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Ask a Doctor / Re: Gynecomastia surgery with skin excision
« Last post by Dr. Elliot Jacobs on Yesterday at 07:13:15 PM »
The 900 lb gorilla in the room is your prior overweight condition, which has effectively diminished the ability of your skin to self-tighten.  In addition, one side is decidedly more droopy than the other.  While your goal of minimal scars is admirable and understandable, I believe the best option for a tight, contoured chest would be a double incision with free nipple graft.  Yes, there would be more scars -- initially.  But in time, they will fade substantially.

A double incision will enable the surgeon to make the areolas as small as you desire, place them in a symmetric and appropriate position, and provide taut skin so that your underlying muscle contour will be visible.

The other options, though tempting, cannot provide the above results in one operation -- and perhaps not in more than one operation.

Tough case -- sorry there are no easy answers.

Good luck in your choice.

Dr Jacobs
Photos / Getting a bit bigger
« Last post by perky on Yesterday at 03:45:31 PM »
Well the old measuring bra has filled up a bit more now and I may have to buy a new one soon.
Only 34B but they say all good things come in small packages and I now love them.
They are so sensual and drive me crazy most days lately. Whats not to love?
Acceptance / Re: I love my gynecumastia. Anyone else?
« Last post by mgr on Yesterday at 10:04:10 AM »
I agree aboywithgirls!  I am way more conscious of my breasts when not wearing a bra than wearing.  In fact, I lose all thought of them once I don my bra in the morning.  
Acceptance Garments / Re: Forgetting you are even wearing a bra
« Last post by mgr on Yesterday at 10:01:35 AM »
Putting on a bra has become a natural process of getting dressed in the morning for me. I typically choose the bra and the shirt (outfit, if you will?) that I think go best together and will not announce I am wearing.  I then go about my day without hardly thinking or remembering I am wearing a bra.  It has been like this for the past 3-4 years.  For some reason I am braless for any length of time my breasts start to hurt, which is why I started to wear.  I also do not like the movement or the nipple chaffing. I would think about my breast much more during the day if I was braless than I do when wearing a bra.

When I stop to think about the fact I am a 62 year old man wearing a bra it sounds weird, but then I need it just like any female. I think accept it and move on. It is the same attitude I have when I walk into Soma bra shopping.  I have breasts and I need a bra. That concept ha given me a lot of confidence when shopping.
Ask a Doctor / Re: Gynecomastia surgery with skin excision
« Last post by Miguel Delgado MD on Yesterday at 09:13:43 AM »
Based on the recent criteria I believe that a free-nipple is best.
Ask a Doctor / Re: can this vaser overesection by caridi be fixed??
« Last post by Miguel Delgado MD on Yesterday at 09:05:44 AM »
I am sorry about your experience. I agree with Dr. Jacobs 100%.  You need a gynecomastia expert to improve your situation. Good Luck.
Acceptance Garments / Re: Forgetting you are even wearing a bra
« Last post by curiousk on Yesterday at 06:37:56 AM »
I can relate to that.  It is rear that I'm braless, maybe for a moment in the morning and when I take it off at night.   Prior to wearing a bra, I knew that my boobs bounced around and that it was uncomfortable.   I thought that it was something I had to deal with since I dealt with it starting at age 11.  I accepted having breasts in my late teens or early 20's and toyed around with the idea of wearing a bra, but never did it.   Since I've been wearing a bra daily for over a year, I'm happy with the decision to do it and I usually forgot that I'm wearing one.  I still give myself a once over, just to make sure I look good and be on my way.  I ask my wife how I look sometimes and her response is always " wear whatever is the most comfortable to you".   I'm now very aware of how uncomfortable it is to walk up or down a flight of stairs, walk quickly or run, jump, etc without a bra on.  So, I'll wear something like a soft cup bra at home and when I'm out of house, I'll wear an underwire bra to stop a lot of bouncing and movement.  

I think that if you wear a proper sized and well fitted bra, it's very easy to forget that you are wearing one.   I don't rip mine off the second I walk in the door like many of the women I hear about.  Comfortable all day for me.
Acceptance / Re: I love my gynecumastia. Anyone else?
« Last post by aboywithgirls on Yesterday at 05:31:32 AM »
There's a lot to be said about "forgetting" that you are wearing your bra. First, it says that this is normal for you. It's normal for you to pick out your bra, put it on, and then put on your top and check yourself in the mirror. It's normal for you to have proper support and shape for your breasts. Its normal for the apex of your breasts to be halfway between your elbow and shoulder. It's normal to have a protective layer covering your breasts that protects your nipples and keeps them in check. We'll guess what? It is normal, women do this everyday because they have breasts. We do too. That's why it's normal! What's not normal is having breasts and running around braless. It's easy to forget that you are wearing your bra. It's even easier to remember if you didn't put your bra on when you leave the house! 

Ask a Doctor / Re: Gynecomastia surgery with skin excision
« Last post by Ohno23 on Yesterday at 02:43:32 AM »
Thanks. To be clear, while I prefer minimal scarring, I wouldn't want it at the expense of an obviously worse chest. So my goals are:

1. Flat/tight-ish chest. It doesn't need to be perfect because the skin on the rest of my body isn't either (though it retracted much better than my chest), I just don't want any sag/obvious laxity.
2. Correctly positioned nipples. For my worst side, it seems like it needs to sit at least 3cm higher than where it is now. Is that achievable?
3. 10-20% reduction in areolar size. From what I've read, I basically get this for free after the gland is removed. It comes down to whether or not the surrounding incisions will end up stretching it out.

I guess a lot of this is hard for you to answer from photos alone. It seems like I'm a borderline case and my biggest worry is that if I need skin excision I may regret not just going with the double incision for more guaranteed results. I know that other doctors here like Dr. Jacobs prefer not to use the donut/periareolar incision, so I'd also be interested to hear their thoughts.
Acceptance / Re: I love my gynecumastia. Anyone else?
« Last post by Tyson1246 on February 28, 2021, 11:50:56 PM »
I just read your message on here.

I enjoyed reading it because I am going through breast growth now. At first it was awful, but it is weird how one becomes
accustomed to it and even enjoying the new found experience and sometimes very pleasurable.

I would even like a bit more growth there actually.

Cheers Tyson1246

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