11
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
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