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Weightloss before consultation

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Weightloss before consultation
« on: May 02, 2019, 11:29:35 AM »
So this topic by Mike80 got me thinking 


What DO I  do about weight before surgery? I am taller than I  am wide and just above the 30 BMI mark (6'4 and 255 lbs at the moment). I actually started to exercise earlier this year and burned off some fat, but stopped because of how my stomach was shrinking disproportionately to my chest, which stayed the same. I  lost 28 lbs last year (that I did gain back unfortunately) and noticed the same thing: I had to buy a new belt because my work pants were falling off my butt at work, but I still struggled to put on some of my shirts without unbuttoning them.

I am actually very frustrated by this. On one hand, my goal is to burn fat, but on the other, I don't want my gynecomastia sticking out like a sore thumb stung by bees.

Also, I am going in for a consultation in about a month. The secretary said I'd have to be at a stable weight to do the surgery.  This also frustrates me: my goal is to burn fat, not lose weight.  Personally, I dont want to drop below 230lbs if I  can help it. What should/can I do?

Linkback: https://www.gynecomastia.org/smf/index.php?topic=35319.0

Re: Weightloss before consultation
« Reply #1 on: May 04, 2019, 10:34:27 AM »
There is no right answer to your question.  Obviously, being at your lowest and most stable and most acceptable weight is desirable.  But people are people and many guys have reasons they can't or won't lose weight.  then it is up to the patient and the surgeon, after a physical exam, to discuss the pros and cons of surgery at your present weight or at a lower weight.  Ultimately, you can reach a reasonable solution and you must be realistic as to your goals.

I do this all the time with my patients -- not all are perfect candidates for surgery -- but if they are realistic and accepting of my caveats, then we can proceed.

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:  [email protected]
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi

Re: Weightloss before consultation
« Reply #2 on: May 15, 2019, 08:34:53 PM »
It is usually the case that as guys lose weight and become more lean, their gynecomastia looks worse. I generally recommend that guys lose weight before surgery in order to get down to a healthyweight that they can maintain. Sometimes it makes a difference regarding skin elasticity. There's not any real strict rule though.
Dr. Schuster
Chief, Division of Plastic Surgery Northwest Hospital
Private practice in Baltimore, Maryland
10807 Falls Road
Lutherville, Maryland 21093
email: [email protected]
website: www.CosmeticSurgeryBaltimore.com

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