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Gynecomastia Skin saggy excess skin * good surgeons in california?

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I live in california and I have gynecomastia but Im a bit over weight I have kaiser medical insurance but im debating if I want my surgery done by them. I've seen two different surgeons they both said since I have alot of skin in my chest area if I have the normal procedure when the nipple areola is cut and the tissue is pulled on through the excision and with the use of liposuction around the area the surgeons said I will have a raisin effect around my nipple the skin will hang. Another option they gave me was to just have excisions underneath my pecks and just remove the extra breast tissue from there but I will be left with a scar around under both pecks. Then i asked what about the Donut suture lift around the nipple where the skin is cut and the remaining skin is sewn together around the nipple. The surgeon said that this is the worst procedure because eventually the thread will break and with cause I scar outburst in shape a Star I just would like to know is there any other way to avoid this excess skin issue without having the scars under my pecks like the animated picture below? And I am 25 years old.



Images of the gynecomastia

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