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Originally Posted by wildbill This is my first post and was wondering if anyone could shed some light on a few questions that I have. I used aas for the first time while playing college football during my second year, and during mid cycle I injured my knee at spring practice . This is where my problems began. I was unable to practice or workout so I stopped my use of aas and developed gyno by the time I got my hands on some tamoxifen citrate I belive it was too late to do any good. I recently had the surgery to remove the gyno and my question is this: Can I get gyno twice? How soon can I start training and using aas after surgery? And if I am succeptable to this side effect how much anti-e do I need to take ? I have 20ml of austrailian winstrol and 10mg pills these are low androgen, plus the test 200 and sustanon that I never finished.
Any good advice would help. |
Gynecomastia Surgery Does Not Prevent Regrowth I caution each of my patients that surgery does not typically stop male breast growth. If there is a problem with growing breasts,
recurrence can happen. Any of
these medical problems and or
these medications can cause gynecomastia. So, if you want to get worried about regrowth, you could get yourself evaluated for each of these conditions to see if they could be a factor.
Surgery also does not prevent weight gain in the chest. Men tend to put weight on the belly and chest regions. I educate each of my patients that this surgery will not prevent further breast growth. It is like changing/fixing a tire with a nail. Fixing/changing the tire will not prevent you from getting a new nail in that tire.
I take care of many patients with gynecomastia, as many as 8 in one day alone. With all the gynecomastia surgery I have done, it is
very rare to have regrowth for patients I have sculpted. One patient (who had surgery on only side by another doctor) came to me with pro hormone induced gynecomastia that only came back on the side that had no surgery. His growth was massive on the one side and none on the other. His surgery by that other doctor had left a massive crater - the skin was adherent against the chest wall with normal fat surrounding the ugly deformity. One side looked like the deformity seen
here. The other side was almost a B cup breast so tender that I could barely examine it. As with each patient who presented to me with current breast growth, he was referred for an endocrinology evaluation and stabilization before considering surgery. I do not know if such radical surgery was a factor or not. Even if it did, removing all fat under the skin just gives an unnatural look.
I prefer to target the gland first with my
Dynamic Technique. This permits me to remove most of the gland and then sculpt the remainng tissue to minimze contour problems. Any surgery technique, even radical breast mastectomy for male breast cancer can leave gland behind. The problem is that there are fine fingers of gland that dissect between fingers of fat and can extend quite far into the chest.
You can see what I mean by
fingers of gland here.
By concentrating on the gland first I am able to minimize the chance of breast regrowth. It is very rare for my patients to have recurrence. However, gynecomastia surgery does not stop breast regrowth. For patients having breast growth, I have advised for many years that they should get their problem under control before surgery. There are exceptions, such as young men with massive breasts that have not stopped growing. That is why each case needs to be individually evaluated.
Prevention of gynecomastia, when possible, is much better.
Secondary Surgery is often an option for those who had prior surgery. Such issues are better discussed during a consultation with your surgeon or someone who can advise you about your options. We help patients explore such issues during consultations or preliminary remote discussions.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture 
gyno twice? 
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