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Company logo: Elliot W. Jacobs, MD, FACS - Diplomate, American Board Of Plastic Surgery
815 Park Avenue New York, NY 10021

815 Park Avenue New York, NY 10021
212-570-6080

The Big 3 of Symmetry

symmetry after gynecomastia surgery

When you come in to consult us about a case of gynecomastia in New York, you already know that we will examine you, take measurements and talk with you about the options. You probably also expect a good discussion about preparing for surgery, recovery, possible risks and so on, and those topics will certainly be covered in depth.

What you may not know is that we will have a conversation with you about your man boob journey to date and expectations you may have about your results. One motive we have is to make sure you know that your body plays a big role in your surgical outcome, and it’s the reason we can anticipate results but not guarantee them.

It’s especially important that you understand this when it comes to considering symmetry. We find that some of our patients expect to have absolute, mirror-image symmetry after man boob surgery. Here are three leading reasons this may not be possible:

1. True symmetry in nature is a rarity. We tend to accept that each half of our body is the same as the other, but if you think carefully, it’s not true. Are your feet exactly the same size? Are your toes identical from one foot to the other? Examine your face carefully in the mirror—are your eyes the same in location, size and position of the lids? Chances are, you can find many ways in which your body is not symmetrical. This is completely normal.

2. We may discover asymmetrical aspects of your chest once male breast reduction surgery is underway. Once excess fat and gland are removed, we may find previously unknown differences in the two sides of your rib cage. It may be that the pectoral muscles on each side of your chest are not the same size. We may find you have a measure of scoliosis that affects posture and more. All these conditions can impact the ultimate outcome of surgery.

Having performed male breast reduction in New York for more than 30 years, we are experienced in handling just about every physical quirk you can think of. We can adjust our approach to address what we encounter on the operating table to some extent, but your body has a big say in the matter too.

3. Scar tissue is unpredictable. Scarring underneath the skin is inevitable following gynecomastia surgery. It’s possible that you may develop more scar tissue on one side of your chest than the other. The majority of our patients do not worry about this, and for most, any discrepancy in size due to scar tissue is minor. If you’re one of the few with scar tissue that mars your results, we can try injections to reduce some of it or even do minor surgical repair.

Following gynecomastia surgery, it takes up to a year results to be final. When a patient expresses concern about asymmetry, we first make sure the entire healing period is behind him. After that, in the very rare instance of a true problem, we work with the patient to address it.

What we typically find in the case of a patient who is bothered by un-identical breasts in the mirror, however, is a continued preoccupation he had with his chest well before surgery. It’s not unusual for a guy with moobs to become ultra concerned about them. He may often look at them several times a day, devise a number of strategies to conceal them and avoid activities that may make them noticeable.

With this kind of history, we understand that a patient may pick up on very slight asymmetry that no one else would ever see. In fact, by obsessing in front of the mirror, he may discover an “imperfection” that even HE never noticed before surgery. The issue is when the patient fails to appreciate the big picture—the dramatic improvement in his physique. The solution for most guys includes follow up visits, re-examination of before and after gynecomastia photos, input from loved ones in the know and time to reflect and adjust to the change.

If you’re ready for a consultation and a discussion of what’s possible for you, contact us about your case. We pledge that we will do our best for you, just like we do for every other guy with gynecomastia who puts his trust in us. We also promise to be 100% honest about what you can expect and give you the information you need to make the right decisions.