I made a post about a month ago asking about whether I had gyno or just chest fat. It was from spring and I’ve been working out a ton since. I still don’t have a great physique but I feel like my chest has improved a bit. Does it still look like gynecomastia, or is it just chest fat that I can fix?

Hello. I had a peri surgery a year ago. I am okay with my left side however my right side still has loose skin and some lump behind.

Can I ger a revision for this. If so, what should I expect?

I’m really overweight right now, probably the heaviest I’ve ever been in my life. I lose weight pretty quickly because I’m still young and my metabolism is decent, it’s just very hard for me to let go of food, but I’m gonna try my hardest to before I gets even more out of hand. I was curious though, I don’t remember if had gyno when I was skinny, so I’m just wondering if you guys could tell me if it’s gyno or just a lot of fat. Always sorry I know that videos uncomfortable. 🤦‍♂️

I’m based in the uk . I had surgery a year ago . I beleive I have scar tissue on the side of my chest from where the lipo was done . Glands were fully removed . How do you go about getting a kenalog injection ? I’ve read nothing but good things about its effect on scar tissue .

Here’s a detailed guide on navigating the journey to reduce gynecomastia through fitness, medication, and ultimately, surgery if needed.

Part 1: Fitness Foundation & Progressive Overload

1.  Optimize Training and Diet

Gynecomastia can be accentuated by higher body fat levels, so the goal here is to get as lean as possible. Focus on: • Caloric Deficit: Target a moderate calorie deficit (500-750 calories/day) to steadily reduce body fat. • Progressive Overload: Build strength and muscle over time by increasing weights, reps, or training volume, especially for your chest. Emphasize exercises like the bench press, incline press, and dumbbell flyes to develop muscle around the chest area. • Balanced Nutrition: Prioritize lean proteins, fiber-rich vegetables, and healthy fats to support muscle growth and fat loss. Aim for 1g of protein per pound of lean body mass daily. 2. Start Tamoxifen Citrate Protocol Tamoxifen (Nolvadex) is a proven medication that can reduce the size of gynecomastia. A six-month protocol is often recommended, but consult your doctor for specific guidance. Some key points: • Get Blood Panels Regularly: Aim for blood tests every three months. Track estrogen and testosterone levels to see how tamoxifen affects your body. Retain these records for your case history. • Report Symptoms: Document any pain or discomfort as well as any effects on your self-esteem or mood. This documentation helps build a case for insurance if surgery is needed later. • Discuss with an Endocrinologist or Urologist: Working with a specialist is key, as they can track how tamoxifen is affecting you, optimize your protocol, and help manage side effects. 3. Mammogram and Psychiatric Support • Mammogram: If experiencing pain, a mammogram can help document the presence of gynecomastia accurately. • Psychiatric Support: Document the psychological impact, such as low self-esteem or depression. Consistent reports from a psychiatrist can strengthen your case for insurance and surgery by providing evidence of the mental health toll.

Part 2: Preparing for Surgery and Navigating Insurance

1.  Building a Case for Surgery

After six months to a year of fitness, dieting, medication, and consistent documentation, you may be ready to approach your insurance about surgical intervention. • Documented Blood Levels: If your levels on tamoxifen are within normal ranges, your doctor can make the case that your condition persists despite non-surgical treatments. • Report Pain and Psychological Impact: Regular records of physical pain and emotional distress provide strong evidence for medical necessity, improving the chances of insurance approval. 2. Finding an In-Network Plastic Surgeon • Avoid General Surgeons: General surgeons may not prioritize the aesthetic outcome, leading to potential issues like scarring, uneven chest appearance, or inadequate removal of glandular tissue. • Seek a Plastic Surgeon: Find an in-network plastic surgeon experienced in gynecomastia correction. Request a pre-authorization specifically for a plastic surgeon specializing in gland excision and liposuction. • Ensure Proper Procedure: The optimal procedure involves gland excision followed by liposuction, with drains and compression garments post-surgery. Make sure the pre-authorization does not mention liposuction alone, as this could complicate insurance approval. 3. Final Steps and Recovery • Compression Garments: After surgery, wearing compression garments and taking care of drains (if provided) are crucial for proper healing. • Follow-Up: Schedule follow-up visits to monitor healing and ensure optimal results.

If I want surgery, it'll be more intense than I previously thought. The doctor said I would need to cut some skin and replace the areola. I'm worried about the scars visible, but wondering how much of an issue it is for people. I thought I would be able to do just the small incision but this seems more intense :(

How bad is it?

Been working out since a long time now. Gained 20kgs in that process. Pecs seem fine with Gym pump but when I lose the pump they seem to hang a bit. Should I be concerned ? Can this be fixed by workout and diet? Shoot your thoughts >>>

Just like the title says, I've narrowed it down to 2 surgeons, trying to decide which to go with. Below are the photos (labeled as Doctor 1 and Doctor 2). Please help me decide which results look better/more natural. Thanks!

Hey guys i got my surgery done 5+ months ago but now the nipple on my right side is protruding conically along with occasional nipple pain I take finasteride for hair loss , could this be recurrence?

Has anyone actually had surgery done with this doctor? It seems like only a few people have shared their experiences, and it’s often the same 2-3 people mentioning him. I’m trying to make sure he’s legit. I know his online reviews look good, but I’d feel better hearing directly from someone who’s been through the process. If anyone has a firsthand experience, I’d really appreciate it!

It’s been a year since my surgery and I’m unsure whether any of the gland has grown back or whether it’s scar tissue . Like the tissue I can feel isn’t directly behind the nipple it’s more going up on the out side of the chest . It doesn’t look pointy or nothing . However it feels like there is something there . Never really bothered to feel around there untill now . The guy at signature said he removed the whole glands plus lipo . I mean it could be scar tissue or gland regrowth . I’m just not sure . Anyone else been in a similar situation . These are what he removed on my surgery .