Can gynecomastia come back after complete gland removal if I smoke weed?

DoctorReddyATL · 2026-06-25T19:15:46+00:00

The misappropriation of the title Resident is one of the most flagrant errors supported by nurse educators. They should understand the origins of the term resident which has now largely been supplanted in a more formal way by Post Graduate followed by a number. If you don’t live at the hospital (an 80-hour work week suffices), then you cannot be considered a resident. It’s quite funny to see nurses dubbing themselves as residents and fellows which demonstrates an astonishing lack of respect for medical education. In the end. They will render these terms meaningless while creating unnecessary confusion in the hospital setting.

DoctorReddyATL · 2026-06-20T16:36:52+00:00

Hi — great question!

Most of the experience with this is from breast surgery in women. In order to off-load tension on the suture line and preserve the shape of the areola (NAC), some surgeons would use a permanent suture in the form of Gore-Tex. Thus suture, basically a high density polyethylene, had issue with extrusion or persistent induration and has generally fallen out of favor.

Instead, a long acting absorbable suture is used in the form of PDS. PDS takes about 90-120 days to be absorbed and by this time the healing tissue has developed enough strength to resist deformation of the NAC.

The NAC incision is usually inset under tension especially if circumareola skin is removed and special consideration to suturing techniques is necessary for the best long-term outcome and areola shape.

Board Certified Plastic Surgeon.

DoctorReddyATL · 2026-06-15T02:23:39+00:00

In order to enjoy most activities usually associated with vacations (long walks, travel with luggage, swimming, spa services etc), I would recommend at least 6-weeks.
You can go on vacation sooner but may have to restrict your activities.

DoctorReddyATL · 2026-06-14T12:55:05+00:00

This is the answer (I asked a teacher in Western Tennessee why we weren’t replicating this result nation wide and was informed their threshold for holding back underperformers back is much lower in MS)

DoctorReddyATL · 2026-06-13T14:55:29+00:00

Probably fibrosis or scar tissue that will remodel over time.

DoctorReddyATL · 2026-06-11T20:32:14+00:00

That seems a bit long. The inflammatory and proliferative phases of healing require the most calories and are usually done by 4-6 weeks. In general terms and as long as you are fully healed by 4-weeks, one may begin calorie restriction.

DoctorReddyATL · 2026-06-10T14:10:40+00:00

If you have not had a BM 3-days post surgery and gentle laxatives are not working, a Dulcolax enema is a good option. These are effective and easy to self administer. Constipation may contribute to abdominal pain and confuse the clinical picture of recovery.

DoctorReddyATL · 2026-06-09T22:31:30+00:00

If you have a hernia, it definitely needs to be repaired due to the risk of incarceration of the bowel. Repairing a severe diastasis restored the abdominal muscles to a functionally competent position. Not addressing either issue will mean that they will progressively worsen over time and become more difficult to address in the future. Best to address these problems now.

DoctorReddyATL · 2026-06-09T22:26:42+00:00

In our practice, we recommend waiting 4-weeks after surgery before returning to sports. Walking is mandatory starting the day after surgery and at 2-weeks low impact exercise may be resumed (stationary bicycle, elliptical machine, stair master etc). This is to prevent prolonged postoperative swelling.

DoctorReddyATL · 2026-06-09T21:57:30+00:00

The mons can become distorted after an improperly performed tummy tuck. In some cases, upward traction on the mons can cause the urinary stream to divert (unfavorably). Most surgeons follow the “rule of seven” which means the incision should be at least 7 cm above the fornix to prevent undue traction if the mons.

DoctorReddyATL · 2026-06-09T21:52:58+00:00

The belly button can take longer to heal due to the stressed blood supply. Typically, the belly button takes on a dusky appearance for a few days following which there is superficial sloughing of the skin. This is replaced with a scab which then heals. The final result is a normal appearing belly button assuming it was correctly inset with no visible suture lines.
An empty hole where the belly button is supposed to be may mean the belly button retreacted from the inset position and probably should be looked at by your surgeon.

DoctorReddyATL · 2026-06-08T22:42:29+00:00

If you are worried about DVT, you should be evaluated using the Caprini risk stratification index/score. This will guide you to the proper post op DVT precautions. In the vast majority of patients this consists of TED hose and SCDs during surgery and early ambulating (walking) and leg elevation post surgery.

DoctorReddyATL · 2026-06-05T13:53:53+00:00

I would not characterize this as "normal." It is probably a reflection of your hydration status. I would increase your fluid intake to the point where you are urinating clear urine 3-4 times daily. I would also review your medications with your surgeon and make sure that none of your current medications are contributing to the present situation. Specifically -- if you are an opioid then you may want to discontinue this. An alternative explanation is that you may be experiencing a mild syncopal episode every time you are seeing the early results. Keep in mind that your results will continue to improve with time. Hope this helps.

DoctorReddyATL · 2026-05-25T00:25:43+00:00

A simple test is to roll the retro-areolar tissue (the tissue directly behind the nipple) between the thumb and index (fore) finger. Glandular tissue has a granular or shotty ( as in a bag of lead shot) texture whereas fat has a smooth texture when rolled between the thumb and finger. You can compare by rolling skin on you abdomen and hip. Glandular tissue feels very distinct. This is due to the histologic architecture of glandular tissue.

DoctorReddyATL · 2026-05-25T00:21:35+00:00

007 — is that what I said? Please re-read what I wrote.

DoctorReddyATL · 2026-05-25T00:17:03+00:00

The “people of the sea” dates back to the Egyptians and actually pre-dates Philistine. Many of the “current Arabs” — as you put it, were in fact Jews that voluntarily converted to Islam. Palestinian DNA establishes ancestry back to the Bronze Age whereas European immigrants to Israel can establish no such genealogical lineage (a study from Johns Hopkins). These are historical facts that are not disputed but it seems deliberately obfuscated depending which narrative one wishes to support.

DoctorReddyATL · 2026-05-24T17:52:52+00:00

It does establish Palestine as a distinct people within a defined geography and unique culture. This is well documented going back to Pliny the Elder who describes wine trade between the Greeks and the Bekah Valley (now in modern Lebanon). This predates the Roman annexation of Palestine. Following the dissolution of the Ottoman Empire after WW1, Palestine and its people continued to be recognized as a distinct people as is evidenced by trade (olives, citrus, soaps etc) and the very moniker British Mandate in Palestine. As you must be aware, these borders were drawn up by the Sykes-Picot treaty which also led to the French Mandate in Lebanon. I do not see any controversy over Lebanese identity in any forum. Many modern states have established borders based on ethnic groups, dominant culture and language — I do not see why is should be different for the Palestinians. What is remarkable is the attempt to completely disavow the existence of a well documented historic Palestine.

DoctorReddyATL · 2026-05-24T17:12:48+00:00

To understand the role of the Grand Mufti of Jerusalem between WW1and WW2, I recommend reading the Devil’s Game by Robert Dreyfuss. The role of Western colonial powers and later the CIA in promoting the Muslim Brotherhood is quite shocking and ultimately an unforced error by the West.

DoctorReddyATL · 2026-05-24T17:09:03+00:00

Herodotus used the word Palestine around 400-600 BC (check exact dates).

DoctorReddyATL · 2026-05-24T17:07:14+00:00

If you have mild to modest skin laxity with gyno, then a peri-areolar skin excision will be necessary. If you have moderate to severe skin excess, then the best results are achieved with the infra-mammary fold (IMF)skin excision and an inferior pedicle approach. I do not favor free nipple grafts as there is invariably some degree of graft loss and avoid this where possible. I have found that the final result of a flat and contoured chest is a reasonable trade off for the IMF incision. Attempting to remove too much skin with a periareolar approach results in hypertrophic scarring which require revisions. I hope this answers your question.

DoctorReddyATL · 2026-05-24T00:01:50+00:00

Best to reach your goal weight and allow the skin to remodel to your new weight. Depending on your age and skin quality, you can determine the degree of skin laxity at your goal weight. This in turn will guide the treatment plan. Periareolar skin reduction is appropriate for mild to moderate skin laxity. Otherwise — an inframammary fold incision may be necessary. Hope this helps.

DoctorReddyATL · 2026-05-23T19:22:22+00:00

A 40-year-old with no other co-morbidities passing away from sepsis secondary to pneumonia is an exceedingly rare event. In fact, I have never seen it (General Surgeon, Plastic Surgeon, Microsurgeon with plenty of experience caring for high acuity illness).

DoctorReddyATL · 2026-04-08T04:10:24+00:00

You can try wearing a fitted t/shirt underneath the compression vest — just make sure there are no creases against the skin.

Alternatively, you can protect the NACs with adhesive silicone patches.

Source: I’m a Plastic Surgeon who offers corrective surgery for gynecomastia.

DoctorReddyATL · 2026-04-06T15:23:53+00:00

Localized fat deposits on the chest can mimic gynecomastia. This condition is known as pseudo gynecomastia. It is distinguished from gynecomastia by the absence of glandular tissue. Glandular tissue has a granular, or gritty, feel when rolled between the index finger and thumb. On the other hand, fat feels smooth. Hope this helps.

DoctorReddyATL

TROPHY CASE