Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Gynecomastia

Gynecomastia Forum and Chat - Enlarged Breasts in Men and Chest Recontouring with Fat Suction / Suction lipectomy (Liposuction)

Explore what others have to say about Male Breast Surgery (gynecomastia) using Revision Surgery and Liposuction (Suction Lipectomy) with answers by Dr. Michael Bermant, MD.

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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Revision Gynecomastia Surgery - Unhappy After Another Surgeon's Operation

Dear DR.

I was operated on Sept 11 for Gynecomastia of both of my chest. When bandages were removed I saw my chest flat (drainage removal) and within a week when my stiches were to be removed they were big again. My doctor told me it will be flat but it will take about three to six month but it will go down. At my medic checkup he keeps telling me not to worry because it will go down. I feel them hard and still can't take off my shirt. My operation which incision of glandular tissue was remove and liposucion was also done, my Daoctor told me about one pound of tissue and fat was removed from each breast. now three month and still little changes.

My question is - will it be flat and how long should I wait to see results. I am 39 years 212 pounds big husky frame around shoulder and chest area. still can't wear t-shirts or tight shirts. Your answer can be fill of joy and happiness. thank you....

F

Also wishing you and your staff a very Maerry christmas and a Happy NewYear. God bless.....

Dr. Bermant responds:

Tissue evolution after surgery depends on the original problem, surgical techniques, skill of your surgeon, and other factors. After liposuction and fat sculpture, it can take about 6 months to see the evolution of healing tissues. However, most of the swelling goes down in the first days - weeks. Why not compare the before surgery photographs with what you now have. If about a pound was removed from each breast, that is quite a large amount of tissue. Liposuction only works on the extra fat, it does not change the way the muscles under drape on the chest. If there was a large amount of fat and the surgery was done primarily for the glandular problem, suction lipectomy is not very good for general weight problems. Reasonable expectations are the key to happiness after surgery.

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

Revision Gynecomastia Surgery - After Surgery By Surgeon in Australia

Dear Dr. Bermant

After reading the information on your website I am even more certain of my initial self-diagnosis. I am 19 years old and have known for years that I have gynecomastia - every time I have looked in the mirror. Finally a little over a month ago I saved up the courage and money to go through liposculpture from a certain doctor here in Australia.

After 2 consultations he convinced me that his technique of injecting a fluid in order to vacuum out the fat cells would do wonders and said he was 99% sure that this would remove the fat around my chest (after his pinch test which he concluded was all fat and only a little gland). However, during this whole process I always thought that I had a mixture of both gland and fat, nevertheless I figured he knew more than me and accepted his idea of using this new technique to remove this infliction. In addition, he also used the same technique to remove unwanted fat from my outer and inner thighs/hips (something more rare in men).

Now a month after the surgery I do find that there is some improvement in the chest area as there is less fat however, there is still a very noticeable protrusion around the nipple area that suggests to me that I was right about there being gland present. Two weeks after surgery I went back to the doctor to remove my stitches and he said that this would heal and flatten out in time. I know this can't happen because the gland can't disappear. When I stated this to him he claimed that with the instrument he used he was also able to break away some gland. To add fuel to the fire - my hips appear better but there is still unwanted fat in the areas that he was supposed to take out.

I have been taking pictures every two weeks and am waiting for 2 months post-procedure as everyone has told me that I need more time to heal. Unfortunately, this procedure costed me most of my funds as a 19 year old uni student and I am not sure what to do next. Even if I get this done again by another doctor using the gland excision technique, due to my indian heritage there will be scarring left on my brown coloured skin which will be as bad as the affliction itself. Not to mention this procedure has already costed me $7400AUD to achieve by working three jobs and as a university student. Please share your thoughts on what I should do so that I can end this nightmare and get on with my life.

Hope to hear from you soon. Thanks for your time.

M

Dr. Bermant responds:

Two months is very early after surgery, especially for some techniques. Being patient can be very important to let tissues evolve.

Revision gynecomastia surgery may help. Options for revision depends on the original problem, what was done, how you healed and other factors best explored during an evaluation. We are glad to help you explore such issues during a consultation or preliminary remote discussion. When possible, having copies of operative reports, doctor office notes, and before surgery pictures can help during your evaluation. We look forward to helping you explore your concerns.

Michael Bermant, MD

Revision Gynecomastia Surgery - Travel from Australia

HI my name is C. I am from Australia and I have been reading your web site - which is FANTASTIC!!

I wish you were located down under!

I have a question that I thought you may be able to help me?

I have a teenage son that has gynecomastia, five weeks ago he had 'Ultrasonic Liposuction' surgery to remove his unwanted "bumps." Last night he showed them to me, and behind both the nipple areas he has a very hard round lumps behind them.

Is this normal? they don't appear to be flat like he wanted. The nipple area seems still to stick out a little?

We are going to see the plastic surgeon in a few days. Last time he saw him he said it would take time to see the effect. But looking at your website, it should look sort of normal by now? He still is wearing his compression vest!

What do you think? I hope all this is normal and that im not overreacting!!

I really thank you in taking time in reading my email.

Kind Regards,

C

Dr. Bermant responds:

Actually we do see many patients from "Down Under" and around the world who prefer my skills. 5 weeks is very early for results with some techniques. In my opinion, liposuction does not address gland well at all. If there is residual gland that keeps the nipple and areola regions "puffy," revision gynecomastia surgery may help. Options for revision depends on the original problem, what was done, how you healed and other factors best explored during an evaluation. We are glad to help you explore such issues during a consultation or preliminary remote discussion. When possible, having copies of operative reports, doctor office notes, and before surgery pictures can help during your evaluation. We will be glad to help you and your son explore your concerns.

Michael Bermant, MD

Gynecomastia and Nipple Retraction

Dear Doctor:

I have suffered with enlarged male breasts for about the past 10 or 15 years --- since I was about 8 years old. I was always told "Oh, that's just baby fat, that will go away." Unfortunately, I am now 23 years old, and it hasn't gone away. I run and lift (a-lot), and the problem just seems more pronounced. The fat seems to bounce and "jiggle", and the nipples are large (about 1.5 inches in diameter), and they protrude.

I have consulted with a surgeon in my area to have ultrasound assisted lipoplasty done. I was advised that my problem consists majorily of fatty tissue, with no glandular tissue present. Hence, the doctor believes he can correct the problem with liposuction alone.

What I wish to know is whether the size of the nipples will decrease---this is equally as embarassing as the jiggling fat. My doctor said "they SHOULD retract." Well, I am wondering what you have seen in your practice. Do the nipples "retract" or get smaller? Can I expect to see any reduction from my 1.5 inch/diameter nipple size?

I would really appreciate if you might be able to let me know what your experience has been. This has been a severe impediment in my life, and I really don't want to have the surgery done to only be disappointed afterward. Do I maybe have unreasonable expectations?

Thank you, Doctor, and best wishes through the Holiday Season.

M

Dr. Bermant responds:

The nipples are the central elevated part of the larger flat areola (colored round region). Nipples 1.5 inches would be very large indeed. Areola diameter can decrease after liposuction surgery if they are stretched by the enlarged breast. Vertical and three dimensional size can decrease if excess tissue like an enlarged gland or excess fat are removed during surgery. Otherwise surgical options exist to reduce the areola diameter as in this patient with large areola complication from Australia. Such explorations are better during the in office consultation and evaluation. You have to be comfortable with your doctor and the educational experiences of that practice. We encourage our patients to explore such questions with me and my staff.

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

Gynecomastia

Hi, my name is A. I am 14 years old and I have a problem. I think I may have something called gynecomastia. About 20 months ago, I noticed a hard lump under each of my breasts and my nipple areas puffed up. But I didn't really think anything of it when i went on the internet and it said that the condition usually went away after 12-16 months. And now that it's 20 months later and I haven't told anyone about it, I am getting scared, not to mention for these past 20 months I have been super self-concious about myself. I am really nervous that something is wrong! But one thing that's weird, is that when I am cold, my nipples shrink back down to normal size. I also read that it may be caused by mistakingly taking a birth contol pill. Well, when I was like 2 years old, I mistakingly took ONE, so could that be it? Please help me!
Thank you.

Dr. Bermant responds:

Many forms of enlarged male breast can resolve on their own. Some male breasts have other problems as the underlying cause or do not go away. I can not understand how one pill may have caused this problem. The best way to find out about possible gynecomastia is at your doctor's office with your parents.

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

GYNECOMASTIA from Seattle Washington

Can you suggest a surgeon in the Seattle area who could evaluate my 14-year-old son's gynecomastia?

I enjoyed your web page--especially the drawings and comments. I am an Injury Prevention Specialist (health educator) for the public health department.

Thanks for your help.

V

Dr. Bermant responds:

I am sorry, we are not a referral service. The http://www.plasticsurgery4u.com website is an example of my commitment to patient education. We see many patients from Seattle and around the world who prefer my sculpture techniques and are glad to help you explore your concerns during a consultation or Preliminary Remote Discussion.

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

Gynecomastia Costs

Help me, Dr. Bermant...

Could please tell me how much the surgery costs? I look somewhat similar to the younger guy in the pictures on your website, maybe a hair worse, but close enough to get an idea. Please w/b soon..

God bless,

J

Dr. Bermant responds:

My surgeon's fee for male breast reduction depends on what needs to be done. Is the breast able to be treated with simple excision alone, excision with liposuction, or major breast reduction? In the case on my web of the younger male, he had both excision and a small amount of liposuction. The price is also dependent on the type of anesthesia desired, location of surgery and other factors. After an examination and evaluation, I can have a better idea of the problem. With this I can propose treatment options and give a specific price. Our office staff can provide additional details about pricing and other issues if you desire.

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

Gynecomastia and Big Breasts in Men

Hello. I have a question to you because i searched the profile for "Nurse". I'm 18 year old white male and I am 5' 10" and weigh 160 lbs... i'm not fat... but my problem is that i have a bigger chest then the boys my age... I try not to eat junk food, but my chest is big and people make fun of me that i have breasts. what should i do ?? please reply, i would apreciate very much ;)

-B

Dr. Bermant responds:

Some larger male breasts are from excess fat, others may be from medical conditions. We are glad to help you explore your options during a consultation or preliminary remote discussion. An introduction to enlarged male breast can be found here.

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

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This page last updated on: January 10, 2013

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