Gynecomastia Forum, Doctor and Surgery Resources

General => Gynecomastia Talk => Topic started by: Pooz on May 26, 2011, 05:49:57 PM

Title: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 26, 2011, 05:49:57 PM
I'll be getting surgery with a young(cute) surgeon that is very inexperienced with gyncomastia surgery. When I had my consultation, she seemed to know what she was talking about. The reason I'm getting the surgery with her is because it's free.

It seems like from what I read here, you guys make it seem to be like there's almost a guarantee something is going to end up going wrong with the surgery. Is this true? Do inexperienced surgeons that haven't done many gyno surgeries really struggle with it?

Pretty scared about going through with this and then end up being very dissatisfied with the end result.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: puffycurse on May 26, 2011, 06:43:23 PM
Free? Inexperienced? I definitely would NOT take this offer. I don't think it's as easy as just cutting a slit and removing the gland. I'm pretty sure there's an art to this procedure in contouring the chest; and that is why I would take an experienced surgeon who I know won't screw up. I mean, if your surgeon messes up, you're going to eventually have to pay money for another surgery anyway. So, I would just wait and find a doctor that is perfect for the job.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 26, 2011, 06:45:10 PM
My insurance is covering it.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: puffycurse on May 26, 2011, 06:48:43 PM
If your insurance if covering it, find a better surgeon; one who is experienced with this type of surgery.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 26, 2011, 07:30:31 PM
Look. My only option is this.

I go with this surgeon on the 31st, or I go without surgery for at least a year and a half.
I'll be going overseas for over a year very soon that has very nice beaches and hot weather.

So it's either
Option A:Risk it with this surgeon(free surgery) and hope she does a decent job
Option B:Wait a year and a half and suffer at my new location(once and a lifetime experience), not being able to go to the beaches ext.

What would you do?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 26, 2011, 07:44:50 PM
I'll be getting surgery with a young(cute) surgeon that is very inexperienced with gyncomastia surgery. When I had my consultation, she seemed to know what she was talking about. The reason I'm getting the surgery with her is because it's free.

It seems like from what I read here, you guys make it seem to be like there's almost a guarantee something is going to end up going wrong with the surgery. Is this true? Do inexperienced surgeons that haven't done many gyno surgeries really struggle with it?

Pretty scared about going through with this and then end up being very dissatisfied with the end result.

Why not take some time and look at some of the horrific disasters I have seen after bad gynecomastia surgery to better understand why such a cavalier choice can lead to disaster. Seeing how tissues move is quite important. Looking OK for one or two still pictures, is nothing like looking good playing basketball, swimming, and enjoying life with your shirt off when you want. Check out my resources on

Crater Deformities
Puffy Nipple Complications
Extended Crater Deformity

to see some of the problems patients have asked for my help. Not all problems have solutions. Some are disfigured for life. Revision surgery is much more expensive. I have designed resources to learn how to pick a gynecomastia surgeon that are based on pictures of their experience. Otherwise you are gambling. This is your body and choices can affect the rest of your life. So learn and understand risks before choosing.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 26, 2011, 07:48:20 PM
I'll be getting surgery with a young(cute) surgeon that is very inexperienced with gyncomastia surgery. When I had my consultation, she seemed to know what she was talking about. The reason I'm getting the surgery with her is because it's free.

It seems like from what I read here, you guys make it seem to be like there's almost a guarantee something is going to end up going wrong with the surgery. Is this true? Do inexperienced surgeons that haven't done many gyno surgeries really struggle with it?

Pretty scared about going through with this and then end up being very dissatisfied with the end result.

Why not take some time and look at some of the horrific disasters I have seen after bad gynecomastia surgery to better understand why such a cavalier choice can lead to disaster. Seeing how tissues move is quite important. Looking OK for one or two still pictures, is nothing like looking good playing basketball, swimming, and enjoying life with your shirt off when you want. Check out my resources on

Crater Deformities
Puffy Nipple Complications
Extended Crater Deformity

to see some of the problems patients have asked for my help. Not all problems have solutions. Some are disfigured for life. Revision surgery is much more expensive. I have designed resources to learn how to pick a gynecomastia surgeon that are based on pictures of their experience. Otherwise you are gambling. This is your body and choices can affect the rest of your life. So learn and understand risks before choosing.

Hope this helps,

Michael Bermant, M.D.

Thanks for the reply. I guess I'm willing to take the gamble and go with the surgery, rather than hold off for another year and a half.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: morpheus11 on May 26, 2011, 07:56:16 PM
good luck with your choice. Because you are going with it, why don't you ask her really specific questions. Ask her about sedation, recovery, and maybe most importantly, her technique.  How does she plan on fixing this condition?  Is she going to just remove the gland, or do liposuction as well? 

As I said, good luck, and do keep us posted.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: kwl04 on May 26, 2011, 11:24:43 PM

I go with this surgeon on the 31st, or I go without surgery for at least a year and a half.
I'll be going overseas for over a year very soon that has very nice beaches and hot weather.

So it's either
Option A:Risk it with this surgeon(free surgery) and hope she does a decent job
Option B:Wait a year and a half and suffer at my new location(once and a lifetime experience), not being able to go to the beaches ext.

What would you do?

If she or anyone else does a bad job on you, you still won't be able to take your shirt off b/c your chest won't look right anyways.  Ever think of that?  There's a pic of 17 year old that didn't have a very good result. I feel awful for this guy.  I bet he's not taking his shirt off now even after the surgery. 

My opinion:
I would wait, go with a pro Dr. and give myself the best chance for a good outcome...........no question about it.  The beach can wait a little longer. 

Please post before/after pics so we can follow your story.  Good luck to you!
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 27, 2011, 12:01:28 AM
Like I said. It's a gamble I'm willing to take.
I'll be sure to post before and afters
Title: Re: Getting surgery with an inexperienced surgeon
Post by: sawyer on May 27, 2011, 01:13:23 PM
Look. My only option is this.

I go with this surgeon on the 31st, or I go without surgery for at least a year and a half.
I'll be going overseas for over a year very soon that has very nice beaches and hot weather.

So it's either
Option A:Risk it with this surgeon(free surgery) and hope she does a decent job
Option B:Wait a year and a half and suffer at my new location(once and a lifetime experience), not being able to go to the beaches ext.

What would you do?

when are you off overseas? will it give you enough time to recover anyway?
it's a tempting dilemma, but i wouldn't even bother.. you've suffered this long, why not wait abit longer? there's countless people that rush into the free option only to come back a year or so later and pay the same price and still have a messed up chest because of an inexperienced surgeon.
you can't really put a price on decent results
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 27, 2011, 03:14:58 PM
Look. My only option is this.

I go with this surgeon on the 31st, or I go without surgery for at least a year and a half.
I'll be going overseas for over a year very soon that has very nice beaches and hot weather.

So it's either
Option A:Risk it with this surgeon(free surgery) and hope she does a decent job
Option B:Wait a year and a half and suffer at my new location(once and a lifetime experience), not being able to go to the beaches ext.

What would you do?

when are you off overseas? will it give you enough time to recover anyway?
it's a tempting dilemma, but i wouldn't even bother.. you've suffered this long, why not wait abit longer? there's countless people that rush into the free option only to come back a year or so later and pay the same price and still have a messed up chest because of an inexperienced surgeon.
you can't really put a price on decent results

I'll have a month of time between the surgery and going overseas.
I'm not saying she's a bad surgeon, just inexperienced with gynecomastia surgery. The reason I'm getting the surgery free has nothing to do with the quality.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: sawyer on May 27, 2011, 05:06:47 PM
fair enough, i was just going on what you said in your first post.
what's your reason for going with her and not a more experienced one?
and a month after the surgery? you'll still be recovering and definitely won't be exposing your chest to the sun.
whats the situation with going overseas? did you book it yourself? can't you postpone it?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 28, 2011, 07:35:56 PM
Quote
I'll have a month of time between the surgery and going overseas.
I'm not saying she's a bad surgeon, just inexperienced with gynecomastia surgery. The reason I'm getting the surgery free has nothing to do with the quality.


What type of surgeon is your doctor? Is she board certified by the American Board of Plastic Surgery? What is the mechanism of the free surgery? If you are planning to offer testimonials, any member of the major Plastic Surgery Societies is forbidden to offer free or discounts for surgery and get testimonials. It is a breach of ethics violation can can result in sanctions.

If free is for coverage such as military surgeons, or covered by insurance plans. The same issues go about scrutiny of results. No cases to show => gamble. I have seen so many unhappy patients after such misadventures. One of the latest was from a military surgeon who did not know to wait until the problem stabilized. Of course the surgery did not prevent the continued breast growth and breasts bigger after surgery than before surgery. A surgical deformity, bigger breasts than before the operation, and scars to contend with. These are all issues of judgement, which comes from experience.

Does the surgeon have credentials to offer that surgery in the hospital? Some bypass peer scrutiny and do things in their offices. If not a Board Certified Plastic Surgeon or not credentialed, then you really are taking a monster gamble. I have seen cases that the patient were nearly killed by incompetent doctors who had no business offering surgery. Examples of bad results I have seen included Gynecologists, Otolaryngologists (Ears Nose Throat), Radiologists, Emergency Room Physicians, Family Practice doctors, are but a few.

There are many other factors that go into the selection of a gynecomastia surgeon.

Good luck on you plans.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 28, 2011, 08:24:21 PM
Quote
I'll have a month of time between the surgery and going overseas.
I'm not saying she's a bad surgeon, just inexperienced with gynecomastia surgery. The reason I'm getting the surgery free has nothing to do with the quality.


What type of surgeon is your doctor? Is she board certified by the American Board of Plastic Surgery? What is the mechanism of the free surgery? If you are planning to offer testimonials, any member of the major Plastic Surgery Societies is forbidden to offer free or discounts for surgery and get testimonials. It is a breach of ethics violation can can result in sanctions.

If free is for coverage such as military surgeons, or covered by insurance plans. The same issues go about scrutiny of results. No cases to show => gamble. I have seen so many unhappy patients after such misadventures. One of the latest was from a military surgeon who did not know to wait until the problem stabilized. Of course the surgery did not prevent the continued breast growth and breasts bigger after surgery than before surgery. A surgical deformity, bigger breasts than before the operation, and scars to contend with. These are all issues of judgement, which comes from experience.

Does the surgeon have credentials to offer that surgery in the hospital? Some bypass peer scrutiny and do things in their offices. If not a Board Certified Plastic Surgeon or not credentialed, then you really are taking a monster gamble. I have seen cases that the patient were nearly killed by incompetent doctors who had no business offering surgery. Examples of bad results I have seen included Gynecologists, Otolaryngologists (Ears Nose Throat), Radiologists, Emergency Room Physicians, Family Practice doctors, are but a few.

There are many other factors that go into the selection of a gynecomastia surgeon.

Good luck on you plans.

Hope this helps,

Michael Bermant, M.D.

It's covered because I'm in the military. She is not a military surgeon.
 They gave me the referral to the plastic surgeon that I'm going with.
I could've spent time looking for my choice of a surgeon instead, but found out I got orders, so I need to get the surgery sooner than expected.
Yes, she is board certified by the American board of plastic surgery.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: hitchcock on May 28, 2011, 10:08:16 PM
I don't have any experience or a complete understanding of the surgery process, but this is your body and you should be in no rush at all. You lived with it this long, it can wait. The most important step in this process is the surgeon. You better make sure she's done this before or you'll never want to take your shirt off again. It's a gamble NOT worth taking in my opinion.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: sawyer on May 29, 2011, 07:23:34 AM
just post pics so more people are aware how important the surgeon choice is
Title: Re: Getting surgery with an inexperienced surgeon
Post by: looseSHIRT on May 29, 2011, 11:05:00 AM
Goodluck with your choice.. Hope everything goes well..
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 12:41:39 AM
I only got 2 frontal pictures. This mainly shows how bad my puffy nipples are. I also got some fat, but the gland is the worst. I would be happy with just the puffy nipples being gone tbh.

These pictures are from 3 years ago. I'm in better shaped now.

(http://i285.photobucket.com/albums/ll72/Poozy00/001.jpg)


(http://i285.photobucket.com/albums/ll72/Poozy00/002.jpg)

I go in for surgery tomorrow. I'll be sure to post post op pictures.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 31, 2011, 02:17:32 AM
I only got 2 frontal pictures. This mainly shows how bad my puffy nipples are. I also got some fat, but the gland is the worst. I would be happy with just the puffy nipples being gone tbh.

These pictures are from 3 years ago. I'm in better shaped now.
I go in for surgery tomorrow. I'll be sure to post post op pictures.

Take the time to make a more complete current set before surgery, especially if you doctor has not done so already. Use my instructions for making such a document with the flexing, arms up overhead and all of the angles. Any evaluation based on images not showing the current problem are flawed. You have the chance to get sufficient documentation of whatever this doctor will be doing by doing it yourself if the doctor has not incorporated such details in their practice. Just because Plastic Surgeons are required to take such pictures to pass their boards, does not mean they continue to do this after they have passed. I have seen unhappy patients who were operated on by Board Certified Plastic Surgeons and the patients claimed that no before surgery images were taken. Some doctors feel that only one or two images adequately demonstrate a problem and solution. I have examples on my site of such a disaster demonstrating how just limited views do not show the extent of the deformity that individual had. Watch the videos on that one to really see the power of missing animation for the chest documenting. Remember this is a chest you will be living with for the rest of your life. Perhaps your documentation will demonstrate the skills of this individual. If not, nobody will know if you are really showing an improvement or just seeing what you have achieved with your own work after those images were taken.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 02:32:45 AM
I only got 2 frontal pictures. This mainly shows how bad my puffy nipples are. I also got some fat, but the gland is the worst. I would be happy with just the puffy nipples being gone tbh.

These pictures are from 3 years ago. I'm in better shaped now.
I go in for surgery tomorrow. I'll be sure to post post op pictures.

Take the time to make a more complete current set before surgery, especially if you doctor has not done so already. Use my instructions for making such a document with the flexing, arms up overhead and all of the angles. Any evaluation based on images not showing the current problem are flawed. You have the chance to get sufficient documentation of whatever this doctor will be doing by doing it yourself if the doctor has not incorporated such details in their practice. Just because Plastic Surgeons are required to take such pictures to pass their boards, does not mean they continue to do this after they have passed. I have seen unhappy patients who were operated on by Board Certified Plastic Surgeons and the patients claimed that no before surgery images were taken. Some doctors feel that only one or two images adequately demonstrate a problem and solution. I have examples on my site of such a disaster demonstrating how just limited views do not show the extent of the deformity that individual had. Watch the videos on that one to really see the power of missing animation for the chest documenting. Remember this is a chest you will be living with for the rest of your life. Perhaps your documentation will demonstrate the skills of this individual. If not, nobody will know if you are really showing an improvement or just seeing what you have achieved with your own work after those images were taken.

Hope this helps,

Michael Bermant, M.D.

Thanks Dr. Will take some current pictures.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 31, 2011, 02:43:47 AM
I only got 2 frontal pictures. This mainly shows how bad my puffy nipples are. I also got some fat, but the gland is the worst. I would be happy with just the puffy nipples being gone tbh.

These pictures are from 3 years ago. I'm in better shaped now.
I go in for surgery tomorrow. I'll be sure to post post op pictures.

Take the time to make a more complete current set before surgery, especially if you doctor has not done so already. Use my instructions for making such a document with the flexing, arms up overhead and all of the angles. Any evaluation based on images not showing the current problem are flawed. You have the chance to get sufficient documentation of whatever this doctor will be doing by doing it yourself if the doctor has not incorporated such details in their practice. Just because Plastic Surgeons are required to take such pictures to pass their boards, does not mean they continue to do this after they have passed. I have seen unhappy patients who were operated on by Board Certified Plastic Surgeons and the patients claimed that no before surgery images were taken. Some doctors feel that only one or two images adequately demonstrate a problem and solution. I have examples on my site of such a disaster demonstrating how just limited views do not show the extent of the deformity that individual had. Watch the videos on that one to really see the power of missing animation for the chest documenting. Remember this is a chest you will be living with for the rest of your life. Perhaps your documentation will demonstrate the skills of this individual. If not, nobody will know if you are really showing an improvement or just seeing what you have achieved with your own work after those images were taken.

Hope this helps,

Michael Bermant, M.D.

Thanks Dr. Will take some current pictures.

Do a complete set as I have evolved following the instructions carefully. Each instruction is there to establish a better document for evaluation. Even better, do that and take a standard video. That is what I have now have been doing for years to understand the problems my patients start with to evaluate what my surgery has evolved to.

Good luck on your surgery.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 02:57:29 PM
Well. My surgery is done. Just a couple hours post op right now. Not feeling much pain. She put in plugs. I'm going to go pick up my compression vest tomorrow.

One thing I'm scared about. My nipples seem to be collapsed/caved right now. Is this a normal occurrence right after surgery or is this rare?

I know it's way way way too soon to be worried, but I guess, since I got an inexperienced surgeon when it comes to gynecomastia, I'm quick to judge.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 05:59:30 PM
I am actually starting to get a little nervous right now. My nipples are completely collapsed/caved

(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0036.jpg)

(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0035.jpg)

should I be worried?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: jojo82 on May 31, 2011, 07:23:22 PM
Do you know what type of incision your surgeon used?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 07:24:23 PM
Nope. She just said she would cut the lower half of the nipple. I'm thinking the swelling is possibly pushing out the outer part of the nipple?
I'm definitely going to ask my ps what's going on tomorrow.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: jojo82 on May 31, 2011, 07:27:09 PM
Nope. She just said she would cut the lower half of the nipple. I'm thinking the swelling is possibly pushing out the outer part of the nipple?
I'm definitely going to ask my ps what's going on tomorrow.

I'll take that as periareolar. Wait until the swelling goes down to judge. You're a couple of hours out.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 08:42:17 PM
Nope. She just said she would cut the lower half of the nipple. I'm thinking the swelling is possibly pushing out the outer part of the nipple?
I'm definitely going to ask my ps what's going on tomorrow.

I'll take that as periareolar. Wait until the swelling goes down to judge. You're a couple of hours out.

Yep. It's just weird to see my nipple completely buried. I'm hopping the swelling goes down on the outer part and maybe that will fix it.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 31, 2011, 08:55:59 PM
Well. My surgery is done. Just a couple hours post op right now. Not feeling much pain. She put in plugs. I'm going to go pick up my compression vest tomorrow.

One thing I'm scared about. My nipples seem to be collapsed/creased right now. Is this a normal occurrence right after surgery or is this rare?

I know it's way way way too soon to be worried, but I guess, since I got an inexperienced surgeon when it comes to gynecomastia, I'm quick to judge.

A crease is a fold of tissue surface tissue and is avoided during draping the skin during the sculpture. I prefer to finish my sculpture in the operating room such that it looks like what you see on my website. Creases should be minimized as part of the surgical plan or something discussed due to excessive skin issues such as tubular breast or major size reduction. Although tissues do evolve after surgery, just how much is not predictable. That is why it is better to have such issues addressed as part of the plan of surgical sculpture. You can see the types of minimal creasing I accept on the male mastopexy and tubular breast pages when my sculpture must deal with major amounts of excess skin.

Here is an example not on my site I posted here:

https://www.gynecomastia.org/smf/index.php?topic=8776.0

That minimal surface creasing is within the limitations of the best surgical technique I have been able to evolve.

Yet, the body does compensate over time. Major contour issues do change. However, that is the power of seeing what any doctor's methods are like and how their patients' tissue evolve after surgery.

Yep. It's just weird to see my nipple completely buried. I'm hopping the swelling goes down on the outer part and maybe that will fix it.

I always put my patients compression garments on at the time of surgery. Swelling is best prevented. Reduction of swelling afterwards is nowhere as effective. Each patient is also fitted for their garment before surgery, much less traumatic for the fitting and better as part of the basic education of each patient.

Good luck on your healing.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 09:04:52 PM
Well. My surgery is done. Just a couple hours post op right now. Not feeling much pain. She put in plugs. I'm going to go pick up my compression vest tomorrow.

One thing I'm scared about. My nipples seem to be collapsed/creased right now. Is this a normal occurrence right after surgery or is this rare?

I know it's way way way too soon to be worried, but I guess, since I got an inexperienced surgeon when it comes to gynecomastia, I'm quick to judge.

A crease is a fold of tissue surface tissue and is avoided during draping the skin during the sculpture. I prefer to finish my sculpture in the operating room such that it looks like what you see on my website. Creases should be minimized as part of the surgical plan or something discussed due to excessive skin issues such as tubular breast or major size reduction. Although tissues do evolve after surgery, just how much is not predictable. That is why it is better to have such issues addressed as part of the plan of surgical sculpture. You can see the types of minimal creasing I accept on the male mastopexy and tubular breast pages when my sculpture must deal with major amounts of excess skin.

Here is an example not on my site I posted here:

https://www.gynecomastia.org/smf/index.php?topic=8776.0

That minimal surface creasing is within the limitations of the best surgical technique I have been able to evolve.

Yet, the body does compensate over time. Major contour issues do change. However, that is the power of seeing what any doctor's methods are like and how their patients' tissue evolve after surgery.

Yep. It's just weird to see my nipple completely buried. I'm hopping the swelling goes down on the outer part and maybe that will fix it.

I always put my patients compression garments on at the time of surgery. Swelling is best prevented. Reduction of swelling afterwards is nowhere as effective. Each patient is also fitted for their garment before surgery, much less traumatic for the fitting and better as part of the basic education of each patient.

Good luck on your healing.

Hope this helps,

Michael Bermant, M.D.

for some reason, my compression garment wasn't ready, so I have to go without a compression garment for a day and a half.

Do you think, from my pictures, there's caving or is it just swelling?

Thanks for your imput as always, dr.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: DrBermant on May 31, 2011, 09:23:51 PM
Well. My surgery is done. Just a couple hours post op right now. Not feeling much pain. She put in plugs. I'm going to go pick up my compression vest tomorrow.

One thing I'm scared about. My nipples seem to be collapsed/creased right now. Is this a normal occurrence right after surgery or is this rare?

I know it's way way way too soon to be worried, but I guess, since I got an inexperienced surgeon when it comes to gynecomastia, I'm quick to judge.

A crease is a fold of tissue surface tissue and is avoided during draping the skin during the sculpture. I prefer to finish my sculpture in the operating room such that it looks like what you see on my website. Creases should be minimized as part of the surgical plan or something discussed due to excessive skin issues such as tubular breast or major size reduction. Although tissues do evolve after surgery, just how much is not predictable. That is why it is better to have such issues addressed as part of the plan of surgical sculpture. You can see the types of minimal creasing I accept on the male mastopexy and tubular breast pages when my sculpture must deal with major amounts of excess skin.

Here is an example not on my site I posted here:

https://www.gynecomastia.org/smf/index.php?topic=8776.0

That minimal surface creasing is within the limitations of the best surgical technique I have been able to evolve.

Yet, the body does compensate over time. Major contour issues do change. However, that is the power of seeing what any doctor's methods are like and how their patients' tissue evolve after surgery.

Yep. It's just weird to see my nipple completely buried. I'm hopping the swelling goes down on the outer part and maybe that will fix it.

I always put my patients compression garments on at the time of surgery. Swelling is best prevented. Reduction of swelling afterwards is nowhere as effective. Each patient is also fitted for their garment before surgery, much less traumatic for the fitting and better as part of the basic education of each patient.

Good luck on your healing.

Hope this helps,

Michael Bermant, M.D.

for some reason, my compression garment wasn't ready, so I have to go without a compression garment for a day and a half.

Do you think, from my pictures, there's caving or is it just swelling?

Thanks for your imput as always, dr.

Sorry, different doctors have different methods and priorities. For elective surgery I prefer to have all of my "ducks in a row" and do not proceed without what I consider to be an essential component. That is why we fit, teach, and have the garment set aside the day before surgery. I could never achieve the results shown on my site if a compression garment is started well after surgery. Trauma surgery has different priorities and compromises are essential for life / limb saving measures.

The contour is just not nice, and can have many contributing components. If a doctor has such contours as part of how their tissues evolve, they should, in my opinion, help educate their patients about what tissues should look like and the chances of what the final contour will evolve. If this is normal for a doctor's methods but the tissues then compensate, it would be nice to have a series of pictures to demonstrate that so patients do not need to deal with the anxiety you now are expressing.

I have no clue what that will look like over time. Prevention is so much better than having to guess and stress out over unknown factors.

Hope this helps,

Michael Bermant, M.D.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on May 31, 2011, 09:30:24 PM
thanks. Guess I'll just have to wait for the swelling to go down.
Pretty frustrating that my compression garment wasn't ready..
Title: Re: Getting surgery with an inexperienced surgeon
Post by: chopper on June 01, 2011, 10:10:37 AM
I hope all is good in the end mate because it certainly looks like someone with no gynecomastia experience has operated on you from my untrained eye. I hope you can take your top off in your 1.5 yrs abroad

Good luck
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 01, 2011, 11:57:51 AM
Honestly, my chest looks great now, just the nipples are all swollen/jacked up.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: kwl04 on June 01, 2011, 06:01:02 PM
I had very slight creasing at one point and it went away. 
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 01, 2011, 08:56:17 PM
I had very slight creasing at one point and it went away. 

I'm not even sure if it's creasing. She said it's just swelling. The bottom half isn't swollen, while the top half is very swollen and that's why it looks jacked up.

I think my nipples will look a lot better once the swelling goes down.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: looseSHIRT on June 01, 2011, 08:59:46 PM
Hope everything goes well mate!
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 01, 2011, 09:01:49 PM
I'll be sure to keep you guys updated.

Title: Re: Getting surgery with an inexperienced surgeon
Post by: morpheus11 on June 01, 2011, 10:22:04 PM
You just had surgery, so I wouldn't expect the final results until several months down the road.  Either way, you had your surgery done for free.  It doesn't look bad. The nipples look a bit swollen, but I'm sure that will go down.  In any case, it was free, and you don't have to worry about doubling up on shirts or being ashamed of your chest.

Congrats!
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Teenaged on June 02, 2011, 02:32:05 PM
Thanks for telling us about your experience.  If you could keep posting pictures throughout the healing process that would be awesome. 
Title: Re: Getting surgery with an inexperienced surgeon
Post by: thetodd on June 02, 2011, 06:18:24 PM
Its worrying that you haven't been given a compression vest, its honestly the first time Ive ever seen it on this site!

They should of wrapped you up in bandages really at the very least, i hope it heals well. But honestly i would be complaining to the hospital its plain negligence
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 03, 2011, 04:00:34 PM
Its worrying that you haven't been given a compression vest, its honestly the first time Ive ever seen it on this site!

They should of wrapped you up in bandages really at the very least, i hope it heals well. But honestly i would be complaining to the hospital its plain negligence

I got a compression vest a day and a half after the surgery. I'm wearing it now in fact. It's really f'n uncomfortable.

Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 03, 2011, 04:07:53 PM
Thanks for telling us about your experience.  If you could keep posting pictures throughout the healing process that would be awesome.  

No problem.

I'll be sure to post some updated photos soon.

here's a quick update. I suppose I got the surgery at the wrong time, but if I didn't get it at that time, then i wouldn't have been able to at all. The day of the surgery and a day after, I had to move and do a lot of lifting(50-60 pounds at times). I was also not getting any sleep because I was moving and leaving to go home. I'm not sure how much this will have an effect.

Something interesting is, I haven't had take any pain killers at all. Not even tylenol.

Anyways, I just flew home yesterday and my surgeon told me(when I picked up my compression vest) that I can remove the drains myself, so I don't have to fly back out. She gave me the tools and instructions(I'm going to call again to verify how to). Hopefully everything goes well so I can remove the drains on monday.

The swelling in my nipples have gone down a lot and they're starting to look more normal. I still have the tape on. I'm not sure If I'm allowed to remove it.

My chest looks great, btw.

I'm hoping after 2 weeks, I can go running and maybe play some sports. If not, that will be fine. That's a question I'll ask my surgeon when I call on thursday.

Overall, she's been very nice and enthusiastic. Although she might've been inexperienced with gyne surgery, she really seems to know what she's talking about.

That was just a quick update 3 days post op. Sorry if that's to much typing, but I think some people will find it interesting getting the perspective from someone who had surgery from an inexperienced ps.

Edit: If people are wondering why I have so many questions for my ps, it's because I was in a hurry when I went to get my compression vest. She was incredibly helpful and enthusiastic. I just had to get my compression vest and leave right away.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 03, 2011, 04:12:17 PM
You just had surgery, so I wouldn't expect the final results until several months down the road.  Either way, you had your surgery done for free.  It doesn't look bad. The nipples look a bit swollen, but I'm sure that will go down.  In any case, it was free, and you don't have to worry about doubling up on shirts or being ashamed of your chest.

Congrats!

Great point! I already know I can finally wear any t shirt I want without having to worry about my nipples showing. My chest looks great. Nipples are looking a little better already.

And like you said. Completely free!

Hopefully I don't run into any complications, because I would have to fly out to be looked at.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 06, 2011, 06:17:33 PM
1 week post op.
Nipples looking better.

(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0044.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0047.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0046.jpg)
Title: Re: Getting surgery with an inexperienced surgeon
Post by: morpheus11 on June 06, 2011, 08:13:55 PM
those are some kick ass results man! Congrats!

Once you fully recover you can start hitting the gym and sculpting that chest.  Watch the weight in recovery. You just got these off, it would suck to eat until they're back on.

Congrats again.

Title: Re: Getting surgery with an inexperienced surgeon
Post by: jojo82 on June 06, 2011, 08:26:20 PM
As I stated earlier in this thread, wait and see. It's always a bad idea to judge surgery a few hours out. Things are coming together for you- the swelling is subsiding and the result is looking a lot better. The one thing you will have to keep an eye on is concave deformities. Keep in contact with your surgeon- you are her first case. She should have a special interest in your result. In the internet age, you hold the power- you can make or break her career. With that in mind, send your surgeon these pictures. Things are looking good so far, but keep an eye on things.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 06, 2011, 09:46:18 PM
those are some kick ass results man! Congrats!

Once you fully recover you can start hitting the gym and sculpting that chest.  Watch the weight in recovery. You just got these off, it would suck to eat until they're back on.

Congrats again.



haha yeah. It's frustrating having to wait so long to be able to workout. I've been itching to run since I just came from a high altitude area.
I'll definitely be hitting the weights when I'm given the ok to.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 06, 2011, 09:48:17 PM
As I stated earlier in this thread, wait and see. It's always a bad idea to judge surgery a few hours out. Things are coming together for you- the swelling is subsiding and the result is looking a lot better. The one thing you will have to keep an eye on is concave deformities. Keep in contact with your surgeon- you are her first case. She should have a special interest in your result. In the internet age, you hold the power- you can make or break her career. With that in mind, send your surgeon these pictures. Things are looking good so far, but keep an eye on things.

Yep. My current concern is concaving. Just have to wait and see.
To reiterate. I wasn't her first case. She's done a few other gynecomastia surgeries I believe. She told me she did one other in the past year. She said she usually did the surgery for bigger guys.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 09, 2011, 12:16:58 AM
went on a hike and did some light running today. kind of regret it, but oh well...
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 15, 2011, 10:24:19 PM
You guys were right about the time it takes to heal. My right side looks a lot better than my left. There is some swelling on my left side right above my nipple. I can't tell if it's scar tissue or just swelling though.
It's soft and numb.

15 days post op right now.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: hatemymoobs on June 16, 2011, 09:31:31 AM
How is your left nipple looking?

In the last pics you posted YOUR right nipple looked pretty normal, but the left slightly disfigured, probably from swelling or something.

Is it looking better?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 16, 2011, 03:54:29 PM
I went swimming with my buddy(doesn't know about the surgery). It was right after a tough hike so maybe it swelled more, but he said my chest looked all disfigured/saggy and indented.

Kind of made me bummed and depressed.

Anyways. here's my pics 16 days post ops.
The first pic should be me flexing.
don't know why they came out a little blurry.

(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0071.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0070.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0069.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0068.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/IMAG0067.jpg)
Title: Re: Getting surgery with an inexperienced surgeon
Post by: thetodd on June 16, 2011, 06:34:12 PM
Your nipples are looking much better, i mean to me i cant see anything wrong bare in mind you will be getting some scar tissue etc. I think the red skin crease marks are whats making it look worse ... they will fade if you lose weight excercise etc

i was a bit worried for you when i seen the post ops, but i think you should heal up fine maybe start a healthy eating regime, ab/pressup workout
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 16, 2011, 06:35:41 PM
Your nipples are looking much better, i mean to me i cant see anything wrong bare in mind you will be getting some scar tissue etc. I think the red skin crease marks are whats making it look worse ... they will fade if you lose weight excercise etc

i was a bit worried for you when i seen the post ops, but i think you should heal up fine maybe start a healthy eating regime, ab/pressup workout

the red marks are there because I took the picture right after I took off my compression vest.

Thanks for the advice/imput
Title: Re: Getting surgery with an inexperienced surgeon
Post by: hatemymoobs on June 21, 2011, 01:01:16 PM
Most doctors advise you to wear that compression vest 24/7 for 2-4 weeks.
If you're going swimming this early you are probably taking your vest off more than most doctors would advise.
I'm only assuming you aren't wearing it 24/7 but that's just because I know when I have the surgery the vest is staying on I don't give a shit how uncomfortable it is- for at least as long as the doc says, plus some.

Everything I keep reading and hearing points to compression is vital to get the results afterwards. It ensures the holes in fat and tissue underneath is compressed and fuse together rather than filling with fluids and building up scar tissue. At least from what I *think* I understand.

Keep that vest on and call your dr with any concerns.

Good luck...
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 22, 2011, 02:20:04 PM
You're right. I should've been wearing my compression garment 24/7. 

At the same time, I hadn't been home for over a year and a half and was only staying for a month.

I felt the need to enjoy myself a little bit before I leave for over a year.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 24, 2011, 03:55:57 AM
Quick update 24 days post op.

My nipples and areola indent when I raise my arms above my head. I can live with it, but I hope it fixes itself over time.

Both my nipples have that U shaped scar. Not sure how long it will take for the scars to fade. When my nipples are smaller from the cold or touching them, the scars are unnoticeable, but when they are at it's normal state, you can definitely see the U shape scar.

I can't tell if there is swelling or if it's just fat above both my nipples. It's numb and puffy to the touch.

I just have to be patient I guess.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 24, 2011, 08:32:12 PM
Just want to say, overall I'm happy with my results up to this point. One main concern is that when I raise my arms above my head, the left side of my chest has a big indention. the bottom part of my chest sinks in while the top stays out. I can't tell if this is swelling or just fat that was left there.
The right side of my chest looks completely normal when I do the same thing.

It's a concern, but in the end, it's something I can live with.

Maybe working the lower part of my chest can even it out/fill it in.

Like I said, it could just be swelling.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: hatemymoobs on June 25, 2011, 12:57:45 AM
Can you post closer shots of the U shape scar you're talking about.

I'm considering surgery this year and wonder how noticeable they are. I can't see them in the photos you've posted. Not really anyway, maybe a small line, but doesn't look like a scar really.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 27, 2011, 09:41:17 PM
I'll post some updated and better pictures very soon
Title: Re: Getting surgery with an inexperienced surgeon
Post by: 805spec on June 28, 2011, 03:00:45 AM
Congrats on a fine job man... I'm jealous you got it done for free.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 29, 2011, 10:43:33 PM
around 30 days post op. I got some up close pictures of the nipples showing the scars and some side pictures showing the crater on the left side of my chest when I raise my arm above my head.

(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwNzYuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwNzUuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwNzcuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwODMuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwODQuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwODUuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwODIuanBn.jpg)
(http://i285.photobucket.com/albums/ll72/Poozy00/utf-8BSU1BRzAwODAuanBn.jpg)
Title: Re: Getting surgery with an inexperienced surgeon
Post by: art on June 30, 2011, 12:02:00 AM
I can definitely see what you're talking about with the "crater" when you lift your arm.  Is the crater only visible when you lift your arms, or is it there while standing normally as well?  I wonder if doing doing some chest exercises after you're fully healed will build up muscle and fill that area out?  I'm relatively new to the board, and have just recently started researching gyne, so I'm not 100% how the healing process goes post surgery.  You're only 30 days out, my gut feeling is to that it will continue to improve with time.  Given the fact that you had this done with a relatively inexperienced surgeon, it looks pretty damn good to me so far.

I'm currently researching surgeons in my area for this surgery, and have found a few that claim to have good experience with gyne surgery.  I have consults set up with them through the end of the month, and I'm most likely getting the surgery in the fall.  Seeing your photos gives me a lot of hope that my surgery will go well.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 30, 2011, 03:16:57 PM
Thanks for the kind words everyone. Yes the crater is only really visible when I lift my arms above my head. I have noticed it to be getting a little better lately, so that's good.

I'm pretty happy with my results, thus far.

Title: Re: Getting surgery with an inexperienced surgeon
Post by: jojo82 on June 30, 2011, 05:22:37 PM
Thanks for the kind words everyone. Yes the crater is only really visible when I lift my arms above my head. I have noticed it to be getting a little better lately, so that's good.

I'm pretty happy with my results, thus far.



You have a good result. You should name the surgeon. She does a great job, inexperienced or not.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: hatemymoobs on June 30, 2011, 08:09:39 PM
Minus the crater (which could work itself out with time I assume) it looks great.
Now build up a bit of muscle on the pecs and your chest will look great. (not that it doesn't look great now ;))
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on July 02, 2011, 02:11:47 AM
I can definitely see what you're talking about with the "crater" when you lift your arm.  Is the crater only visible when you lift your arms, or is it there while standing normally as well?  I wonder if doing doing some chest exercises after you're fully healed will build up muscle and fill that area out?  I'm relatively new to the board, and have just recently started researching gyne, so I'm not 100% how the healing process goes post surgery.  You're only 30 days out, my gut feeling is to that it will continue to improve with time.  Given the fact that you had this done with a relatively inexperienced surgeon, it looks pretty damn good to me so far.

I'm currently researching surgeons in my area for this surgery, and have found a few that claim to have good experience with gyne surgery.  I have consults set up with them through the end of the month, and I'm most likely getting the surgery in the fall.  Seeing your photos gives me a lot of hope that my surgery will go well.


I'm not sure about adding muscle to the lower part of my chest. In theory, it would make sense. I'll definitely be working hard to tone my chest and body haha..

P90x here I come :)
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on July 21, 2011, 11:19:47 AM
Around 7 weeks post ops. Still concerned about a lot of things. The indention on my left side, some puffyness, upper nipples puffyer than lower portion, scarring.. ext...

My friends really want to go to the beach, but I don't know if I'm willing, because if people say stuff, it would be devastating haha.


I guess I just have to be patient.
I know you guys think my results look good, but the pictures might not tell the whole story.
bleh....

I want to take my shirt off in front of people in hopes they see me as a normal out of shape dude(which would give me a lot of confidence in the surgery results), but then if I do, and my results look bad, it's going to hurt.

Also, being out of shape and very pale wont help the cause haha.

Title: Re: Getting surgery with an inexperienced surgeon
Post by: hatemymoobs on July 21, 2011, 06:01:25 PM
You're concerned with your scar? Can you post an updated picture of the scars?

I'm considering two different doctors. One does excision through the armpit the other through the nipple.
One on hand I'm worried about scarring on my nipple, the other hand I'm worried that excising through the armpit won't be as effective...

Blah- scar photo please?
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on July 22, 2011, 12:46:19 AM
You're concerned with your scar? Can you post an updated picture of the scars?

I'm considering two different doctors. One does excision through the armpit the other through the nipple.
One on hand I'm worried about scarring on my nipple, the other hand I'm worried that excising through the armpit won't be as effective...

Blah- scar photo please?


the scars have been healing up nicely tbh, but they're still noticeable. I'm sure they'll be almost unnoticeable a few months from now.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 11, 2012, 08:28:15 AM
(http://i.imgur.com/lSpHV.jpg)

there's my 1 year mark picture. Results aren't perfect, but I'm pretty satisfied. I'm comfortable taking my shirt off in front of people and wearing normal t-shirts....

I still got that indent on my left chest when I raise my arm.

Overall satisfied my results and has made me a much more confident person.
Title: Re: Getting surgery with an inexperienced surgeon
Post by: cduub on June 11, 2012, 11:13:58 PM
Did the puffiness on your nipples eventually go down and if so how long did it take? because im 5 months post op and still have puffy nipples!!!
Title: Re: Getting surgery with an inexperienced surgeon
Post by: Pooz on June 12, 2012, 04:41:10 AM
I'd say the puffyness went down like 50-60% right after surgery and they have stayed that way.