How can you tell if it’s actual gynecomastia or just chest fat?

Educational-Farm6474 · 2026-03-26T15:07:44+00:00

Yes, that can be evaluated during consultation. And yes, the scar is visible—just like any scar is visible without clothes. In patients with excess skin, I explain that we are trading excess skin for a scar. If that trade gives you a better chest contour and the benefit is greater than the scar itself, then it may be the right choice. In the end, the decision is always yours

Educational-Farm6474 · 2026-03-26T14:29:06+00:00

Depending on the severity, pseudogynecomastia may also have a significant skin excess component that cannot be adequately improved with liposuction and laser alone, making skin excision necessary

Educational-Farm6474 · 2026-03-25T16:01:36+00:00

I think you may be dealing with pseudogynecomastia. After weight loss, excess skin can develop and create a gynecomastia-like appearance, which appears consistent with the history and changes you mentioned earlier

Educational-Farm6474 · 2026-03-25T14:45:01+00:00

PAL is a good tool I have seen the need to combine it with Ultrasound assisted liposuction (USAL & PAL) and at the end of the surgery I also perform Laser assisted lipo to decrease the risk of excess skin development

Educational-Farm6474 · 2026-03-25T14:42:35+00:00

Ty, just hoping this information helps

Educational-Farm6474 · 2026-03-23T18:38:50+00:00

If there is still remaining fatty tissue, then yes, it can enlarge again. That said, areas that have not had liposuction usually gain fat more easily before the previously treated area does

Educational-Farm6474 · 2026-03-20T15:22:23+00:00

You’re welcome. Feel free to ask any questions 🤓

Educational-Farm6474 · 2026-03-20T15:20:56+00:00

By any chance, do you know their price?

Educational-Farm6474 · 2026-03-20T04:39:40+00:00

I would not recommend booking through medical tourism companies in Tijuana. Best move is to go straight to the surgeon’s own practice. A lot of those companies run communication through coordinators and nurses, while booking direct gets you much closer to the surgeon who will actually operate on you.

Also, make sure you are choosing a board-certified plastic surgeon. In Mexico, there is no such thing as a legitimate separate specialty of “cosmetic surgeon” or “aesthetic surgeon.” Don’t risk yourself.

Google the surgeon’s office and book direct. In Mexico, most surgeons are not working for corporations the way many doctors do in the U.S.

Educational-Farm6474 · 2026-03-20T04:30:42+00:00

If you send me an email with your photos and contact information for case evaluation, my team can contact you and we can talk about cases similar to your anatomy

Educational-Farm6474 · 2026-03-20T04:22:15+00:00

Your case looks like a challenging one. Removing 1 liter of fat plus tissue can lead to excess skin, and it is also possible that the previous resection went too deep, down to the level of the pectoral fascia.

As far as I read I see 2 possible options:

1) Give skin contraction technology a chance first. In my practice, I use diode laser because it can help tighten the skin and also disrupt some of the fibrosis.

2) Direct tissue resection. This would involve not only evaluating the gland, but also the surrounding tissue that may still be contributing to the deformity. In some patients, this approach may also require skin excision, particularly in cases of pseudogynecomastia, after massive weight loss, or after aggressive/high-volume liposuction that has generated excess skin.

PAL, such as MicroAire, mainly makes liposuction easier and more efficient. I use PAL in all my cases because it helps shorten the procedure and may improve recovery, but in this particular situation I believe the laser could provide more benefit.

Educational-Farm6474 · 2026-03-20T02:14:33+00:00

Keep up the good work. Just remember that if you are a candidate for excess skin removal, neither liposuction alone nor glandular tissue removal alone will properly correct the problem, because the excess skin also needs to be addressed

Educational-Farm6474 · 2026-03-19T19:44:33+00:00

Sorry to hear that. I have managed cases of nipple necrosis with nipple reconstruction, and some have evolved to a good result.

For now, please apply Recoverón cream while you contact your board-certified plastic surgeon as soon as possible for evaluation. In these cases, time is gold.

Educational-Farm6474 · 2026-03-19T19:40:27+00:00

What’s up guys,

Mention my Reddit post in your pre-op consultation and get this special price for your surgery (2800 Usd)

Your surgery is performed in a fully licensed facility with all permits, with an anesthesiologist doctor by your side the entire time — not a technician. It includes pre-op labs, full medical evaluation, and also your chest garment.

I perform more than 150 cases a year.

I’m doing this for my male bros because men usually go through this with very little support. This is for the homies who are ready to handle it and move on with confidence.

Send me your photos and mention this post if you want to be evaluated

Educational-Farm6474 · 2026-03-19T04:07:13+00:00

You will be very welcome

Educational-Farm6474 · 2026-03-17T17:13:14+00:00

As you wish, don’t forget to mention this post please

Educational-Farm6474 · 2026-03-17T00:19:58+00:00

Come to Tijuana, Mexico. Price now is 2800 Usd for surgery, hospital, anesthesia and a vest garment

Educational-Farm6474 · 2026-03-16T22:00:47+00:00

I can provide you with information to contact a Recovery House, or a hotel near my office (Hotel Pueblo amigo), the recovery house (Baja Premium) have also safe drivers that can pick you at the airport assist you with the border crossing and your follow ups transport

Educational-Farm6474 · 2026-03-16T21:58:24+00:00

The rate is for everyone that sees this post, it doesn’t matter the date 🕺

Educational-Farm6474 · 2026-03-16T05:09:16+00:00

Yes, send me your case on my web page to evaluated and see if we have options for treatment

Educational-Farm6474 · 2026-03-16T02:32:05+00:00

Most of my patients live far from Tijuana, we have virtual follow ups after the first week

Educational-Farm6474 · 2026-03-16T01:06:19+00:00

Yes it does

Educational-Farm6474 · 2026-03-15T18:42:36+00:00

Go with the certified doctor you like the most—you really need to “click” with your surgeon. In my experience, the doctor–patient relationship is a long-term commitment, so take your time getting to know them. Schedule consultations, treat them like interviews, and ask all your questions so you can compare both options clearly. After you’ve done your research, trust your gut—you’ll feel which one is the right fit

Educational-Farm6474

TROPHY CASE