Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Gynecomastia Forum and Chat - Pennsylvania

Gynecomastia - Travel from Pennsylvania and Male Breast Reduction in Men - Chat and Forum for PA Patient's Questions and Answers.

Explore what patients from Pennsylvania have to say about Male Breast Surgery for Gynecomastia using Dr. Bermant's Dynamic Technique.

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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More Chat and Forums about Travel to Virginia for Dr. Bermant's Gynecomastia Surgery

The following are a series of threads excerpted with permission of our patient:

Travel to Virginia from Pittsburgh Pennsylvania for Gynecomastia Surgery Before Male Breast Reduction Surgery

Dr. Bermant,

After several years of contemplation, I have finally made the decision to move forward with gynecomastia surgery. Since your reputation is outstanding, you would naturally be my doctor of choice. I do have a few questions. I live outside Philadelphia. What are my options as far as consultations. How many times in total would be required to travel to Virginia? I was also wondering about the timeframe for having the surgery? I have a somewhat short window of time during the month of January when I can do this and am wondering if you could fit me in. And finally I would like to know about current additional costs on top of the surgery fee and what I can expect. I am finally ready to do this and hope that time and travel constraints allow me to fix my condition.

Thank you,
S

Dr. Bermant responds:

Starting with our Preliminary Remote Discussion, most patients complete their surgery in a single trip. Patients rarely need to travel more. Others prefer or need to be seen in the office before surgery is scheduled.

Jane is my office manager and can better help with gynecomastia surgery costs - fees, and what time we have available. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Travel to Virginia from Pittsburgh Pennsylvania for Gynecomastia Surgery 18 Days After Male Breast Reduction Surgery

Dr. Bermant 18 days post op

I recently underwent gyno (August 16) surgery with Dr. Bermant and would like to share my experience.

HISTORY
I cannot pinpoint exactly when I developed Gyno but I can say for certain I never really noticed it until about 5 or 6 years ago. I began working out at age 16 and have spent a good portion of my free time throughout the years in the gym. I always had a fairly muscular build, although the last few years have seen a steady decline. When I first noticed the gyno, it didn't bother me all that much. But over time it gradually became the number one issue in my life, the thing which I hated about myself and prevented my from really kicking back and enjoying life. Finally at age 27, I had enough. I knew it was time to take the plunge after spending an entire summer avoiding any situation which involved  taking my shirt off. I didn't even feel confortable in most t-shirts. And I had pretty much completely stopped working out because no matter how much effort I put into it, the large gland in my chest wasn't going anywhere. I had almost become a shell of my former self, the confident, muscular guy who loved doing just about anything. So I decided to set up a consultation with Dr. Bermant.

PRE-OP
Since I live in PA, the drive down to Chester, Virginia was a managable one, although not the kind you want to make into a Sunday leisure drive. Dr. Bermant asked several questions, examined me, and discusses the slight tenderness I was experiencing in my left nipple area. Like some other patients, I had become so obsessed with my condition which was significantly worse on the left side, that I was constantly stimulating, poking, and pinching my nipple to keep it from looking so puffy. I had become obsessed with the gland which was in my eyes gigantic. Dr. Bermant informed me that it was neccessary to obstain from the stimulation and possibly see an Endo if the tenderness did not go away. He recommended I try a stage 2 compression vest as a way of improving the appearance and thus reducing my constant stimulation. Two days after returning home and eliminating my bad habit, the tenderness dissappeared. the compression vest was great. I called Dr. Bermants office to continue the discussion. Dr. Bermant wanted to see me again to continue the discussion so I again made the trip to Virginia. After reassessing my condition, we discussed surgical options. I decided to proceed with the surgery which was set for the following week. my surgery was scheduled for 30 days after my initial consultation.

OP
Making the third trip down, I arrived on a Friday afternoon and had my pre-op visit. I had now become tired of this trip and was glad that this was the last time I was making it. The pre-op was simple, with Dr. Bermant marking my chest contours in preparation for the next day. Leaving the office, I picked up my prescription, checked into the hotel, and grabbed some dinner. Although I understand people having trouble sleeping the day before a procedure, I was exausted from the drive and had no problem sleeping.

The next morning, I arrived at the office at 10:30. The surgical staff introduced themselves and were all very nice. Jane, the office manager is always pleasant. And Jim, the anesthesiologist, certainly has a sense of humor. After starting an IV, I relocated to the Operating room and got in position. One of  the nurses (Chris) and  Jim entered, followed by Dr. Bermant. They put on some soft, beach like backround sounds and Dr. Bermant asked where I wanted to go for vacation. I told him Fiji and next thing I know I was waking up. I was pretty coherent and didn't feel any real pain except for some soreness  in my elbow, the type you would get if you did Bicep curls for an hour staight.

Someone showed me the gland which had been removed and I wasn't suprised. The left gland looked literally 6 or 7 times  the size of the right. Final dimensions were something like 2x3x2 on the right and 2x5x3 on the left. It was amazing to see the thing which had been tormenting me for so long, no longer inside my body.

The office had arranged for a CNA to take me back to the hotel and stay with me for 6 hours. My CNA, Barbara, helped me police up my things and took me back to the hotel. We stopped at a fast food place on the way back since I had not eaten since the night before. I don't remember being that hungry in my life. The food tasted especially good, perhaps every meal has tasted different since I've had this thing removed. I relaxed  for the next few hours but I didn't sleep nor was I drowsy at all. I didn't need any pain medicine and aside from very reduced mobility felt pretty good.  I watched 2 movies. At about 10 PM Barbara drove me back to my car. I was a little  nervious driving back to the hotel since I have a stickshift but it proved to be no problem. Getting in and out of the car proved to be much more difficult than actually driving.

After arriving at the hotel, I took two tylenol and went to sleep. Sunday was spent mostly relaxing in bed, watching more movies. I walked to the local cracker barrel in the morning which was maybe 1/4 mile and got a nice breakfast. I slept fine again on Sunday night and took 2 more tylenol.

Monday morning was my post op appointment, So I drove to the office around 9 am. Dr. Bermant examined me, explained my post op care and sent me on my way. I drove the 4 hours home without incident. Recovery since then has been pretty simple.

I actually went back to work on Tuesday, less than 72 hours after the op and had no problems. Of course, I don't have a physical job.

As far as disscomfort goes, Sunday was slightly uncomfortable at worst. Monday was dramatically better. Every day since has been slightly better, but there was no one day except for the second in which I noticed a dramatic change. I have been wearing my stage 1 compression vest 24-7. When I do switch to stage 2 compression, I intent to wear that 24-7 for at least 3 months. I believe that disipline is a key to the best possible result. As far as my result goes, my chest looks great. The actual area where gland and fat were removed looks great. A few spots feel somewhat hard but I expect that will soften over time. To not have this massive gland on my left side is a great feeling. I don't have much to say about the incision scar since I haven't really seen it much yet but I'm sure that Dr. Bermant did a great job with that as well.

THE FUTURE
Since I'm still in the early stages of recovery, it hasn't really hit me yet that next summer I'm gonna be able to do whatever I want and feel great about it. I love the water and love swimming, watersports, basically anything to do with the water. I'm going to make it a point to spend as much time at the beach/lake/pool as possible next summer. And since I have almost a full year, I should be close to my final result by then. I'm going to give myself a good 7 weeks before I think about hitting the weights, although I might do some light cardio at week 5 or 6. From there, I'm going to get myself in better shape than I've ever been. My goal by next summer is to look better than I did when I was 18 in my prime. After suffering for so long, I feel like this might be the life changing event that i've been looking for.

S

Dr. Bermant responds:

Tenderness can be a Symptom of Gynecomastia gland stimulation or just the result of trauma as you experienced. That body shaping compression garment has really proven its value yet again as a diagnostic tool. We are glad you are enjoying your new chest. Thank you for your kind words and permitting us to share them in this forum.

Michael Bermant, MD

Travel to Virginia from Pittsburgh Pennsylvania for Gynecomastia Surgery 21 Days After Male Breast Reduction Surgery

I feel amazing, especially now that the more difficult recovery time has passed. My chest looks amazing, you literally got all of that dreadful gland. I feel like I got my old life back. So thank you again Dr. Bermant!

S

Dr. Bermant responds:

You are welcome! Please keep us informed about your progress.

Michael Bermant, MD

Travel to Virginia from Pennsylvania for Gynecomastia Surgery 6 Days After Male Breast Reduction Surgery

Dr. Bermant,

I’m doing well, feeling fine, and my chest is looking better every day. I’m very pleased with your service and with the way my chest looks. This is a wonderful time for me for me and a long time coming. I’ve hidden my secret of gynecomastia since 1979. On my way home from Virginia I stopped at a department store and bought a normal size, regular fitting Tee-shirt off the rack and wore it home….Literally, a moment I’ve fantasized about for years.

Anyway, Sincere thanks for your work. I’m a very satisfied customer.

Much appreciation for your skills and to each member of your excellent team.

Looking forward to seeing you Friday for the dressing removal & further instructions.

Have a great day. - J

Dr. Bermant responds:

Thank you very much for your kind words. Glad you are doing well. We look forward to seeing you back in the office.

Michael Bermant, MD

Travel to from Scranton / Wilkes-Barre Pennsylvania for Gynecomastia Surgery

Dr. Michael Bermant
I am 27 years old and I have been suffering from gynecomastia since I have been a teenager. I live in Wilkes-Barre PA. Over the years the puffiness of my nipples have been my primary concern. I am a weightlifter and I have been trying for years to increase my cardio and chest training. However my nipples are still puffy unless stimulated.

Recently I have noticed that my breasts have increased fat mass. I went to my Primary Care Physician and had several blood tests. They came back negative with no abnormalities in my hormones. I also went for a mammogram. It detected fatty tissue. She also sent me to a plastic surgeon for a consultation. He stated that he would not recommend surgery. I am very disappointed. I do have noticeably puffy nipples with some fatty tissue in my breasts.

Last week my friend made a comment to me about the noticeable puffiness of my nipples through my shirt he used the slang term "bitch tits." This is very discouraging since I consider myself physically fit. I have become greatly embarrassed. I also feel harder masses around my nipple area. I am guessing that this is glandular tissue.

Since I live in Wilkes-Barre PA I believe that many of the Plastic surgeons in the area do not have much training in male gynecomastia. Therefore I am not very confident in further consultations. I have found your website and I am extremely impressed. However I live about 6 hours from Richmond VA.

I have several questions. Would you consider me as a patient? Would I be able to have surgery the same day or a day after my consultation since I would be traveling a great distance? Would I be able to travel back to PA within a day or so on a plane or a car? How long before I could return to work? Like I stated before, I am very interested in your service and I have been searching for a good doctor for years. Please help me. Thank you.

N

Dr. Bermant responds:

It does not take much to disrupt the male contour of a weight lifter or body builder with gynecomastia. Return to work depends on the problem to be treated, what needs to be done and other factors. We see many patients from Pennsylvania and around the world who prefer my techniques and are glad to help you explore your concerns with a consultation or a Preliminary Remote Discussion. For most with the preliminary telephone discussion, we can schedule a tentative surgery that still requires the confirmatory in office examination. That way I am able to protect each patient with a real in person examination. Surgery is then done the next day. We then check patients the day after surgery before they travel back home.

Although our patients from Pennsylvania travel a distance, it is not uncommon for them to meet other patients who have traveled from Europe, Asia, Australia and Africa for my sculpture.

Michael Bermant, MD

Travel from Monroeton Pennsylvania for Dr. Bermant's Gynecomastia Surgery

Dear Dr. Bermant,
This could be my son! He has almost exactly the same condition or symptoms. 14 years old and very self conscious about his large breasts and puffy nipples. My wife and I want to bring him to you. We live in Monroeton, Pa., about an 8 hour drive from Richmond. So the more we could do to prepare from here the better. We looked at the pricing and are ready to have the procedure. He is very ready! His name is T and we can send you photo's or arrange a visit.

My Wife is having a hysterectomy on June 19th and should be OK to travel in a couple of weeks. I can come anytime. We would like to have him done so he can be ready for Cross Country practice the 2nd or 3rd week of August.

I work for the United States Postal service and my wife works for the duPont company. (the teflon people!)

I have Blue cross and blue sheild. If it does not cover any of this, I am prepared to have it done anyway. So would it be possible to get an appointment in June and have the procedure done soon after?

Please call or write an email with the details so we can get started.

D
Monroeton, Pa.

Dr. Bermant responds:

We see many Teenagers with Gynecomastia from Pennsylvania and around the world who prefer my techniques and are glad to help your family explore your concerns during a consultation or a Preliminary Remote Discussion. Jane is my office manager and can better discuss insurance and what time we have available. 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 Philadelphia Pennsylvania for Dr. Bermant's Gynecomastia Surgery

Dr. Bermant,

I stumbled upon your site and was impressed by the many operations and results that you have performed. I have a very very mild case of pubescent gynecomastia (from what I can tell) and simply need to vanquish any remains of it for a bodybuilding competition. I am in the Philadelphia area, and would like to know the average price range for reduction surgery, as well as average healing time until I can begin to train my chest area again. Seeing as I am in a different state from your practice, I would like to know how I could go about receiving treatment. Also, as I have an upcoming bodybuilding competition, the amount of time it will take until I can fully train my chest is important to whether or not I get surgery this year, as I do not want to spend too much time without being able to train. Any information would be greatly appreciated!

Thank you,
R

Dr. Bermant responds:

I work with many Bodybuilders with Gynecomastia from Philadelphia and around the world who prefer my techniques. Recovery after surgery depends on the problem to be treated, what needs to be done and many other factors we are glad to help you explore during a consultation. Although I am not creating a sprain, this is real surgery and recovery can be similar.

Michael Bermant, MD

Travel from Pennsylvania and Okinawa Japan for Gynecomastia Surgery

Hello doctor,

My name is K and I would like to inform you on my condition which may seem minor but actually has a significant impact on my social life. I have the condition commonly known as "puffy nipples" and was wondering what I can do in order to set up an appointment to help rid myself of this little curse. I have already decided tried to use andractim to no avail and have since decided on persuing the surgical cure for my gynecomastia. I do not have an out of control gynecomastia condition, just some breast tissue behind my nipples that cause them to be very displeasing. Mostly I would like to know an estimated cost for the surgery and a time when I can make an appointment. I am currently living in Okinawa, Japan and will be returning to my home in Pennsylvania at the end of april so I would like to schedule the surgery for sometime in the beginning to middle of May.

I have done much research on this and decided that surgery is my best option. Please let me know if we can work something out for the appointment. I appreciate all of your help in advance.

Thank you,
K

Dr. Bermant responds:

Living with Puffy Nipple Gynecomastia can be stressful. Most of our patients living in Japan start out with our Preliminary Remote Discussion. to minimize travel to Richmond. Jane is my office manager and can better advise you about out costs for gynecomastia surgery and what time we have available. 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 Reading Pennsylvania for Dr. Bermant's Gynecomastia Surgery

Hey my name is V I'm 19, and i just came upon your site and saw that you did a lot of what I want done. I have very little body fat and am pretty muscular so i don't think i have Gynecomastia although my nipples are a bit puffy and is very annoying when i go to the beach or want to wear a tight shirt. I had it looked at by a doctor around here that said he could do something but i want to make sure i am going to the right doctor because i donut want to have scarring that would be just as embarrassing. I saw on your site you've worked with others my age so hopefully you can help me.. I live in reading pennsylvania so its about a 4 and a half hour drive so if possible i would like to do as much over the internet as possible just because i have class and such that i would want to minimize the time i miss.

Thank you

Dr. Bermant responds:

Puffy Nipple Gynecomastia is a subtle form of this male chest enlargement. We work with many Teenagers with Gynecomastia from Pennsylvania and around the world who prefer my surgery sculpture. I designed my Preliminary Remote Discussion. to help minimize travel to Virginia.

Michael Bermant, MD

Travel from New York or Pennsylvania for Dr. Bermant's Short Scar Internal Chest Lift Male Mastopexy Surgery

My name is D, and I'm a 19 year old college student. I have for years had to deal with gynecomastia. After a conversation with my mother, she has agreed to pay for my surgery. I have recently went from 250-260lbs to now I am at 185, I am still trying to lose about 40 more pounds before surgery. I currently go to school in upstate NY, but I live in Pennsylvania. I have no problems traveling to VA. I am just wondering the details and what I need to do get started. I was hoping to have the surgery sometime in the June/July time period. I want to get it done by you because you seem to be world renowned and known throughout the gynecomastia.org forums.

I found your site about a year ago on Gynecomastia.org discussion boards, you did private message me, but I never answered. After researching, I think the Short Scar Internal Male Mastopexy Breast Lift / Reduction will probably be the best, but obviously you are the doctor, so whatever needs to be done, I am ready.

Quick questions:

  • I have digital photos, would that give you a better idea?
  • Do I need a pre-op meeting first?
  • When can I expect to get the surgery?
  • Compression vest info?
  • Hotel info?
  • Post op information?

Thanks,

D

Dr. Bermant responds:

Weight Loss can result in major sagging and drooping of the male chest. Compression Vests after gynecomastia surgery and Recovery Post Op details are part of our basic patient education. We are glad to help you explore your concerns during a consultation or a telephone discussion. I have developed Standard Pictures for Male Mastopexy Chest Lift evaluation that can be used as part of a Preliminary Remote Discussion. Jane is my office manager and can better discuss our surgery wait time, Richmond Hotels, and other preliminary 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 Pennsylvania or London UK for Dr. Bermant's Gynecomastia Surgery

Dr. Bermant,

My name is A and I am a 28 year old business school student studying in Philadelphia. I've looked through your web site in detail and am interested in pursuing a remote consultation for breast reduction surgery. In terms of time frame, I'll be in London from June 14 to the end of August and hope to have the surgery done some time in late September or October. Ideally, I'd love to talk over the phone sometime next week. However, if your schedule does not permit this, I can give you a call from London. To get the ball moving as quickly as possible here, I've attached all the photographs required for a remote consultation. The only thing to note about the photos is that I'm a little sunburnt and so the skin color is off. Please let me know the best way to get the initial consult fee paid to your office.

Regards,

A
Philadelphia, PA

Dr. Bermant responds:

We are glad to start the process with our Preliminary Remote Discussion. which uses our Standard Photographs of Gynecomastia and history forms for a telephone discussion. Jane is my office manager and can better discuss your payment options. 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 Philadelphia Pennsylvania for Dr. Bermant's Gynecomastia Surgery

Hi my name is I. I'm a healthy 23 year old male with mild Gynecomastia. I'm 5'8" 190lbs. I live in philadelphia and want to know if i could do a remote consultation. I've been to a few surgeons who said that they could do it, but I wanted to find a doctor who has experience with Gynecomastia and that will give me a fair price. From your Web-Site you seem like the perfect fit for me. I see your fee is $2800 how much extra is the hospital and general anesthesia fee? Let me know what you can do. Thank you for your time.

Dr. Bermant responds:

I have been evolving my Gynecomastia male chest sculpture for many years. Our Preliminary Remote Consultation is a great way to start the process.

Cost of surgery depends on the problem to be treated. Most of our patients prefer my Credentialed Office Surgery Center for their sculpture. Jane is my office manager and can better discuss typical gynecomastia 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 Philadelphia Pennsylvania for Dr. Bermant's Gynecomastia Surgery

Hi Dr. Bermant,

I have visited your website and am interested in getting a consultation for Gynecomastia. From what I have learned on your website I would say that I have the “Puffy Nipple” version of Gynecomastia which began around 13 years old. When I was 16 I went to my family doctor and was advised that it was an adolescent condition which would go away. It didn’t. I am now 29 and spoke with my current doctor about 6 months ago. He advised me that surgery would be needed to correct the problem.

I don’t have any serious health problems. I am in recovery for alcohol and drugs. I haven’t used anything in 15 months. 10 months ago I stopped smoking but am still using Nicorette. About 20 pieces a day. I also having sleeping problems (probably from the Nicorette) so I frequently take Unisom to help sleep.

This condition has taken a private emotion and mental toll on me. I would love to fix it. From what I’ve seen on your website, you’ve helped a lot of men with my problem.

I live an hour outside of Philadelphia so driving out to VA for the day shouldn’t be too big of an issue.

Will insurance cover any of the costs? Do you offer any payment plans?

Thanks for your time,

Mike Martin
Coatesville, PA

Dr. Bermant responds:

Puffy Nipple Gynecomastia just does not look good on the male chest. Nicotine of any form can be a danger for elective cosmetic surgery as it puts blood vessels into spasm risking blood supply to injured tissues. Alcohol and Drug abuse can damage the liver risking elective surgery. A medical clearance may be necessary. We see many patients from Philadelphia and around the world who prefer my techniques and are glad to help you explore your concerns during a consultation or a Preliminary Remote Telephone Discussion. Jane is my office manager and can better discuss insurance and other preliminary issues. 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 Philadelphia Pennsylvania for Dr. Bermant's Gynecomastia Surgery

my name is j and i'm a orthopaedic surgery resident in philadelphia. i was wondering if i could get a consult via the internet. i could send pictures and answer any questions by e-mail.

i am interested in gynocomastia surgery and was wondering what the estimated cost would be for both the surgeon and anesthesia fees.

i have a week off, from june 5 - 9 and could come down for surgery the friday before this week, june 2, or anytime during this week. i don't know if this is too soon to fit into your schedule but i wanted to ask. i was also interested about any accommodations there are in case i wanted to stay overnight.

thanks,

j

Dr. Bermant responds:

We see many patients from Philadelphia Pennsylvania and around the world who prefer my techniques and many start with our Preliminary Remote Discussion.

Costs for gynecomastia surgery depend on the problem to be treated, techniques needed and other factors. Jane is my office manager and can better discuss typical costs, Hotels in Richmond, and what time we have available. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Gynecomastia Travel From Philadelphia Pennsylvania

I am a 17 yr old male from Philadelphia, PA. I think I have gynecomastia or Klinefelter's syndrome, or something like that. I wanted to know does it go away naturally? If not, which is better, liposuction or surgery? What are the approximate prices of each? I am about 6'3", 220 lbs. I have had this since I was about 10. I hate it, it is sooo embarrassing. sometimes when I HAVE to take off my shirt I just try to make my nipples hard to reduce the size. My parents know about it, but it doesnt seem to bother them. I dont want to complain to them about it, because I know that they have enough problems already, they were both just told that they have Hepatitis C, they are having trouble w/ money, etc...

Dr. Bermant responds:

Enlarged male breasts can be embarrassing but need to be evaluated before options or prices can be discussed. Klinefelter's Syndrome is a genetic condition where gynecomastia may be one symptom. Many enlarged male breast have no underlying cause and often go away on their own. Our office consultation and evaluation extends the introduction to this problem found on our web page. You would need to discuss this with your parents until you are old enough to go for an evaluation on your own. Doctor's consultation prices vary.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Travel from Pennsylvania for Dr. Bermant's Revision Gynecomastia Surgery

Hello doc My name is j I have had protruding nipples now for quite some time. I guess it has been 30 yrs. I cant tell you the embarrassment and shame i have felt all my life never being able to take off my shirt and feeling insecure around the opposite sex. My life has been a living nightmare with this deformity. I even went and had a procedure done 4 times from a dr. -, out in NYC. I tell you my chest is still protruding and I don't want to have to go to him again because i feel he should have corrected this on the first go around. Dr. in simple terms can you help me?? I am enclosing some pics of how my chest looks today, and it looks weird I want my chest to be flat.

Please help me
j
(I am from Pennsylvania)

Dr. Bermant responds:

Revision Gynecomastia Surgery may be an option. We are glad to help you explore your concerns during an evaluation. I designed Standard Pictures for Revision Gynecomastia Surgery to help minimize travel to Richmond. At the time of your consultation, copies of your prior operative reports, doctors' office notes, and pictures before surgery can be of great value.

Michael Bermant, MD

Unhappy after Gynecomastia Surgery in Pittsburgh Pennsylvania

Dear Dr. Bermant,

I desperately need some advice. You probably do not remember me, my name is S and I did a remote phone consultation with you in January. I am now a 41 year old male. I have suffered with moderate to severe gynecomastia since puberty. I had Lipo Selection (similar to UAL I believe) last Wed Nov 24 by a very well respected PS here in my hometown of Pittsburgh, PA. The Dr removed my bandages today (6 days post-op).

My visit today now confirms my suspicions about my PS's lack of knowledge and experience in treating gynecomastia. I have 3 inch horizontal blisters under each of my pecs. He said that this was probably due to fluid build-up and irritation from the rubber pads that have been stuck to my chest for the last 6 days. Although I am concerned about this, what is more disturbing were his responses to some of my questions. Specifically:

1) He confirmed today that he only did the lipo and no direct excision of the gland, which is contrary to what he had previously told me. When I asked today about the excision he said it wasn't necessary. I went on to remind him of our pre-op discussions regarding removal of the glands and that it was my understanding this ensures optimal results to which he responded that he got most of it through the lipo and it's really too early to tell. This concerns me greatly. My question to you is -- what can be done immediately post-op if one has had a "conservative surgeon" that removed only minor amounts of gland? In terms of post-op healing in this case, what can be done to ensure the best results?

2) When I asked about a compression vest or compression garments he said: "I don't use them; they really aren't necessary"!!! I left his office wearing only the ace-bandage like abdominal binder that was used on me after surgery and he instructed that I keep it on for support for the next 2 or 3 weeks. Just prior to my surgery I had ordered an UnderWorks #997 compression binder and will begin wearing that immediately. Is there anything else or better in your opinion that I should use or wear? And should I wear this garment for at least the next 4 weeks?

3) Finally, when I asked about scarring and massaging he said: "There really isn't much you need to do at this point - you can use a vitamin E cream but its not necessary". Once again, I was shocked and appalled at his apparent lack of knowledge. What can you recommend for me to do?

I wish I had made the trip to Richmond to see you, however I can't change that now. I am hoping that with some guidance and direction from you, that I can achieve somewhat better results than I would without seeking your advice. I am willing to pay for your time and counsel and I am even willing to come to Richmond for an in office consult if you think it will help. I can be reached by phone at -. Thank you in advance for taking the time to read this email and I look forward to hearing from you.

Sincerely,
S

Dr. Bermant responds:

5 days can be very early after surgery with some types of surgery. Sorry your surgical experiences by another surgeon did not come out as you expected. Each surgeon has his or her own methods. The results seen on my website are typical for my patients with my techniques. I do not use the methods you described for my patients.

Taking over an immediate post operative surgical case at this time can be extremely difficult. If residual problems persist, we will be glad to re-evaluate you after you have healed.

Our best wishes for a speedy healing.

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