a series of questions and gave me an opportunity to ask my own questions. The whole pre-op too about 30 minutes and I was on my way.

The next day the surgery was uneventful. Dr. Bermant's OR staff were all courteous, friendly and professional. His anesthesiologist, Jim, was especially good at explaining his part of the procedure and guiding my expectations. I was pretty nervous because I've only had one minor outpatient surgery procedure before.

I entered the OR and chatted with the staff. The next thing I knew I was waking up and the procedure was over. As the staff helped me into some clothing, Dr. Bermant asked me proudly, "How is your new chest? Feel the contour!!" At that point my groggy-post anesthesia attitude was "I'll see it when I see it" but I lifted my hand to cop a feel on myself anyway. It was hard to tell with all the bandages, but there did seem to be real improvement. Clearly Dr. Bermant was very proud of his work and wanted me to check it out. He later told me he removed 100cc's and 150cc's of fat from the right and left breasts, respectively. The gland removal was something like 2x3x2 cm on each side.

Dr. Bermant's office arranged for a nurse, Michael, to drive me back to the hotel and spend the next 6 hours with me. Michael was a super nice guy and I enjoyed chatting with him. We went to dinner at a local Italian place that was excellent (don't remember the name, but ask Jane).

Surgery is no joke, and gyne surgery is no exception. That being said, the pain was material but not too bad. Imagine you have had the hardest chest workout of your life and you are extremely sore and tender -- it's like that, but maybe a little worse. Dr. Bermant gave me a prescription for pain medication which I used for a few days, mostly to sleep better.

One thing that Dr. Bermant puts great emphasis on is that patients must be "part of the team" in the recovery and care process. That means taking steps to ensure the best recovery possible, such as wearing a compression vest and massaging the surgery area. I wore the compression vest 24x7 for 4 weeks, then during the day for about 5 weeks after that. I highly recommend getting the "2nd stage" compression vest because it's much more comfortable than the first vest. I'm still massaging every night for 15 minutes each side.

Dr. Bermant stressed that I should contact him anytime with questions or concerns. I have, twice. Each time Dr. Bermant was exceptionally thorough in his answers.

86 days after my surgery I am pleased with the results. The gynecomastia is gone. My chest has a much more natural and "masculine" contour that fits well with the rest of my body. I can wear closer-fitting shirts now with no embarrassment. The scars are slight and fading. There is some hard scar tissue under my right nipple, but I'm hopeful that will soften over time with repeated massaging. On the down side, my nipples have still not recovered sensation -- I can't feel a thing. However, I know that sometimes it takes many months for nerves to regenerate and recover sensation so that still might happen. I'm prepared to accept it even if sensation doesn't return, though. The tissue under my nipples is still a tiny bit sore when I massage them, but otherwise they are back to normal.

My overall impression of Dr. Bermant is that he is a professional who takes great pride in his work. He does everything with exacting standards and is thorough and meticulous. If I had to choose again I would repeat my decision to get the surgery with Dr. Bermant.

My Learnings from the Experience
I don't give advice. However, I can share some of my learnings from the experience. They are:

* Pick your surgeon very carefully. Spending extra money for the best is worth every penny. After all, it's your body.
* Ask your surgeon lots of questions. Prepare a list and bring a notebook.
* Discuss your expectations with your surgeon. What do you want to look like, what do you expect? Are there variables in the surgery that can raise or lower certain risks?
* Follow the surgeon's directions *exactly* before and after surgery
* Your chest will change a lot in the months after surgery. Initial appearances are NOT an indication of what the final result will look like. I was surprised at how much the appearance changed in the first 3 months after surgery.

Dr. Bermant responds:

Yes, tissues do evolve after surgery. Thank you for your kind comments and progress report. We are glad to hear how well you are doing. Congratulations on your new chest. Please let us know if you have any other questions.

Michael Bermant, MD

Travel From Vietnam Asia For Dr. Bermant's Gynecomastia Male Breast Surgery - 6 Months After Operation

Hi Dr. Bermant,

I just wanted to let you know that it has been 6 months since my surgery. I couldn't be more pleased! Not only have both sides healed well, but the scars are just about undetectable. Also, my chest shape is great -- I'm wearing tight-fitting clothes that really show off my physique and have received tons of compliments.

Thanks again, Dr. Bermant. I appreciate your skill and dedication to your craft. I'm glad I chose you as my PS.


Dr. Bermant responds:

That is great news! Thank you for taking the time to tell us how well you are doing. We enjoyed the opportunity to take care of you and hearing about your experiences. This is why I went into the practice of Plastic Surgery.

Thank you,

Michael Bermant, MD


Travel From Vietnam Asia For Dr. Bermant's Gynecomastia Male Breast Surgery - 10 Months After Operation

Dear Dr. Bermant,

I've created a web album to view pictures from before my surgery and after at different time intervals. You can view it here:

(link removed to protect patient's name)

Everything is great. The scars literally have become undetectable, even upon close inspection (amazing!). Pain is 100% gone. I've lost some sensation in both nipples, but I accept that. Recently I've noticed that both breasts have regained some fat -- poking a finger into each nipple pushes the nipple inward into soft fat that wasn't there after surgery. I imagine that is a normal part of postop tissue evolution.

It may be my imagination, but the left breast seems to have grown a small amount since the surgery. There is a small difference between the 89 days postop and 10 months postop photos. Of course, part of that could be because my arm placement is slightly different in each picture which may effect the profile appearance. I have gained about 5 pounds since the surgery, so that could also be a factor.

It's hard to tell now, but I'll keep an eye on it. If the breast is regrowing, that certainly indicates another problem that I need to take care of. I did see an endocrinologist before the surgery. She ran a test and the results were normal. Anyway, I guess I'm just quite sensitive to the gyne re-appearing and I recognize that may cause my mind to play tricks on me. I'm trying to remain as objective as possible.

If you have a few moments, I would appreciate your thoughts.


Dr. Bermant responds:

We work hard to optimize the results for each patient.

Arm position does change the chest contour. That is why my standard pictures for gynecomastia evaluation have the arms in reproducible positions. I do not see any increase in the photos you posted, but weight gain occurs globally and the belly and chest are typical locations for men. Gland stimulated to grow typically has tenderness or sensitivity. Weight gain does not have any sensation changes.

Gynecomastia patients, who have lived with their condition years before treatment, tend to be emotionally sensitive to such issues.

Thank you for your update and comments. Please let us know how we can help at any time.

Michael Bermant, MD

Travel From Vietnam Asia For Dr. Bermant's Gynecomastia Male Breast Surgery - 2.5 Years After Operation

Hi Dr. Bermant,

2.5 years on, everything is great following the gyne surgery. I followed your post-surgery instructions exactly. The scars are utterly undetectable now -- even I can't tell they're there. I'm very satisfied.

Recently I noticed that one of my ears is lower than the other. It is such that when I wear sunglasses, they are askew a little. I am considering getting it corrected. I googled "otoplasty" and, lo and behold, your site appeared.

I was very satisfied with my experience with you before. Perhaps I can do another remote consult for the otoplasy. I'll fill in the measurement form and send to you. My prospective surgery date would be in February next year, after which I would be flying back to Asia.


Dr. Bermant responds:

Thank you for the long term update. Some of our patients' scar have been so good that I have had trouble seeing them too.We therefore changed the optional second stage compression garment to manditory.

We will be glad to help with your ear sculpture, and yes, we also have a remote discussion for my ear sculpture.

Michael Bermant, MD

Travel From Srilanka (South East Asia) For Dr. Bermant's Gynecomastia

Dear Doctor

I am 28 year old with the male breast enlargement problem. As far as I know this problem started when I was 16 and since then I have had many embarassing moments in my life. Now I dont feel like getting married due to this,

But I live in Srilanka ( South east Asia) . How can I get your Services about this male reduction program.

Please let Me know the cost .

thanking you


Dr. Bermant responds:

We see many patients from South East Asia and around the world who prefer my techniques. To minimize travel, most start with our Preliminary Remote Discussion. Cost of gynecomastia surgery depends on the problem to be treated, Jane is my office manager and can better discuss prices and help you get started. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel From Hong Kong Asia For Dr. Bermant's Gynecomastia


Firstly - fantastic site!! Incredibly informative - not seen anything like it anywhere - simply brilliant! Thank you! I never realised it was quite so complex depending on the individual..

I am sorry to trouble you but would be really grateful for some help.

I live in Asia (Hong Kong) and desparately want the op but how on earth do i find a reliable surgeon? I have tried the forums - but even the bulletin board is struggling to get anything meaningful by way of names or even reliable clinics.

I was wondering... i guess you know of other experts in your field internationally and wondered if you could give me any names / contact details or clues as to how i can find anyone reliable.

I was thinking Bangkok - they seem to be gender reassignment ops and i guess this might be a simpler procedure (laymans view!) - but apart from -- cant find out much else.

Any help would be gratefully recieved! It really would.

Many thanks in advance and again brilliant site and amazing results....if only your clinic was closer......!

Thanks again


Dr. Bermant responds:

Thank you for your kind words about my work. Sorry, we are not a referral service. But we do see many patients from Hong Kong and around the world who prefer my techniques. Actually we see quite a few patients who were dissatisfied with their initial surgery done in Asia. Picking you surgeon is very important. That is why I built my website. Results are typical for my patients. Most start with our Preliminary Remote Discussion before traveling for their surgery.

Michael Bermant, MD

Travel From Asia For Dr. Bermant's Gynecomastia

Hi, my name is D. First of all, let me apologize for contacting you by email. I am currently overseas in Asia, and this is the easiest way for me to contact you. I live in Kentucky, and I realize that it is not too far away from VA. I found your name on a gynecomastia forum and heard good things about you and your successful patients. I am also one of gynecomastia sufferers, and I am desperate to get this part of my life resolved. I just wanted to get some general information about the surgery itself.

First, I'd like to know how much the procedure will cost. I realize that this depends on individual situation and how severe the case might be, but if you can give me the 'ball park' range of how much it might cost, I'd appreciate it. Also, what payments do you accept, and are there any financing options available? And how would I go about scheduling a surgery of this kind?

Second, I'd like to know what type of procedure it is, how long it lasts, and what are the risks, if any? How many days would I have to stay in hospital and therefore VA?

Lastly, I wanted to know about post surgery. How likely is it to have scars, and how long will it take to heal and for me to be able to perform normal functions?

Here is some info about me:
I am 20 years old. My body is very athletic, I am 6'4'' and I weigh 190 lbs. I exercise regularly, and my diet is also pretty normal. The gyne, I would say is, on a scale 1-10, 10 being the worst, probably a 6 or 7. So it is not too bad, but it is very noticeable, especially on me being so thin.

Thanks in advance, D

Dr. Bermant responds:

Many of our patients are able to travel the day after surgery. We are glad to help your explore your concerns either during a consultation or a Preliminary Remote Discussion.

Jane is my office manager and can better discuss costs, payment options, and help you get started with the process. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Asian Male Travel For Dr. Bermant's Gynecomastia Surgery

Dear Dr. Bermant,

I am a 39 yo Asian male with long term bilateral gynecomastia. I have thought about surgery for a long time but have only decided to do something about it recently. I would like to schedule an appointment with you for evaluation and/or procedure at the same time. Please let me know how to make the appoinment. If I decided to have the procedure done at the same visit, how many days should I stay in town (so I can arrange to take off from work)? I live in Mobile, Alabama. Which airport should I fly to?



Dr. Bermant responds:

Stay in town is usually from the day before surgery to the day after. For Saturday surgery, patients are seen that Monday. For some, it is better for me to remove the dressings about the sixth day after surgery. Most do not stay in town that entire time and turn their visit into a vacation. We are glad to see you in the office for a consultation. Surgery can then be scheduled for a return visit. To schedule a tentative operation on the same visit, you will need to start with our Preliminary Remote Discussion. Richmond International Airport is the closest International Terminal, but some choose others nearby. For those flying their own plane, there is a small Chesterfield Airport that is even closer. Jane is my office manager and can help with details. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel From Singapore Asia For Dr. Bermant's Gynecomastia


Your website is really useful.

I am based in Singapore and am looking for a surgeon with plenty of experience operating on men with large puffy nipples.

Could you please give me an estimate of cost for surgery at your clinic?

Many thanks for your help.


Dr. Bermant responds:

We see many patients from Singapore, Asia and around the world for my extensive experience with Puffy Nipple Gynecomastia.

Cost of Puffy Nipple Gynecomastia Surgery depends on the problem to be treated. Jane is my office manager and can better discuss typical costs and fees. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel From India For Dr. Bermant's Gynecomastia

Dr .Bermant


I am Doctor H 24 yr old male from India. I was going through the site and found your mail adderess. Sir I have gynecomastia since last 10 yrs .The breast tissue is more about 5 cms on both side. I am not psychologically upset about it .But I am very concerned about the risk of cancer. I would like to know if breast reduction can decrease the chance of getting cancer.

I am preparing for USMLE ,through with my step 1 and will visit USA next year for my step 2cs.Would like to undergo breast reduction surgery during my stay. Please suggest me if the surgery is suitable for me.

I would be highly obliged if you could help me with this.

Thanking you


Dr. Bermant responds:

Male breast cancer is quite rare. To my knowledge, there are no studies where reduction surgery decreases cancer risks for men. The exception may be with a Klinefelter Syndrome patient.

We see many physicians from around the world who prefer my techniques and are glad to help you explore your options. Our Preliminary Remote Consult is what most of our patients from India start to minimize travel to Richmond.

Michael Bermant, MD

Travel From India (Asia) For Dr. Bermant's Gynecomastia

helo doctor,

i am B a final year engineering student in computer science from INDIA . my chest is like a breast...but i think a mild gyne not that alike but still can make it out clearl that it is like smalll breast. i am quite impressed by the website of urs and ur latest techniques on removal of gyne..

i wanted to ask if there was any side effect after the surgery and wheather the chest will be in good shape .

also tell me the cost of the surgery and the procedure to correspond with the us high comission in INDIA . i want gyne removal as soon as possible. plz do tell me the deatils.


Dr. Bermant responds:

It does not take much to upset the contour of a male chest. We spend a great deal of time with each patient helping them learn the risks, benefits, and alternate methods of care during their consultations. What you see on this site represents typical results for my patients. Cost of this surgery depends on the problem to be treated. Jane is my office manager and can better discuss prices. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel From India (Asia) For Dr. Bermant's Gynecomastia

hi doctor,

i am an 18 yrs old student from india and i face Gynecomastia. i am not telling u the prblms i am facing bcoz u know it very well.

i was surprised to see ur description abt this in ur site.

my problm is that i am an obese person (more than 20kg frm ideal wgt). my BMI is should i do this surgery or reduce my weight?i am attaching 3 photos also.

my left breast is little harder that the right one.wht should i do. can i reduce it by lossing my seeing the pict. , is it necessary to do surgery.

waiting for ur reply



Dr. Bermant responds:

The overweight male chest has breast enlargement. Weight loss before surgery is usually better than weight loss after. We are glad to help you explore these issues during a consultation.

Michael Bermant, MD

Travel From India (Asia) For Dr. Bermant's Revision Gynecomastia

Hi Dr. Michael,

My name is B and I live in India. I would like to know the details for getting the treatment for gynecomastia. I had a previous surgery for the same. The surgery did could not completely eliminate gynecomastia, i still have a bit of it. Similar to one attached in the mail. I have looked at the website and am confident that I am getting the treatment done from a skilled Doctor. Please let me know how much would the cost be and what type of treatment would be required. Would only the fat injections be sufficient? or is there a requirement of getting the liposuction or surgery required.

I would be coming on a official trip to US in the 1st week of June tentatively. I would have 2 weeks of training after that I would like to get this treatment done. So the possible date for this would be from 17th June . Do let me know how the payment has to be done and would it be possible for me to get this treatment done between 17th and 20th. I could confirm the exact date once everything is confirmed in another weeks time.

Please advise on how to go about.

thanks and regards


Dr. Bermant responds:

Fat grafts tend to become firm and gland like, do not move well. Revision Gynecomastia Surgery may help. We see many patient from India for revision surgery done first there and are glad to help you explore your concerns during a consultation. At that time copies of your before surgery pictures, translated operative reports and doctor's office notes can be of great value during your evaluation. If interested, Jane is my office manager. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel From Bombay India (Asia) For Dr. Bermant's Revision Gynecomastia

Respected Dr. Bermant,

Greetings to you.

I am very keen to seek advice from you to rectify gynecomastia surgery performed on me some thirty years ago and which has gone wrong. I am 56 years now. This was performed in Bombay, India. The glands and fat and tissue were removed very inconsistently and have left indentations (dimples). I was assured that only the right proportion and equal amounts of fats will be removed from either sides so that a very natural and even surface would appear and that I will be able to swim etc. But however this was not to be. Due to financial constrains and due to other problems at that point of time I was unable to rectify this mistake of the surgeon until now and could never go for a swim. Funny but I could go swimming with my fatty chest and people did not mind but now with the dimples it was very obvious and I was naturally unable to expose myself. Recently with so much knowledge and information available on the net and as Technology has advanced and good honest doctors available so I focused on your site.

Please advise me honestly and with humanitarian consideration if with 1) fat/ tissue translocation 2) liposuction and/or tissue transplant will it be possible to fill in the indentations? Will the procedure (fat filling) remain stable and last? At my age 56 years will the elasticity of my skin hold the tissue or fat fill and remain even and smooth? Finally will this give a natural appearance to my chest and will I be able to swim with my close friends and relatives? Without they noticing? And ultimately how much roughly will it cost? What is the experience of other patients?

Please let me now if I should send some digital photos for you to do the assessment and finally when and how can I meet you? I will be in the US from July15 to August end.

Yours Faithfully


Dr. Bermant responds:

We see many patients from India with significant defects after surgery by local surgeons.

Crater Deformity Defects can be difficult to treat. When nearby fat is an option, I prefer my Fat Flap Techniques. The survival of tissue is much better with the flap than with grafts or transplants. We are glad to help you explore your options during a consultation or a Preliminary Remote Discussion. Copies of translated surgery reports, doctor's office notes and pictures before surgery can all be of value during your evaluation.

Michael Bermant, MD

Travel From Singapore Asia For Dr. Bermant's Gynecomastia

Dear Dr Bermant,

I am a 34 year old male who had corrective gynecomastia surgery at age 14. The surgery left significant depressions under each nipple.

I have attached some pictures for your review. I live in Singapore but am happy to travel to Richmond for consultation and surgery if you feel you may be able to improve the contour.

Would very much appreciate if you could give me an indication based on these photos.. Could you remove fat to sculpt from surrounding areas or waist?

Thank you and Best Regards,


Dr. Bermant responds:

Crater Complications just do not look good, Fat moved from other parts of the body tend to become firm and move like firm fat, scar, or gland of gynecomastia. My Fat Flap Sculpture moves adjacent fat with its blood supply to fill the defect and tends to look much more natural.

Our patients from Singapore, Asia, and around the world typically start with our Preliminary Remote Consult to minimize travel to Virginia. However, you will need to use our Standard Pictures for Revision Gynecomastia Surgery, complete forms, and arrange for payment for this remote evaluation.

Michael Bermant, MD

Travel From Thailand (Asia) For Dr. Bermant's Gynecomastia

Hello, i had nipple reduction surgery about 4 months ago in Thailand. One nipple turned out fine, while the other one is worse off than it was before the surgery. Now i know that it can take up to one year before final results are shown, but i really don't think this nipple is going to improve. And my question is, would it be o.k. to have a nipple reduction surgery at your facility in Richmond, or would i have to wait for another 8 months to see absolute final results of the surgery i had in Thailand?



Dr. Bermant responds:

Tissues typically need to heal and evolve before most Revision Gynecomastia Surgery. Timing depends on many factors better discussed during an evaluation. For our Thailand patients, we usually start with our Preliminary Remote Discussion.

Michael Bermant, MD

Travel From Thailand Asia For Dr. Bermant's Gynecomastia

hellow Dr.

i need your help in locating a surgeon in Thailand that specializes in gynecomatia if you can guide me to the right people that would bring me reassurance and peace of mind knowing i will get the best treatment and a better result thank you for your time

you web site is fantastic

Dr. Bermant responds:

Not all surgeons have the same techniques. The results on my website are typical for my patients and my sculpture. Sorry I am not a referral service, but we do see many patients from Thailand and around the world who prefer my techniques. If interested, Jane is my office manager. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

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Retirement and Closure of Practice as of 8/31/2011.

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This page last updated on: January 10, 2013

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