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Re: the day my life changed forever. *post op day 50 pic*

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Re: the day my life changed forever. *pics-2 weeks post op*
« Reply #30 on: July 29, 2011, 11:23:51 AM »
Dude, I'm more than happy to entertain your questions. I never expected this thread to get so many views, nor did I ever expected anyone local to even stumble upon it, so to me this is great, I'm so happy I can help.

Yes, the Valium prescription was given by the doctor.

I want to add, when it comes to work, I think you need to tell at least one person in the upper management you can trust you will be having surgery. I'm not sure if you work for a franchise, or corporation...but I work for a small business...we have less than 20 employee's. I have a very close relationship with the owner, the general managers, and the other executive members. This also gives me huge flexibility, as they see me as an important asset. Still, I did not want my normal day to day co-workers, or even my managers knowing I was having surgery. We have a certain person who handles the schedule and also all the accounting and office work. I called her personally, and told her I was having a surgery and would need at least 8 days off. I told her it was a private, but not serious, and I did not want to discuss the details. She had no concern in knowing and was very understanding. I also told her I did not want anyone else in the company knowing and if anyone asked in regards to my absence she was to tell them I was on vacation. She had no disagreements with my request of confidentiality. I also told my General manager as well, as he works closely with the office manager. Had I tried to lie, this would have could have been a big problem, because by telling them gained the security with the big heads that if I did have a problem returning back to work on the 9th day, they would understand and I would not get in any trouble, opposed to them thinking I was really on vacation. This may not be an option for you though cause as I said my company is very small and more like a family. If I had to take a month off, I could, no problem. I've worked there for almost 5 years and have gained a high level of respect and seniority by the owner and all other high level staff. I had to lie and tell my co-workers I was going to visit family because I did not feel they were mature enough to understand. I got a call that Monday by my GM he asked when I was able to return to work, I told him this week, I just needed to take it slow so he gave me off until Wednesday so I started back the 11th and had no problems. So if you can, try to tell the the uppermost member you can, make it a personal behind doors conversation. Its essential that you can trust them to not run their mouth and spread rumors. It's better to have someone who has your back, then to jeopardize your healing or even losing your job because you are dishonest. Either that, or just be willing to have everyone you work with know you had gycomastia surgery..not something I wanted to do.

I'm not sure about a referral program, but you can mention my name if you'd like, I'll pm it to you. This whole thing has inspired my dad to get his broken nose fixed, maybe that would help him cause my dad and Dr Bitar seemed to like each other.


Knowledge: 8. He is of middle eastern decent, but is very well spoken. His consultations are quick and not too in depth and I did not have many questions, but he was willing to answer any I did have, and did well. If you have questions, have them ready before hand. He will basically inspect your chest, explain the procedure, show you some pictures, ask if you have any questions. The nurse talks you you afterwords. The nurse was much more detailed in explaining after procedure care, and asking me questions and explaining my concerns. She herself seemed very knowledgeable about it. They have a good team work system going.

Bedside Manner: 9. He was very enthusiastic and just put out very positive vibes. He didn't treat me like just any old patient, he really seemed to have an interest in helping me. He understood how gyne had affected me. The nurse too. They seemed like they were more excited about changing my life and seeing me be happy then they were about money. Like I could really hear the passion in they're vocal tones.

Office: 8 The Manassas office is just a normal office, its not old, but nothing impressive. It has some nice leather couches, haha. The prince william hospital it's self is a nice facility, I preferred the Manassas office just because it is only 20 minutes from where I live. However, the Fairfax office is new, and is very very impressive. He just recently opened it and it seems more customized to his liking, not just a suite in the hospital.

Staff: 9 As I said before, his staff works very closely with him as a team. The nurse was just has helpful, as the doctor when it came to explaining the procedure, and answering questions. I was very impressed. The other people who do the scheduling and stuff are also very friendly, and as I said before the whole practice just put out good, positive vibes.

In all fairness, I don't give out 10's. I don't have a huge degree of experience to compare their practice too, but the other doctors I did see were much worse in all aspects. This is just my personal opinion.


f*ck gyne

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Offline dallasguy12

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Re: the day my life changed forever. *pics-2 weeks post op*
« Reply #31 on: July 30, 2011, 01:35:45 AM »
I certainly appreciate your willingness to respond to my questions. Do PM me your name (if you like) so I may mention it during my visit in hopes that you or your dad sees some kind of benefit. He ought to know this business is based largely on referrals and the value of positive word of mouth can't be under appreciated.

You've given me the level of comfort I think I was looking for to go in with limited apprehension and finally get this whole thing underway. I've already started parting company with some of my higher priced items and scraped together $1,500. I'll put that together with a paycheck or two and finance the difference if there is one. This whole thing is seeming more feasible every day.

My biggest worry is not being satisfied with the results after spending such a handsome amount of money but there's nothing I can do about that risk - it exists no matter where I go. 


Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #32 on: August 05, 2011, 12:16:43 PM »
I taken a few pictures of my results, today I am exactly one month post op. I'm super paranoid about my chest all the time. Not in the sense that it looks bad but that it may be getting worse or not healing to it's potential due to my activities. It sucks, cause I think it's all in my head.. There is definitely some asymmetry, which I guess Is expected because the gland on one side was a little bigger then the other. I'm hoping in time, the appearance will even out.  My camera battery died so I was only able to take a couple pictures.







Questions/Comments are welcomed.

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #33 on: August 05, 2011, 05:49:20 PM »
You're looking great, buddy. I think that we all develop such a negative self-image of our chests over the years that it's difficult to see things in a positive light post surgery. Kind of like the person who loses a leg in an accident; they still see it and feel it long after it's gone. I'm having some of the same issues with my own surgery, but I'm slowly realizing that they are indeed gone, and what's left behind is a "normal" male chest. You look great, and I doubt any casual observer would ever think that you ever had a procedure done. In my mind, that simple fact means your surgery was a resounding success. Continued good luck!

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #34 on: August 08, 2011, 05:40:11 PM »
Looks great! Your surgeon did an amazing job. My surgery is in a few days and I hope my results look like this at only 4 weeks post-op. Just in time for school.

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #35 on: August 10, 2011, 11:39:33 AM »
oversoon, californiaking...thank you very much for your kind words, they're are very encouraging, and as I look in the mirror this morning I feel assured I am indeed seeing a desired result. I think I will post some more pictures once I reach the 8-12 week mark. I just want to make a few notes in regards to my experience so far and my thoughts.

Firstly, to those in the recovery stage-- I've realized compression after surgery, as stated by many on here, is very important. I was not given a medical grade compression vest, but rather a binder. For best results, get the compression vest. The binder works fine for me, and i'm sure its much more comfortable and easy to conceal, but one error I made is it's important to think about how the binder is put on.
My theory is, I always wrapped it around me the same direction, not realizing that one side of my chest was getting more pressure because of this. I began wrapping it around me the alternate direction and have already began to notice the side of my chest that was more swollen beginning to even out and match the side that was continuously under more pressure. If you're surgeon does not require you to get a medical grade vest, and you do not get one yourself, just make sure that you alternate the direction the binder is wrapped around your chest because I believe it does make a difference. I am seeing an almost immediate reduction in the asymmetry of my chest after doing this.

Second, when it comes to scars, I would highly recommend using vitamin e oil. I've had minimal internal scarring, so I never really have not had to do much massaging, my surgeon even told me not too, but I have had a concern about external scarring. Initially I was applying coco-butter and I suppose this works as well. More recently, I have began using vitamin e oil and I really feel like it works better when it comes to fading discoloration.

Third, don't jump the gun. I know its hard to not begin doing the things you've waited so long to do, but its not worth jeopardizing your recovery. One of my best friends has a pool in his backyard and I've wanted to swim in it so bad..but i realize that sun exposure may damage my healing skin and strenuous swimming may trigger a bad reaction so I will wait till at least the end of august. (it's not that bad because my friend doesn't swim either because he's overweight) Everyone's recovery time is different, I guess I was one of the lucky ones, but it's better to be safe than sorry.

Finally, to everyone, I just hope this thread can be an inspiration to those still in the struggle... It seems like not that long ago I was just discovering for the first time what was really wrong with me...I still remember the feeling of hopelessness and depression when I found out costly surgery was my only real option. I do not come from a well to do family, but I set priorities in my life and worked hard, saved money, and dealt with the pain of acceptance to reach this point of recovery. It's crazy how having gyne affects so many facets of your life. I was in a room with multiple mirrors yesterday, and I noticed how bad my posture is from having a habit of slouching so my nipples would not poke out as much. It's terrible, now I must learn to proudly stand with my chest out, its a hard habit to break. I really believe us who have suffered from this condition have a mental strength that many people do not possess. Depression motivates, and one can only emerge from a struggle stronger and more aware of reality than before ...never give up...never lose hope...always have faith...

p.s. on a lighter note.... I don't know about you guys, but among many people I know "titty twisters" are a common practice of humor, regardless if you have a large chest or not. I've been fearful of someone giving me an unexpected titty twister and serverly damaging my recovering body. Post op I have been super alert, and all I know is if anyone's hand come's near my chest, friend or foe, I'm going to quickly block and then punch them in the face...I wouldn't even have to think about it...it would be a natural reaction  ;)


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Offline Ali19

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Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #36 on: August 10, 2011, 10:35:44 PM »
joltera that was amazing, im glad all the stress and pain finally pays off, im in the same boat but those wordds from you really mean a lot for us who are still waiting for the surgery.

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #37 on: August 14, 2011, 07:26:53 PM »
where did you get your surgery bro? It looks awesome and how much?

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #38 on: August 17, 2011, 12:40:56 AM »
Thanks, my biggest concern right now is that upon reading some stuff I saw that most people have stitches after having gland excision. I did not get any stitches. Not that I'm aware of.. I'm worried about an "excision scar" from a certain angle in the light the cut it pretty noticeable. Is this normal? The cut the doctor made is rather large, almost the whole bottom. Right now I'm five and a half weeks.

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #39 on: August 17, 2011, 01:03:56 AM »
Wow, great results!!! I honestly can't see the asymmetry you mention..? Looks even to me. I think it may be one of those situations where you're super familiar with yourself and looking for it really hard then you might notice something, but honestly if you took your shirt off in front of a complete stranger they wouldn't be able to tell you had surgery or anything is asymmetrical.

Also what kind of activities are you talking about that are making you worry? I'm 8 days post op and am trying to take things pretty easy.

Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #40 on: August 17, 2011, 02:31:08 AM »
Thanks for the kind words, it's definitely a big improvement! It's hard to see from the pictures, but I guess if I were to describe it I would say right side is flatter, while the left side is a little more firm and hard beneath the nipple. The right side has a deeper more defined lower contour, while the left protrudes more from the center and the the left giving it a less defined lower contour. When I say lower contour, I mean the "line" that defines the lower end of the pectoral region when looked upon straight on. I'm really not even sure which side better or worse, they just don't look the same. The upper half of the right areola seems to have less support and feels soft and hollow to the touch. The left side has good support, maybe even too much, as it feels really firm and hard. Like you said, obviously these differences are much more noticeable to me than they would be to a stranger, but they're still there. I'm just not sure if what I'm feeling is scar tissue or gland. You can't really see from the pictures. If it is scar tissue, does all of the internal scar tissue become broken down and absorbed, or some just some it? Will the areas that once contained gland tissue naturally refill with fat and muscle as time progresses? I know I'm only its only been about 6 weeks, but I'm just skeptical about how much improving change will occur. Don't get me wrong, over all it is way better than it was before, but when I get into specifics, these are the issues I have. To me, it just seems very obvious that I had surgery due to the excision scar. I know different techniques will produce a different scar but is this scar something I will have to live with or do they typically get better over time? This is the aspect that I think would be most noticeable to people who had not seem my chest. I'm hoping my skin will tighten up in time and it will look less noticeable. I just hope I don't have to live the rest of my life explaining to people that I had puffy nipple surgery, but If this is the case, so be it..can't turn back the hand of time now..could be a lot worse..When I said activities, I meant mostly my job, I'm pretty active at work but I feel like I'm past that stage now, I wanna begin working out.

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Offline dallasguy12

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Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #41 on: August 17, 2011, 09:00:16 PM »
I'm happy to hear you're doing well. Frankly, from the pictures you posted it's near impossible to tell you've even had surgery and you're only 5 weeks out!

My consultation with Dr. Bitar was 2 days ago. I felt it went ok. The staff were friendly, for the most part, but I felt his assessment of me was hurried. I know he's busy and the consultation was free so I'm trying to keep this in mind. He was both congenial and intimidating, due mostly to the fact that he seemed pressed for time. I felt like I needed to be brief and just listen even though I wanted to ask more questions.

He said I have Grade 2 or Grade 3 gynecomastia and he would have to operate on me at Fairfax Hospital. I inquired about doing it with only a local anesthetic and he said he felt the procedure would be too extensive and he wouldn't have a sufficient amount of anesthetic to continually inject while performing the operation. He said if all I had were protruding nipples he could do it that way but alas, I will have to pay an extra $1,500 if I decide to go through with it.

I wanted to mention your name joltera but you never PM'd it to me. I did mention that I discovered him through a user on gynecomastia.org - apparently he'd never heard of this website and was sort of surprised it existed.

The total cost I was given was $5,355 but if I were to finance even a portion of the total using Care Credit, I would have to pay them a $75 administrative fee which is nominal in the grand scheme of it all.

$5,400 is fairly sizable amount of "money". It's probably more than I've ever spent on anything.

Joltera, I'm really feeling 50/50 right now. Before I would say I was more like 80/20 but when the reality of what kind of money is involved sets in, it's easy to shrink away from it. One big difference between your situation and mine is that you had the money ready to go up-front, whereas I will be financing mine. I'm not sure which is worse? I think I'd rather have the money upfront than be burdened with ongoing monthly payments.

Are you still happy you went through with it? Are you happy with Dr. Bitar still and how you've been treated during your follow-up visits with him? Any words of advice?



Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #42 on: August 19, 2011, 11:06:09 PM »
I know the feeling, 5,500 dollars is a ton of money! Am I still happy I went through with is? Most definitely. Do I think I would be more satisfied with my results if I had seen a gynecomastia expert? Most likely. Unfortunately, I could not afford a top notch surgeon. I had money on hand, but that money came from somewhere. I was somewhat discouraged and still am often with my outcome because like many i desire a perfect result that I can feel comfortable with when exposed, but doing research on here and seeing some of the really bad results makes me realize mine isn't so bad. I haven't had many concerns during the follow ups so they were somewhat brief. The fact of the matter is I do not have puffy nipples. My chest no longer looks feminine. I can wear whatever I want without having to worry about how I look. I can stand tall and with good posture without my nipples poking through my clothing. I'm not to the point where I would take my shirt off in front of people but I'm hoping I will be by next summer. My chest definitely isn't perfect.. but its so much better  and I still have lots of healing to do im sure, to me was worth every penny.

How I see it is...what is the money really worth anyways? I was in a situation where I decided if I didn't do this now...it may not happen for years to come. I knew I was taking a big risk...but I didn't care. I found it imperative to use my money and get this behind me before I lost those resources and was stuck with boobs for decades to come. Money is only worth as much as the services or products it renders To me, getting rid of my gyne was the most important thing in the world, so logically there was nothing else to spend my money on except that. I do not know much about you're financial backing, but if you make enough money to make payments, and are willing to live with gyne for a bit longer, maybe you could start saving. If getting rid of gyne is worth being financially indebted during the duration of your loan payments, than do it. Once I had enough money, I became very impatient, didn't really care just wanted it done. This was naive. Just take your time and relax and think really hard about it. Maybe even see more doctors, save some money, discover new resources.

Having gyne basically has been one of the biggest influences on my behavior, mental and physical, in my entire life In a extremely negative, draining, and depressing way. I wouldn't say it ruined my life, but it altered it in a way that Is cruel and unusual, It took away many opportunities and was  constantly attacking  my confidence and pride. Of course, this is all because mentally I felt like I was abnormal within the social structure I belong too. If a lot of people I was in contact with growing up had gyne too, I probably wouldn't be bothered by it because It would be socially accepted as being normal. This obviously isn't the case. Being post op though, I realized this operation is a risk and you could easily be worse off than before if not in the right hands. It is now settling in with me, that although I do not have gyne, I now have permanent scars that imply my surgical proceedings. Is the trade off worth it? I'd say so. Sadly I've come to find out that us who have gyne will never really have a "perfect chest".....

I wish you good luck. Feel free to reply or ask any other questions.


Re: the day my life changed forever. *pics-4 weeks post op*
« Reply #43 on: August 24, 2011, 09:37:37 PM »
woah 5,500 dollars????

Re: the day my life changed forever. *day 50 pic update*
« Reply #44 on: August 27, 2011, 12:38:36 PM »
xoxoxoxo, the surgeon fee's alone were 3800, as stated earlier in the topic, this was the price i paid because I had my surgery done under local anesthesia. If not, the hospital and other fee's are like an additional 1500.

To make this update more relevant, I'm going to post a couple more pre-op pictures and one of me today (50 days post op)

PRE OP




POST OP 50 DAYS


The pictures don't show good detail, but it is a huge improvement! At this point I do have some scar tissue that is protruding making the contour look strange, a lot on the outer edge on the left side, a little around the incision on the right (can't see in pic) and I sometime do still have random pains in my chest. Its not perfect, the tissue composition beneath is a little uneven, it seems like there is less tissue beneath the right so my nipples don't look perfectly identical, but I have noticed improvements as time passes and over all, at this point, l am satisfied.


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