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Depression and some fat

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Depression and some fat
« on: January 07, 2013, 11:37:43 AM »
Doctors,
I had gyne surgery 9 months back. I was disappointed with the result as I have some depression and fat left on right-side.
Please check my post-op pics.

I have some queries:
1) How does my chest look to you? DOes it still look like gyne?
2) How can the depression be corrected?
3) Would liposuction alone solve my problem? or would I need fat flaps?
4) would I need any gland excision?

Appreciate your help. Thanks in advance.
Karthik.

Linkback: https://www.gynecomastia.org/smf/index.php?topic=26910.0

Re: Depression and some fat
« Reply #1 on: January 07, 2013, 11:39:38 AM »
more pics..

Re: Depression and some fat
« Reply #2 on: January 07, 2013, 12:35:20 PM »
please view one pic at time and use the scroll-bar to see both left and right sides.

Re: Depression and some fat
« Reply #3 on: January 07, 2013, 05:10:54 PM »
I would tend to give things a bit more time it looks a bit lumpy
and not knowing what you looked like prior to surgery or what was done I would let things settle.
Jay M. Pensler,M.D.
680 North Lake Shore Drive
suite 1125
Chicago,Illinois 60611
(312) 642-7777
http://www.gynecomastiachicago.com

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Offline Litlriki

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Re: Depression and some fat
« Reply #4 on: January 08, 2013, 12:18:46 PM »
It would be useful to know how things looked pre-op to get a sense of how much improvement you've had.  It doesn't look like you still have gynecomastia, nor does it look like fat flaps would be an option for resolution--that works for depression under the areola. It's tough to say from the photos what the best option would be for improvement.

Rick Silverman
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458
617-965-9500
800-785-7860
www.ricksilverman.com
www.gynecomastia-boston.com
rick@ricksilverman.com

Certified by the American Board of Plastic Surgery

Re: Depression and some fat
« Reply #5 on: January 08, 2013, 01:07:33 PM »
some pre-op pics

Re: Depression and some fat
« Reply #6 on: January 08, 2013, 01:30:15 PM »
some pre-op pics:

Re: Depression and some fat
« Reply #7 on: January 08, 2013, 01:34:38 PM »
post-op pic

Re: Depression and some fat
« Reply #8 on: January 08, 2013, 01:35:03 PM »
post-op pic

Re: Depression and some fat
« Reply #9 on: January 08, 2013, 01:37:23 PM »
post-op pic

Re: Depression and some fat
« Reply #10 on: January 08, 2013, 01:54:18 PM »

DrPensler,
I am already 9 months post-op. do u think my chest could improve further? how much more time should I wait? When you say "it's lumpy", r u referring to right side of my chest? i don't feel any "lump" on right side. it's soft only.. what about the depression? is it not visible?

Dr. Rick Silverman,
so you don't see any depression on my chest?.. any improvements you could suggest?

Thank you doctors for your feedback.

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Offline Litlriki

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    • Dr. Silverman's Website
Re: Depression and some fat
« Reply #11 on: January 08, 2013, 09:39:05 PM »
There are clearly contour irregularities, but the single views you've posted don't show them very well.

RS

Re: Depression and some fat
« Reply #12 on: January 09, 2013, 03:17:27 PM »
As you can see, evaluating photos can be difficult, even for experienced gyne surgeons.

Better suggestion:  either return to your original surgeon to discuss your concerns or visit an experienced gyne surgeon for an opinion about revision.  It seems to me that part of your problem is some skin laxity, which may be from either aging or prior overweight.  If there are areas of residual fat, those areas can be lipo'd.  And if there is a depression, there may be ways to correct that as well.

Good luck!

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
815 Park Avenue
New York, New York 10021
Telephone:  (212) 570-6080
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi

Re: Depression and some fat
« Reply #13 on: January 10, 2013, 01:11:03 PM »
some more post-op pic

Re: Depression and some fat
« Reply #14 on: January 10, 2013, 01:11:51 PM »
post-op pic


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