Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Gynecomastia

Gynecomastia - Enlarged Breasts in Men and Chest Recontouring with Fat Suction / Suction lipectomy (Liposuction)

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Explore what others have to say about Male Breast Surgery (gynecomastia) using Recontouring Surgery and Liposuction (Suction Lipectomy) with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Travel from Illinois for Internal Mastopexy Gynecomastia Male Chest Sculpture
Dear Doctor Bermant:

I wanted to express my gratitude for what you have done for my husband and his gynecomastia. I met my husband almost 7 years ago and after about 1 year into our relationship, I made an insensitive comment about his chest in a moment of jest and from that moment on, I have lived with his shame. One thing good that came from that comment I made was that we were able to have an open conversation about his body, of which he had never discussed with anybody. We researched the condition and we learned that, for an expense, it could be corrected. At the time, we were not in a financial position to consider surgery, by it was good to know that it was an option down the road. Although I have continually tried to comfort him and tell him that I loved him and his body no matter what, he never felt comfortable in his own (loose) skin. I hated that he covered himself as he walked shirtless, even in the privacy of our own bedroom. I resented that he wouldn’t join his family in the swimming pool. I was annoyed that he continually tugged on his shirts and sweaters. Believe me, although the condition is truly a burden on the "inflicted" it does affect the families as well.

Once my husband learned of the surgeon that was world-renowned at this corrective procedure, we decided that if he was ever going to have plastic surgery, we would make the journey from Illinois to Virginia. It was easy to put it off. There’s never enough money or time, you know. But our children were getting older and due to my husband’s uncomfortable feelings, we were truly missing out on parts of life – so we took out loans and we put in for vacation and just 2 weeks ago, we set off to see you.

For about 6 hours you worked on my husband. You tried a new procedure for the skin reduction and, from what I can see (and I haven’t even seen his chest without the gauze on it) you have managed to change our lives. For that, I can’t thank you enough. From day one, I have always loved my husband. That is why, with tears in my eyes, I thank you for making him a more happy and confident man.

You and your staff (Jane) have impressed both of us tremendously. As you work to perfect your technique, please don’t ever change your professionalism. Although I did not meet you personally, I am so glad to have been touched by your work and I am grateful that you took added care with my husband to ensure the success of the surgery.

In a society where most people don’t even realize that there is a word for the condition that my husband suffered silently from, I only hope that word gets out about procedures like this. I hope that the individuals (including my husband) investigating it do not feel shame and can one day openly discuss their surgery with others.

I respect that your time is very valuable, so I won’t continue on singing your praises, but I’ll simply say it again. Thank you.

Very truly yours,

I

p.s. feel free to use these comments in any way you find appropriate.

Dr. Bermant responds:

We are excited with this Short Scar Internal Male Mastopexy variation of my dynamic technique. Thank you very much for your kind words. Your thoughts mean a lot to my staff and myself. We look forward to hearing about your continued progress.

Travel from Tennessee for Gynecomastia Surgery

First, let me just say -- excellent, excellent site. Everyone that contributes deserves a huge thank you.

I started out with a consultation with Dr. Bermant. You're likely to have, at this point, read many "takes" here on Dr. Bermant's personality. I found him to be very professional. He is very clear on what expectations should be by the patient. He is very straightforward that he can not achieve perfection. However, looking at many of his post ops, you can tell he strives for the most natural look. I am anxious to see my initial results, but that comes on Monday.

My consultation went something like this:
- I filled out medical history forms.
- I was weighed.
- My BMI/Fat % taken via some electronic device you simply hold at arms length.
- Dr. Bermant interviewed/reviewed the medical details regarding Gynecomastia in general. Some questions:
  - This surgery is elective, and not necessary.
  - The body is asymmetric and perfection is not necessarily possible.
  - He will explain his Dynamic Technique as the solution for best results.
  - He stops at every stage for you to ask questions. I didn't have many, but if you do - ASK them! He will give concise answers.

- He has you essentially cop-a-feel of your own breast tissue to show the actual gyne portions.
- He measures and documents your breast proportions.
- There is a basic physical that he gives -- to help insure against endocrine problems I assume.

The price I was quoted at the time ended up matching exactly what I could afford. I wasn't prepared at the time to take such a close risk, so I saved longer and returned exactly 9 months later. If you find yourself in the same situation, do something to improve your health! I was able to drop my body fat percentage prior to the surgery. If the changes are drastic enough, you will require another consultation. Fortunately Dr. Bermant seemed to get everything he needed w/out the extra fees. Be prepared to pay them however. My impression of Dr. Bermant is that he will stick to his tried and true methods religiously -- just go with it, it is why he does so well.

I then came back on Friday for pre-op. Make sure you have taken your shower prior to the office visit! It is the last one for several days. They cover more of the same information. They ask for any questions. Dr. Bermant documents the gynecomastia with pictures, video, and audio recording. These are his property to use as he sees fit -- you sign these rights away. If that concerns you just be aware. The contract allows him to use your unidentifiable "images" for medical stuff but it is fairly open ended.

Queue my surgery yesterday. This is done in Dr. Bermant's facility.
Jane, as always, is hugely pleasant. All the office staff is very supportive and cordial -- so do not be concerned, they know why you're wanting the surgery. I arrived fully prepared, filled out a little more paperwork, and eventually made my way into the prep room. You are asked to undress fully. You will be in the drafty hospital gown. It does suck, but honestly I am fairly self conscious and I wasn't even thinking about it. You're overcome with the capitulation that you're about to close this chapter of your life (hopefully).

Jim the anesthetist is a cool guy. I wish I could describe him fully; he just has an amazingly light-hearted disposition. If you have Jim, don't worry, you're in good hands.

I wish I could remember the names of the two nurses in the OR. Either way, they were great too. All I remember is talking a little bit and then waking up hugely groggy. I think I remember them saying they removed more from my left side than my right. It is really really hazy. The haziness goes away very fast.

I didn't see Dr. Bermant after the surgery (I don't think anyways, I can't remember too well.) I was then put in the recovery area for about 45 minutes to metabolize the drugs off enough to regain much of my faculties. I walked out of the OR and the hired nurse drove me to Subway first, then to the hotel for like 5 hours. 6 hours by the time I got back to my car at the office.

(addendum by Dr. Bermant: yes, I did see you in the recovery room, however sedation medications can play with a patient's memory right after surgery).

The Richmond Airport Hotel is a fairly decent place to stay if you're looking. I was able to stay for $60/night which is about 33% off when staying 3 or more nights.

How I feel:
I gotta say, I think I'm in more pain than most that describe the surgery. It feels like a viciously hard chest workout -- like I did 5 sets of 15 chest hammers pushing my weight limit. It is just a little too much for extra strength tylenol, but half a Lortab 5 every 3 hours seems to be working perfectly. I think a full tablet would be too much. It isn't an unbearable pain.

I don't seem to be able to use my arms for much weight because my chest is so sore. Once on the edge of the bed, its slightly difficult to adjust to a more comfortable spot. Sleeping on my side at this point is painful. I probably had no pain medication in me when I went to bed though, so that may also be contributing to the discomfort. I am able to sleep on my stomach; have no fear stomach sleepers!

Anyways, I am craving more coffee. I am going to head down to the lobby and get some more!
I will post pictures later. I hope to provide updates during the recovery phase to contribute to this great community! Then I hope I can move on forever. =)

Travel from Tennessee for Gynecomastia Surgery - 1 Week Post Op

He does have a remote consult package you should take advantage of. Your best bet is to call Jane. She is his office coordinator/manager. She is really nice and will answer every question you have -- deferring any that will be answered by a consultation.

I didn't do the remote package, so no input there. I do know a phone call will resolutely answer your questions fairly quickly.

Pain:
I just had the surgery so this I can provide some input.

Dr. Bermant advises his patients to stick to his post op care plan. This is just extra information for you to use to make the choice for surgery.

I had fairly extensive work done to my left pectoral area and moderate to heavy work done on my right pectoral area. There was a severe disparity between the two. I was in a little pain the immediate few days thereafter. That said, you may not even need any pain medication. I only took a couple lortab 5/500 (day after) and about 5 or 6 tylenol. I figure my resistance to pain medication is low -- I rarely ever use them. Two of the tylenol I took to mitigate the slight pain for driving since steering seems to be heavily reliant on the chest =(. 1 to get my car day of surgery. 1 right before getting in the car to drive home 2 days after surgery.

It does feel like a heavy workout. If you are familiar with Chest Hammers -- the pain might equal pushing yourself 2 full sets beyond your limit. (Used this allusion in my post-op post)

Those things said, I am pleased how little pain was then, and how little I have now. If you lift your arms above your head a lot don't expect to do so for a while.

I'm now one week post op and the only pain comes from direct pressure to the affected areas. So naturally, you'll want to avoid walking into doors, poking, jumping down stairs. Basically, anything that would hurt after a hard chest workout. =) I can't lift my arms much above my lower chest line -- I've not really tried but once for my post-op pictures at the behest of the doc.

Onto scars:
I believe my incision was done just under the areola -- so 1 incision -- but for you it could be different if he has to adapt to your body structure to achieve desired results. 6 months generally tends to be the lifeline of scar care. Unless you have a particular question, I think its best to just ask Dr. Bermant because I know only what he has told me. Its always best to go directly to the source of information. Plus, your dealing with more than surface scarring.

Travel from Tennessee for Gynecomastia Surgery - 1 Week After Surgery

Hi Jane,

Thank you very much. Dr. Bermant did an amazing job and I have always enjoyed talking with you. There was no controversy, which usually isn't any fun, but it is always heartening to find people that agree to such a high degree that life is what you make of it. If only more people truly understood the significance of that simple statement.

I do have a few remarks just because I am grateful for everything. The overall experience has been wonderful. The recovery is of course a significant portion, but its just that -- recovery; there is a light on at the end of this tunnel heralding my way to 'normal.' At least, as normal as I was looking to be.

The drive home was painfully uneventful and long, which is always better than a long painful event. Lame juxtaposition, I know. I had to!

Thank you for everything. I will keep you apprised of the situation and my questions.
A

Dr. Bermant responds:

Thank you for sharing your experiences. We look forward to hearing about your progress.

Michael Bermant, MD

Surgeon Travels from Georgia for Gynecomastia Male Breast Reduction - 1 Year

Dr. Bermant, Coming up on my first year anniversary of my surgery. Very, very pleased with the results and the entire experience. I see older pictures of myself and I'm amazed. Only wish I would have done it sooner. Thanks for the professionalism and excellent care.

_ MD

Dr. Bermant responds:

Thank you for the update. Yes, many of my patients wish they had this done at an earlier age. It is a matter of parent and pediatrician education.

Also, thank you for your kind words about my practice and putting your trust in my skills.

Michael Bermant, MD

Surgeon Travels from Kentucky for Gynecomastia Male Breast Reduction - 7 Weeks

(I am enjoying my new chest) very much

its been a big boost

it has me feeling motivated in other areas of my life, honestly

Dr. Bermant responds:

That is nice to hear. Please keep us informed about your progress.

Michael Bermant, MD

Travel from Delaware for Gynecomastia Surgery - 16 Days After Surgery

Dr. Bermant was my surgeon.

I have been 100% satisfied with the entire experience.

I found him to be an engaging guy who's very serious about what he does, and is somewhat of a perfectionist. That's exactly why I chose him for my surgery.

Also I found that he genuinely treats you like a patient. Some of the other plastic surgeons that I consulted with, generally treated the issue like they were repairing a car.

Dr. Bermant has a lot of experience with this particular type of surgery and talks about the emotional element of healing which I doubt all PS are aware of.

The entire office staff were incredibly nice and very sensitive to all insecurities that some of us have developed. While waiting in the Pre-Op room, we were all joking around and having a great time!

The operation was just as smooth as I had read. I had the operation in the office, which was extremely convenient!

Dr. Bermant removed about 200 ccs of fat from each side, and a decent amount of gland.

After the operation I was very chatty. I vaguely remember discussing strip clubs with Jim (the anesthesiologist) as he helped me into my car.

As soon as you leave, you feel completely different. I have been able to wear clothes that I've been keeping in my closet for a long time. In my case I had a deep sense of shame because of my chest, and I have been gaining a ton of confidence after the operation.

The operation has given me a new level of motivation to get back into the best shape possible. I had already begun a weight loss program and dropped about 20lbs before the operation.

Over the next 6 months I plan on dropping my BF% to the mid/low teens and maintaining or adding muscle. Hopefully that way I will be able to level out some of the asymmetry as the scars continue to mature.

I'll try to maintain this thread so others can know what kinds of changes can be expected post-surgery.

* Also if this sounds a bit like an endorsement of Dr. Bermant, that's because it is. I would recommend him and his staff to anyone of my friends and family, especially for Gynecomastia surgery.

My stats are:
Age: 25
Height: 6' 00"
Weight: 213 lbs
BF%: 21%

Travel from Delaware for Gynecomastia Surgery - 17 Days After Surgery

I'm still wearing the stage 1 vest (velcro and snaps).

I'll switch to the stage 2 vest over the next couple of weeks, once I feel 100% comfortable with my mobility.

That thing is tight! I had a hard time taking it off pre-op!

Travel from Delaware for Gynecomastia Surgery - 22 Days After Surgery

Pain was really minimal.

Right after I got out my chest was still numb for about 4-6 hours. After that I started taking some Tylenol.

Just like everyone said, it feels like after a heavy chest work out.

I took 2 Tylenol extra strength tablets, around every 4 hours for the first 3 or 4 days.

I tried the lortab's too and they seemed to work better when I had burning sensation around my nipple area but I only took a few of them.

The first few days it's a bit difficult to move your arms around but I'm at week 3 now and can do pretty much everything.

Travel from Delaware for Gynecomastia Surgery - 1 Month After Surgery

The healing is going better than I expected. The scars are practically invisible!

Thanks again for everything!

Travel from Delaware for Gynecomastia Surgery - 6 Weeks After Surgery

The recovery is going really well and my friends couldn't see the scars from a foot away when I was trying to show them!

There's definitely some scar tissue still left and I'm continuing daily massages but it is getting smaller.

Just to see if I can clear something up that was a little confusing for me, scar tissue does not refer to the surface scar on your skin. Post surgery there are tender parts of your chest that also feel a bit harder than the rest of the fat on your body. This is internal scar tissue that needs to be massaged and will eventually soften with time.

That may seem a little obvious to some of you folks but it confused me for the longest time!

Also I'd like to share that I'm going out on Saturday with the hottest girl I've ever dated! Hang in there fellas the other side is good!

Dr. Bermant responds:

Thank you for permitting us to share your experiences on this forum.

Michael Bermant, MD

Travel from North Carolina for Gynecomastia Breast Reduction - 1 Week After Surgery

Like many of you, I've been a long time viewer of this site.

I've been dealing with Gynecomastia since I was in my early teens and have been looking forward to the day that I'd be free ever since. I'm 35 now and finally decided to move forward with surgery after reading countless posts on this site and researching several doctors.

I wound up choosing Dr. Bermant because of the extensive information and photos posted on his website as well as the reputation he has with members on this board. I don't ever remember reading about someone who has had surgery with him and left unsatisfied. For the most part, posters upload their results and disappear into the rest of their lives.

I don't live in Virginia, so I did the remote consultation in which Dr. Bermant reviewed my case, discussed the procedure and provided me with very realistic expectations. He stressed from the beginning that he could not make me look perfect, that the human body is asymmetrical and his goal was to give me a more natural contour. That gave me a great deal of comfort, because in my opinion, people who go to a plastic surgeon to look perfect wind up looking like Joan Rivers.

I arrived in Virginia the day before surgery for a pre-op appointment. Everyone in the office was very, very nice as is often discussed in this forum. Everyone to a person that works in his office strives to keep you at ease and answer any questions that you have about the surgery. During my appointment with Dr. Bermant, we discussed the procedure in detail, he marked my chest and I was fitted for the post-surgery compression garments. He gave me every opportunity to ask questions and really made sure that I was educated about what I was about to go through.

The day of the surgery, I arrived in the office about an hour before I was scheduled to have the operation. After some waiting, I met with the anesthesiologist and he explained that he was about to give me 'breakfast and lunch' as well as an antibiotic, Valium, and the drug that knocks you out. He hooked up the IV, gave me 'breakfast and lunch' and the antibiotic. After that, we walked into the operating room and I sat down on the operating table, which is really like a big dentist's chair. I was given the Valium (which felt really good) and the nurse told me to start thinking of where I'd be going on my next vacation. The next thing I knew, I was waking up after the operation.

Immediately after the operation, I was taken to the recovery room where I hung out with the anesthesiologist for a few minutes. I really don't remember how long I waited with him, but once he felt comfortable with me leaving, he wheeled me to the door of the facility where my wife was waiting to pick me up.

From there, we went out to eat, had some ice cream and went back to the hotel. I was in minimal pain, not unlike what others have described here, so I took two extra strength Tylenol. At about 5:30am, I woke up from sleeping on my back and took two more because my back was hurting. To date, that's all of the meds I've needed. I'm no hero - it just doesn't hurt that much.

The next day, I met with Dr. Bermant for a followup evaluation. He took some additional pictures, we discussed wearing the vest and after a short visit, he released me to go home. Yesterday, I had one additional follow up visit with him and the bandages over my nipples were removed. We again discussed the use of the vest, he took some more pictures and I returned home again.

Overall, I can't say enough about the job that Dr. Bermant and his staff did to help me. They were all very professional, they had a knack for putting me at ease and the overall results were actually much better than I expected. At this point, I'll be able to do all of the things we've all talked about doing and I can't wait to get started. They definitely have a great system down and I feel like they charged a fair price for the results that I got. I know that there are other surgeons out there who charge less money, but the peace of mind that I got from doing it right the first time has made this whole experience very worthwhile.

As others have posted on this site, the operation is really the first step in the long healing process. I've got another two to three months to wear the vest, manage scar care, etc. I'm in no hurry to get back into lifting weights, running, etc. because I know that I'll have a long time to get back into shape once I'm done healing. Based on what I've seen and read, taking care of your body during the healing process is just as important as going through the operation. The last thing I plan on doing is taking a shortcut that results in a deformity or puts me back on the operating table.

The last thing I'll say is that if you are thinking of surgery, I'd suggest that you at least visit Dr. Bermant's website to get a feel for how much this man knows about this surgery and the innovative approach he takes. I researched this for five years and he really does run a first class operation from beginning to end.

Travel from North Carolina for Gynecomastia Breast Reduction - 8 Days After Surgery

The trip home was easy and I'm still making a little progress each day. My plan is to go slow with the healing with the ultimate goal of starting back to my normal routine by Labor Day. Thanks again for all you've done. The main reason I did this was for my kids - I'd like to spend time with them at the beach, waterparks, etc. and now I'll be able to.

Dr. Bermant responds:

Thank you for your comments and allowing us to share them.

Travel from North Carolina for Gynecomastia Breast -7 Months After Surgery

Hello,

My name is - and Dr. Bermant did surgery on me back in January. I would to let you know that I am very pleased with the results and there is very minimal scarring.

Dr. Bermant responds:

Thank you for the follow up comments. We work hard to please each of our patients.

Michael Bermant, MD

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This page last updated on: January 10, 2013

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