Gynecomastia Support Forum

International Forum => Canada => Topic started by: dondante on December 04, 2008, 01:57:27 PM

Title: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 04, 2008, 01:57:27 PM
Hi All,

This is my first post, even though I've been scouring these boards for the past month. First off, I just want to express my appreciation to everyone who has been contributing to this board. Without the benefit of everyone's experience and insight, I don't think I would have ever been able to work up the courage to make a change to this awful condition which has plagued me since puberty.

My experience is typical of most people here. While I don't feel completely debilitated by my gyne like some who've shared their experiences here - it has definitely played a MAJOR part in my life. It affects the way I dress, the physical activities I take part in, the always popular going to the beach, and, to some extent, even my sexual activity. I'm in my mid-thirties and married to a beautiful woman who doesn't think I need to have my gyne repaired, but supports me because she understands that it's affecting me.

On Tuesday, I had my consultation with Dr. Lista. I found him to be very professional and he projected confidently that I would be very happy with my results. I booked a date immediately, for January 7th, and gave my deposit.  That night, however, I was up until 3 in the morning stressing about my upcoming surgery. The next day I visited my GP to gather information that Dr. Lista needed and get my required bloodwork done and spoke to my GP about the decision I made. His thoughts were quite re-assuring. He told me that he had had several patients who've undergone this procedure and that I would be happy with the results and that I shouldn't worry about it, but look forward to it. Interestingly, he noted that he could have referred me to a specialist years ago, but he never mentioned it because he figured since I never asked him about my gyne (I was always too embarrassed to even bring it up) - that I was comfortable with it, and he wasn't about to change that.

So, here I am, waiting for my big day, thinking about doing the things I always felt uncomfortable doing, wearing the type of clothes that I would never have dreamt of wearing, and just plain being rid of this monkey I've had on my back for the past 20+ years. I will follow-up with some pre and post op pics because I think our collective experience is necessary for those who will come here in the future - but I would also REALLY appreciate some feedback from those of you who have used Dr. Lista in the past.

Thanks,

dondante
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: tigertown on December 06, 2008, 07:06:21 AM
doesn't he only do lipo?
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Pacifico on December 06, 2008, 07:26:24 AM
Great story!  I am 32 and have the same experience and story you share.  I am scheduled in late December with a California Doc.  I wish you great success!
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 06, 2008, 03:54:42 PM
Pacifico, thanks for the good wishes, I'll keep you posted on my progress - let me know how it goes for you, too.

Tigertown, I understand why there's a common misconception that Dr. Lista only does lipo - it's because he only does 1 incision on each lower side of the breast and not the nipple incisions typical of most gland excisions. He has a different technique wherein he removes the gland through the side breast incision - thereby only making 2 scars instead of 4. In my consult I asked him point blank whether gland would be removed and his unequivocal answer was "yes". I wouldn't be doing this if he wasn't removing gland.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Grandpa Bambu on December 06, 2008, 04:45:47 PM
Interestingly, he noted that he could have referred me to a specialist years ago, but he never mentioned it because he figured since I never asked him about my gyne (I was always too embarrassed to even bring it up) - that I was comfortable with it, and he wasn't about to change that.

Hey there dondante...

Yeah I was in the same boat as you dude... I had G since approx 10 years old and not once did a general physician ever mention my G and that it could be corrected. I mean come on... a grown man with 'D' cups and my GP's not once brought the issue up  ???. I'm very disappointed with my local medical community. I distinctly recall a medical tech gawking at my m(o)(o)bs (you know, that 'WTF?' look) during an x-ray exam at hospital when I was 15 or so... I was wearing one of those 'open-in-the-back' blue hospital gowns and the way it 'hung' over my chest, it made my D's very noticeable. I was soooo embarrassed! You know that feeling huh? So if that medtech noticed my deformity, then why couldn't any of my GP's over the years bring the issue up? I'm very disillusioned!

However....  I think it was fate that I had surgery when I did. Right PS at the right time...  ;)

Anyways... the nightmare is over for me and it will soon be over for you also!!!  ;)

GB


 
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 06, 2008, 09:33:50 PM
However....  I think it was fate that I had surgery when I did. Right PS at the right time...  ;)
GB

I've definitely had that feeling of "why didn't I look into this sooner?" - it's a amazing, I found this site about 6 months ago - but only got far enough into it to just identify what it is that I had. It finally had a name - I wasn't the only one - but that was a far as it went.

I came back a few weeks ago, started doing research, but even then, with everything I read  - my fear of facing my condition was so strong that my heart was pounding when I submitted my online request for information form on Dr. Lista's website. Imagine that!

I can only chalk it up to fate that I've finally taken this steps at this point in my life...
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Grandpa Bambu on December 07, 2008, 01:24:50 AM
I've definitely had that feeling of "why didn't I look into this sooner?" - it's a amazing, I found this site about 6 months ago - but only got far enough into it to just identify what it is that I had. It finally had a name - I wasn't the only one - but that was a far as it went.

How did you feel when you found out the condition had a name and that you were not 'the only one'?


I came back a few weeks ago, started doing research, but even then, with everything I read  - my fear of facing my condition was so strong that my heart was pounding when I submitted my online request for information form on Dr. Lista's website. Imagine that!


I hear you there broh.... Making 'The Call' (or in your case, sending in the online form) can be very traumatic for many. A condition kept secret for many years, will now be made public knowledge (so-to-speak). It's not an easy task revealing to another, that you have such an embarrassing condition.

In addition, I think part of that 'anxiety' when you make the call, is a result of knowing that 'the end' is near... You can finally see the light at the end of the tunnel! ;)


I can only chalk it up to fate that I've finally taken this steps at this point in my life...

Yeah, I couldn't agree with you more my man. Things happen when they do for a reason and for you, January 07, 2008 is 'your time'... ;)

All the best on the big day dude!

GB
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on December 19, 2008, 08:38:57 AM
Hi All,

This is my first post, even though I've been scouring these boards for the past month. First off, I just want to express my appreciation to everyone who has been contributing to this board. Without the benefit of everyone's experience and insight, I don't think I would have ever been able to work up the courage to make a change to this awful condition which has plagued me since puberty.

My experience is typical of most people here. While I don't feel completely debilitated by my gyne like some who've shared their experiences here - it has definitely played a MAJOR part in my life. It affects the way I dress, the physical activities I take part in, the always popular going to the beach, and, to some extent, even my sexual activity. I'm in my mid-thirties and married to a beautiful woman who doesn't think I need to have my gyne repaired, but supports me because she understands that it's affecting me.

On Tuesday, I had my consultation with Dr. Lista. I found him to be very professional and he projected confidently that I would be very happy with my results. I booked a date immediately, for January 7th, and gave my deposit.  That night, however, I was up until 3 in the morning stressing about my upcoming surgery. The next day I visited my GP to gather information that Dr. Lista needed and get my required bloodwork done and spoke to my GP about the decision I made. His thoughts were quite re-assuring. He told me that he had had several patients who've undergone this procedure and that I would be happy with the results and that I shouldn't worry about it, but look forward to it. Interestingly, he noted that he could have referred me to a specialist years ago, but he never mentioned it because he figured since I never asked him about my gyne (I was always too embarrassed to even bring it up) - that I was comfortable with it, and he wasn't about to change that.

So, here I am, waiting for my big day, thinking about doing the things I always felt uncomfortable doing, wearing the type of clothes that I would never have dreamt of wearing, and just plain being rid of this monkey I've had on my back for the past 20+ years. I will follow-up with some pre and post op pics because I think our collective experience is necessary for those who will come here in the future - but I would also REALLY appreciate some feedback from those of you who have used Dr. Lista in the past.

Thanks,

dondante

Here is my experience with lista,i"ll answer any questions you may have, pics also posted
http://www.gynecomastia.org/smf/index.php?topic=7334.0
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 29, 2008, 04:38:29 PM
Thanks for the heads up - I actually have read that post exhaustively. It was a treasure trove of information. Your results are awesome, by the way.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on December 30, 2008, 10:26:20 PM
Thanks for the heads up - I actually have read that post exhaustively. It was a treasure trove of information. Your results are awesome, by the way.
Hey,just beaware that there are possibilities to complications like i had,i needed a revision to repair the skin adhereing to the muscle. It was a long and difficult time to get the results that i ended up with.But worth everything ,i would do it again.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 30, 2008, 11:15:28 PM
was that an additional cost to you?
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on December 31, 2008, 09:56:36 AM
no it was no cost to me,i must say the DR was just as disappointed as i was with the results i think that is why it was free. but if you are just not happy and want a revision he will charge you. ask the dr exactly what his policy is on revisions.most procedures will require a revision depending on how severe your gyno is,but keep i mind your expectations must be reasonable and not expect a miracle.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Grandpa Bambu on December 31, 2008, 12:50:52 PM
Keep in mind your expectations must be reasonable and not expect a miracle.

After all, Gynecomastic Reduction Surgery is just a fix. It's not a cure... 

Plastic surgeons are not magicians/wizards, they are mere mortals and can only do so much!  ;)

GB
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on December 31, 2008, 02:38:35 PM
I'm not that ambitious, my gyne is run of the mill garden variety type - I don't expect to come out looking like Brad Pitt - just normal  :).
Title: Re: Taking the plunge with Dr. Lista - Pre-op pics added
Post by: dondante on January 06, 2009, 05:37:09 PM
Well guys, tomorrow's my big day - my surgery is scheduled for 8 am. I'm a little nervous -  actually -  alot nervous, but also very excited. I thought that I would add some pre-op pics so you could see what I've been living with. Hopefully the post-op pics will show a dramatic improvement!

Wish me luck! And thanks for all the encouragement and advice, most especially Pacifico, Braveboy, and the always helpful Grandpa Bambu!

(http://thumbnails.imagebam.com/2289/65f2df22881063.gif) (http://www.imagebam.com/image/65f2df22881063) (http://thumbnails.imagebam.com/2289/4190bb22881066.gif) (http://www.imagebam.com/image/4190bb22881066) (http://thumbnails5.imagebam.com/2289/f6135722881068.gif) (http://www.imagebam.com/image/f6135722881068) (http://thumbnails2.imagebam.com/2289/87933822881070.gif) (http://www.imagebam.com/image/87933822881070) (http://thumbnails.imagebam.com/2289/fe547e22881072.gif) (http://www.imagebam.com/image/fe547e22881072) (http://thumbnails.imagebam.com/2289/e1502b22881074.gif) (http://www.imagebam.com/image/e1502b22881074) (http://thumbnails9.imagebam.com/2289/0ca22f22881075.gif) (http://www.imagebam.com/image/0ca22f22881075) (http://thumbnails10.imagebam.com/2289/4fc66522881079.gif) (http://www.imagebam.com/image/4fc66522881079) 
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Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Pacifico on January 06, 2009, 07:37:25 PM
All my best!
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 07, 2009, 07:37:20 PM
Don't feel up for typing, but just dropping a quick line to say surgery went well and I'm feeling pretty sore - but can't wait to take off my dressing tomorrow to see how things are shaping up. Will have more details in the days to come!
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 08, 2009, 08:17:58 PM
Checking in for another update, and feeling very happy that I went through with the surgery. I know it's very early - I'm only 1 day post-op - but the pain has subsided pretty dramatically in the past 12 hours to the point where I might make my 9 pm perc my last heavy duty painkiller and switch to tylenol extra strength as of tomorrow.

I took a shower today, and was extremely nervous to take off my vest and surgical dressing. I must say I was pretty overjoyed with what I saw - a dramatic difference and minimal to almost no bruising. I'm trying not to get carried away with my happiness, though. I've read far too many posts here of super happy people reporting within a day or two of their operations and then checking in days or weeks or months later with very extreme disappointment.

I'm going to try to post some post-op pics tomorrow - I'm also debating whether to start a new thread with my pre and post op pics in another section of this site so that it may be easier to access for people looking specifically for that. Any thoughts or suggestions on that out there?
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on January 10, 2009, 08:36:25 PM
Hey congradulations and welcome to the other side.You will be alright stay positive and don"t panic the easy part is over,now post op is when all the hard work happens,but your not alone where all here for you.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 11, 2009, 02:22:43 PM
Braveboy, those words couldn't have come at a better time. I'm 4 days post-op and experiencing some swelling, especially in my left breast where it's noticeably larger than it was post-op. I know it's normal, but it's still difficult to not freak out. I keep reminding myself that recovery takes time - but it was nice the way you put it - the real hard work begins now. You're absolutely right!
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: Pacifico on January 11, 2009, 03:05:49 PM
Hey I have the same issue it is normal!  Just don't be too active like heavy lifting and the like and time will take the swelling away!  My doc did not mention it, but my sister had a surgery and the doctor told her to take Arnica Montana, it is a homeopathic remedy and pills can be bought in any high end grocery store in the homeo section.  I am using it but not sure if it works, but it is supposed to reduce swelling.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 11, 2009, 05:46:15 PM
Funny you should mention that, Dr. Lista actually gave me arnica montana and made me start taking it 2 days pre-op. I've continued using it, but I think if your chest has to swell, it's just gonna swell, no matter what you take.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on January 11, 2009, 08:02:08 PM
hey,your body has been through a lot of trama all the swallon is a normal part of healing,i know dr lista will monitor you closely with all the post of visits he has with you.Hang in
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 11, 2009, 11:25:23 PM
Here are some post-op pics - taken on day 4.

(http://thumbnails7.imagebam.com/2341/44614923401527.gif) (http://www.imagebam.com/image/44614923401527) (http://thumbnails10.imagebam.com/2341/358c2b23401528.gif) (http://www.imagebam.com/image/358c2b23401528) (http://thumbnails8.imagebam.com/2341/9d5dab23401531.gif) (http://www.imagebam.com/image/9d5dab23401531) 
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Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 14, 2009, 03:14:20 PM
Just got back from my first followup - I was a disappointed that it wasn't with my ps but with his nurse - however, she did answer my questions quite confidently and hopefully knowledgeably.

My surgeon removed 500 ccs from my left side and 575 ccs from my right - but the nurse wasn't able to tell me how much of that was gland or fat. She saw my swelling and told me it was to be expected - she felt my chest and told me she can already feel the scar tissue forming. Apparently my swelling is the result of both fluid retention and scar tissue. She recommended that I use arnica gel and massage my chest gently for 5 minutes 3 times a day to help speed the healing process.

I asked if there was anything abnormal about the amount of swelling I have and she said no - that my chest looked typical for 1 week post-op. With proper care, she said most of Dr. Lista's patients see the swelling and scar tissue dissipate within 3 weeks to 3 months and that in between I will see variations in size as my body recovers.

I have another followup scheduled for February 4 - this time with Dr. Lista himself - which I guess is good because there will be more of a benefit of time to see how things are progressing for me. In the meantime, I'm trying to convince myself to stop being so OCD about this situation, relax, and settle into a longer timeframe frame of mind.

I'm off to apply some arnica gel...
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 15, 2009, 05:20:26 PM
Here's a pic from today, 8 days post-op, and the bruising is making its presence known  :) The swelling hasn't changed, still more pronounced on my left but not stressing about it as much as I was before because I know my body is going to take time to recover.

(http://thumbnails13.imagebam.com/2375/775f9a23747558.gif) (http://www.imagebam.com/image/775f9a23747558) 
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Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: braveboy on January 16, 2009, 08:34:15 PM
Hey,i"m surprised that the dr did not see you and that it was his nurse,he must of had some other issue to care of because he was there for all my visits.I"m wondering why your nipples look like they have scabs on them?But to look at your pics you can tell that you are very swallon and probaly have fluid in there,i:m sure when you touch or massage your chest you can probaly feel the fluid.But it is way to early to know the outcome be patient,i know easier said than done.Healing really sucks i had too go through it twice.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on January 17, 2009, 12:23:52 AM
Braveboy, I keep referring back to your thread about your experience with Dr. Lista - and it's amazing how much my feelings at this point reflect what you were feeling at this point after your surgery. It's been a great inspiration and source of hope for me - thank you so much for documenting so thoroughly what you were going through...

My nipples do have scabs on them, and I forgot to ask the nurse about it. I don't know why they're there, but it looks like they will be gone soon. Nonetheless I am curious why they were there in the first place - they didn't bother me, but I am curious.

When I massage myself I do feel a little fluid (more on the left side), but what I feel more prominently are these hard bumps, which the nurse said was scar tissue. I think you described your scar tissue as feeling like hard bumps too, right?

I'm definitely feeling more patient and less anxious now, my chest still gets these pangs of pain, and it ranges from feeling numb to feeling sore and everything in between - so clearly my body is working away at getting its shit back together.

Thanks again for checking in, man, I really appreciate it.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: soillinois on March 12, 2009, 01:47:32 PM
Thank you for sharing your experience.  It really helps me prepare for what I need to do.  I am actually going to be driving 3 1/2 hours away for my PS.  They told me instead of coming to the follow-ups that I could email them pictures and they would give me feedback.  This was just if I wanted not to have to drive the distance for the follow-ups.  I was wondering how many post opp visits you are expected to have?
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on March 14, 2009, 09:39:21 AM
Typically there's a one week, one month, three month and six month followup. But that will depend on your plastic surgeon, and how your recovery is going.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: RealCanadian on March 15, 2009, 12:27:33 PM
Dondante, thank you for your post as i am a new member and reading these forums for the first time.  I am simultaneously reading on Braveboy's experience and I hope to gain as much wisdom from it as you did.  I want to say i appreciate everyone for posting their advice, and experience as it is helping me with some decisions. 

I am looking for a doctor to perform the surgery.  I have only seen Dr. Lista several months back, but thought it to be rather expensive (i was quoted at $6000), and could not afford it, even with lending.  I have opened up to my family and they have agreed they can lend me the money. 

Although I am new, i will spend the rest of my free time reading the entire Canadian forum to gain some knowledge. 

Question:  I have read in another post that Dr. Fielding the glandular removal is covered by OHIP.
Have you heard of this?  Dr. Lista did not mention this to me, so im wondering if this cost already includes the savings or is there something i am missing?

Thanks again everyone!

-RealCanadian
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: monsterclean on March 15, 2009, 03:27:59 PM
Hi RealCanadian,

I had surgery this past week with Dr. Lista.

You are correct in that the costs are substantially lower with Dr. Fielding.  Not only is the gland excision covered, so are other hospital related costs, including anesthesia.

Unfortunately, those costs are not covered by OHIP for Dr. Lista.  I had to pay the full $6300 out of pocket.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: dondante on March 16, 2009, 03:48:17 PM
Hey Realcanadian,

welcome to these boards! Monsterclean is right, the cost is much higher with Dr. Lista because he performs the surgery in his private clinic. It is a completely private procedure. Dr. Fielding uses hospital facilities and the gland excision element is covered by public health. Dr. Fielding comes with very high praise in these boards. Apart from the price, the main difference between Dr. Lista and Dr. Fielding is their surgical method. They have different surgical methods. The main difference is that Dr. Lista excises the gland through the same incision he uses to lipo, while Dr. Fielding while make a lipo incision, and separate incisions at the nipples to excise the gland from there. Some people, myself included, are willing to pay the much higher price of going with Dr. Lista to avoid potential scars on our nipples. Otherwise they are both very good, very reputable and very experience gyne surgeons.
Title: Re: Taking the plunge with Dr. Lista - anymore advice out there?
Post by: monsterclean on March 16, 2009, 05:42:54 PM
I think dondante's post was a good summary of the similarities/differences of Dr Fielding and Dr Lista.

Both seem to achieve great results, just get there in different ways!
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