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    Registered User special_ahs's Avatar
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    Post Gynecomastia Surgery....... Vest Neccessary...Getting Wrong Info from the Doc

    My friend had his gyno surgery about a week ago. For a bout a week, they had the drainage tube plugged into the area to drain out fluids. I guess it works as a suction device or something.
    Anyway, when he asked the doctor about wearing a compression best after taking the tubes out, he said it wasn't necessary. He said that gaps created will be filled with fluids for a few days, but his body will reabsorb them and close them out. Currently, he is not wearing any vest or bandages. Do you think this is a good idea? This doctor thinks that his skin will tighten up and close out the gaps on its own, and foolish to think that there will be skins hanging lose or the gaps will remain for not wearing a compression vest. What do you think?
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    Belongs in the gyno surgery section mate
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    Originally Posted by DavisForman View Post
    Belongs in the gyno surgery section mate
    Had a good laugh.
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    Is the Dr in question located in NY?
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    Originally Posted by special_ahs View Post
    My friend had his gyno surgery about a week ago. For a bout a week, they had the drainage tube plugged into the area to drain out fluids. I guess it works as a suction device or something.
    Anyway, when he asked the doctor about wearing a compression best after taking the tubes out, he said it wasn't necessary. He said that gaps created will be filled with fluids for a few days, but his body will reabsorb them and close them out. Currently, he is not wearing any vest or bandages. Do you think this is a good idea? This doctor thinks that his skin will tighten up and close out the gaps on its own, and foolish to think that there will be skins hanging lose or the gaps will remain for not wearing a compression vest. What do you think?
    I think you're your friend.
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    Originally Posted by flangmasterj View Post
    I'm no Doctor but I think the Doctor is.
    lmao
    excellent point
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    Originally Posted by deadsheepmill View Post
    I think you're your friend.
    This

    Also strong relevance to IFBB Pro BB
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    Originally Posted by special_ahs View Post
    My friend had his gyno surgery about a week ago. For a bout a week, they had the drainage tube plugged into the area to drain out fluids. I guess it works as a suction device or something.
    Anyway, when he asked the doctor about wearing a compression best after taking the tubes out, he said it wasn't necessary. He said that gaps created will be filled with fluids for a few days, but his body will reabsorb them and close them out. Currently, he is not wearing any vest or bandages. Do you think this is a good idea? This doctor thinks that his skin will tighten up and close out the gaps on its own, and foolish to think that there will be skins hanging lose or the gaps will remain for not wearing a compression vest. What do you think?
    I can give you advice but I am not a doctor, I am probably more intelligent than most doctors but it does not change the fact that they would know more about this than even smart all rounders like myself.

    I suggest getting a second opinion from a specialist doctor.
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    You could wear a bra bro. Victorias Secret, not like you'll have an excuse to do it after your tits heal anyway... (I know you are thinking about a g-string already. Go for a whole package, that's right!)
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    Registered User triplerep's Avatar
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    Originally Posted by IwillBaMonster View Post
    You could wear a bra bro. Victorias Secret, not like you'll have an excuse to do it after your tits heal anyway... (I know you are thinking about a g-string already. Go for a whole package, that's right!)
    WOw you're a weird mofo!!
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    Originally Posted by FullROM View Post
    I can give you advice but I am not a doctor, I am probably more intelligent than most doctors but it does not change the fact that they would know more about this than even smart all rounders like myself.

    I suggest getting a second opinion from a specialist doctor.
    Did you honestly just say everything you just said?

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  13. #13
    Body Sculptor DrBermant's Avatar
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    Originally Posted by special_ahs View Post
    My friend had his gyno surgery about a week ago. For a bout a week, they had the drainage tube plugged into the area to drain out fluids. I guess it works as a suction device or something.
    Anyway, when he asked the doctor about wearing a compression best after taking the tubes out, he said it wasn't necessary. He said that gaps created will be filled with fluids for a few days, but his body will reabsorb them and close them out. Currently, he is not wearing any vest or bandages. Do you think this is a good idea? This doctor thinks that his skin will tighten up and close out the gaps on its own, and foolish to think that there will be skins hanging lose or the gaps will remain for not wearing a compression vest. What do you think?
    Each surgeon has his / her own method. With a good After Gynecomastia Surgery Compression Garment, I can avoid the use of drains (tubes for sucking out extra fluid and keeping tissues compressed by sucking them down). The drains are much more uncomfortable, riskier for infection, and often need another incision for the drain to exit. Drains can become necessary with any surgery. I find that for my gynecomastia surgery they are needed about one time every 1 to 3 years and I work with up to 8 gynecomastia patients a day.

    To evaluate if a particular doctor's method is better look at both the result in animation (flexing muscles), different angles, and what path the patient took to get there. Those who tend to use drains for most gynecomastia surgery seem to be dealing with much more bruising and bleeding problems. Look for early after surgery pictures of that doctors to compare to my typical Bruising and Swelling After Gynecomastia. The vests are a component of what it takes me to achieve that result.

    The garment also is a major contributing factor to Comfort After Gynecomastia Surgery. Although I prescribe a strong pain medication, almost all of my patients tell me that plain Tylenol alone is more than enough for comfort.

    Hope this helps,

    Michael Bermant, MD
    Learn More About Gynecomastia and Male Breast Reduction
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  14. #14
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    i was gonna post with my psuedo knowledge, then i looked at the post above me
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    how does this happen? everytime gyno is mentioned dr bermant is in straight away, never posts other than that. do you just come on everyday and type gyno in to the search?
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    Body Sculptor DrBermant's Avatar
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    Originally Posted by hennessy88 View Post
    how does this happen? everytime gyno is mentioned dr bermant is in straight away, never posts other than that. do you just come on everyday and type gyno in to the search?
    Actually i come in variably from once a month to a few time a week. Yes, I find where I post by the search tool. I do not browse around for unread threads. I also come back to review answers to threads I have already posted, which is what brought me back today. Oh, and when I search, I used the special search function set to most recent posts. Otherwise, the search returns posts with a ranking that is well beyond me and some of the mods I have asked.

    I prefer to post where I have knowledge as asked by a once mod here who now is an adm of this forum. He asked me to help with areas I had knowledge and dispel some of the misconceptions in the bodybuilding community. Other areas I tend to talk about include tummy tuck, weight loss, loose skin, testosterone replacement, Klinefelter's syndrome, breast reduction, liposuction, and the healing body.

    The original help thread was stickied for quite some time in the Anabolic section, it first went into that history section and then deleted when that whole section was removed. I did like the format: moderator question and answer by me permitted us to concentrate issues that get asked over and over and over again.

    Hope this helps,

    Michael Bermant, MD
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  18. #18
    Body Sculptor DrBermant's Avatar
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    thanks for all the info, im 4 months post op and i had revision surgery to excise scar tissue and im paranoid now more than ever that itll happen again, but my doctor (x) injected a sort of steroid this time to hinder scar tissue buildup
    This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

    Someone just gave me Reputation with that message attached about this old thread, so I am answering it here (after deleting the doc and poster's name). Oh, and yes, I am retired but still trying to share my experiences.

    Surgery heals with a scar, it is part of the body's natural response to injury. That is why I reviewed and evolved my technique with Standard Before and After Pictures or even more critically with Standard Gynecomastia Videos. Scar prevention starts with the surgical technique. Scars and residual gland just do not move like normal tissue. By reviewing such details I was able to evolve my methods to minimize the injury process and improve what I was doing over the years. But scars go way beyond surgeons tools and techniques, it extends to what is done after surgery.

    Originally Posted by DrBermant View Post
    Each surgeon has his / her own method. With a good After Gynecomastia Surgery Compression Garment, I can avoid the use of drains (tubes for sucking out extra fluid and keeping tissues compressed by sucking them down). The drains are much more uncomfortable, riskier for infection, and often need another incision for the drain to exit. Drains can become necessary with any surgery. I find that for my gynecomastia surgery they are needed about one time every 1 to 3 years and I work with up to 8 gynecomastia patients a day.

    To evaluate if a particular doctor's method is better look at both the result in animation (flexing muscles), different angles, and what path the patient took to get there. Those who tend to use drains for most gynecomastia surgery seem to be dealing with much more bruising and bleeding problems. Look for early after surgery pictures of that doctors to compare to my typical Bruising and Swelling After Gynecomastia. The vests are a component of what it takes me to achieve that result.

    The garment also is a major contributing factor to Comfort After Gynecomastia Surgery. Although I prescribe a strong pain medication, almost all of my patients tell me that plain Tylenol alone is more than enough for comfort.
    I used interval documentation to monitor things like swelling, bruising. I found I was getting better results (they moved and looked better) when I was decreasing the bruising and swelling, my interpretation, less injury to heal. We also changed to mandatory the use of the Second Stage Compression Garment. My patients who were using both the First Stage Compression Vest After Surgery and second stage were just doing better. So I changed the use from optional to mandatory (the first stage was always mandatory.

    I also preferred to individualized Scar Care instructions for each patient. It was very rare for me to need to use Steroid Injections to the scar. So rare that we were reordering unopened soon to be expired medication just to keep it on hand. The neat thing was finding the bottle unopened not used for the shelf life each time we maintaining inventory.

    This is the process of critical documentation, analysis, and evolving methods. So scar injections can help, but I preferred prevention. But each surgeon has his/her own ways. One option is to take your own pictures to document the condition now. Then monitor the progress over time. But the documentation is best when at least my Standard Set of Images is used. The videos are more difficult to standardize, match the shot for the before after.

    Hope this helps,

    Michael Bermant, MD
    Retired Plastic Surgeon
    Learn More About Gynecomastia and Male Breast Reduction
    Last edited by DrBermant; 09-04-2012 at 05:31 PM.
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    doctor in bb.com ifbb forum? mind blown
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    Body Sculptor DrBermant's Avatar
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    Originally Posted by SammyJr View Post
    doctor in bb.com ifbb forum? mind blown
    This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

    Have been here for quite some time. Creativity has no bounds. Which brings me to another point I have been working on the past few years. Adopting my standardized documentation methods to document bodybuilding progress. I have mentioned it here before, but no progress.

    My Standard Male Chest Pictures was designed to show gynecomastia and pectoral muscle contours. I see no reasons to not design a "ballet" of repeatable moves to document other muscles contours. The views have to be able to be controlled to standardize the real state of the build. So someone needs to add the additional factors like topical lubrication, poses, and other factors. Glad to work with someone here or on my sites to put the images into a page so the testers have a reference to guide them through subsequent picture taking. I would like to see it include body fat percentage, weight, and BMI. Enthusiasts can add other measurable parameters to the documentation data sheet. This can be done by body region or muscle groups. But keeping it simple for its first few evolutions is often better. So starting with my chest sheet is an obvious place with more than a decade of use, it has morphed into several version such as scars for revision, and loose skin after weight loss. So why not bodybuilding or weight loss documentation?

    Hope this helps,

    Michael Bermant, MD
    Retired Plastic Surgeon
    Learn More About Gynecomastia and Male Breast Reduction
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    Awesome a doctor on the forums. Great posts DrBermant.
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  22. #22
    wanna fill out a 2x..... ncarter11's Avatar
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    wow some of those post surgery shots looked 1000x better.
    like I care about your "rep"....
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    Originally Posted by ncarter11 View Post
    wow some of those post surgery shots looked 1000x better.
    This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

    Thank you, that is the idea. I take great pride in my surgical sculpture. It was an effort over decades of improvement and hard work to keep getting better. Gynecomastia, as does the Female Breast, comes in different sizes and is associated with different components, gland, fat, and skin. So, looking different depends on the size it starts out with. But it does not take much gland to ruin the cut look of a Bodybuilder with Gynecomastia. I recently upgraded my Gallery views. Puffy Nipple Gynecomastia Gallery and other subsections can be found on the bottom of each page. I am currently working on making the web pages Adaptable, so the screen size adjusts to what the viewer is using, a daunting task. Off topic but showing what I mean is a
    Caution Graphic Pictures During Surgery
    Gallery of Tummy Tuck Anatomy Pictures. That took several months of work doing all of those drawings myself, not including the decades to develop the technique permitting such surgery under local and heavy sedation. That improvement actually derived from my Gynecomastia male chest work, taking my observations to what had been a very painful swollen and bruised stomach to the amazing new levels of comfort literally being able to have an awake patient at the end of the surgery walk assisted off the operating table. But that page now adapts to different screen sizes, be it smart phone (hard to cram the navigation panel to be seen same time as photos, to tablets, to monster size computer screen.

    But to the issue of showing how muscles work standard pictures: this Tummy Tuck for a Belly Dancer Video tests her rectus muscles after surgery trying her belly roll moves without my knowing what to ask nor that she had a hobby and passion for belly dancing. She just started testing this muscle flexing control fine moments while I was having her do my "ballet" of standard moves to document her surgery. Watch the video, Actually, that is where I came up with the idea to expand Standard Pictures for Bodybuilders, the creative mind not being at rest. I then incorporated the belly roll into her continuing set of videos, with the most spectacular evolution of healing injured repaired Diastasis Rectus muscles. The power of public education comes to play when you see what was done
    Caution Graphic Pictures During Surgery
    Diastasis Rectus, Spread Apart Rectus Muscles During Tummy Tuck
    How cool, I had to look up the code to show that specific slide of the show, but it works!) And that is the structure that I repaired from Sternum to public bone in the belly dancer.

    So, like I am extrapolating from my being concerned watching competition bodybuilders with gynecomastia so many years ago while studying muscles in action to improve my surgical sculpture, who is willing to cross pollinate and progress my Standard Picture and Video documentation and take it to the next level with Documenting Bodybuilding or Weight loss techniques. How neat do you think that is? If someone has a method they claims works, show us. Don't hype with verbal hand waving, just show us the documented before and after. It would work bringing a new science to the endeavor and probably, like it did for evolving my surgical sculpture, evolve the entire passion of bodybuilding. If it works, prove it. Watch the healing rectus muscles, and propose the bodybuilding moves, demonstration, "ballet" of repeatable moves, write down how to perform that step, photograph / video the move, and then see the progress.

    I can help, I have done it now for years. But I cannot easily come up with what needs to be done. With retirement, the office is closed, so I am out of the picture contributing with new patient's images. I can be the stimulus, show how, share my knowledge on how to set up the system. I can help evolve ideas and attempts to make it work as I did for my own series of Standard Pictures. Here is the principle laid out on this page: Using Before And After Pictures. But instead of surgery, we are talking about loose skin and muscle development after weight loss or bodybuilding, or the deterioration and loss seen when not keeping up with the routines. But perhaps that is why some no longer show what was once a magnificent chest in public like an Arnold Schwarzenegger? But I would love to have been the stimulus to get some of these faked advertising pictures for this magical weight loss or fake gynecomastia cure shown for what they are: deceptive gamesmanship using changed lighting, photo techniques, or changed camera lens, different cropping exposed. The principles of before and after picture techniques is written into the Ethic Bylaws of my Plastic Surgery Societies, something I worked on many years ago. Anyone interested in doing the same here?

    Hope this helps,

    Michael Bermant, MD
    Retired Plastic Surgeon
    Learn More About Gynecomastia and Male Breast Reduction
    Michael Bermant, MD
    Board Certified
    American Board of Plastic Surgery
    http://www.PlasticSurgery4U.com
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