Can Gyno really come back after surgery?

[TheGuyHere]

I am considering the possibility of getting my gyno taken out. Although it is very mild it usually flares up on cycle even with AI use and I honestly just want it gone for fucking good.

On the website of the place I'm considering getting it done, they state "If the patient is a bodybuilder and continues to take steroids, the gynecomastia will indeed recur.

Is this just typical doctor fear mongering regarding steroid use, or is that really a likely scenario? I want to never use AIs again if possible as they are basically poison. I just want to get the gyno taken out then never have to worry again. Is this a fantasy or not?

 

[JC Grifter]

if you remove all the gland then you reduce the risk of recurrence of gynecomastia but increase the risk of developing a crater like appearance also called saucerization.

Most surgeons won’t remove the entire gland. So yes it can come back.

Why do you think AIs are a poison? I was on Arimidex for several years because of a hormonal imbalance and I had zero issues.

If you really want to stay away from them, then you need to never run testosterone high.

 

[Inspired]

Yes it can come back. The problem is that even if the doctor thinks he got all of the gland out, there is sometimes a small chunk of gland left behind, which can regrow. Sometimes they get the gland behind the nipple, but don't get all of the "tail" part of the gland.

For the most part, the results of the surgery are "permanent" if the doctor is able to get "all of the gland". They can leave a small amount of gland behind the nipple, but that doesn't regrow if it's removed the right way.

 

[Rido]

if you remove all the gland then you reduce the risk of recurrence of gynecomastia but increase the risk of developing a crater like appearance also called saucerization.

And silicon caulking at home Depot is only about 4 dollars a tube.

Easy fix

 

[Iron Vett]

All of my glands were removed about 25 years ago and they have never came back. I guess my surgeon knew what he was doing because my nipples look perfectly fine with no abnormal appearance

 

[1Megaman]

My surgeon has said a few times it won’t come back, and yes he knows about my AAS use. Of course I want to think it won’t, but I just watch my bloods while blasting and cruising just like before.

 

[Keto86]

I got my glands removed back in 2015, they haven't came back even with what I've used.

I Always have an AI on hand just as a precaution, depends on the surgeon and how good he is at doing the surgery also.

 

[Inspired]

You guys are lucky. Were you lean at the time? I think it's harder to remove everything accurately if the person has a fattier chest mixed with gland. You should share your doctor's names (No big deal if you don't want to). There are more bad surgeons out there than not.

I think the biggest risk of gyno recurrence is a massive bodyfat increase.

 

[T&H]

You guys are lucky. Were you lean at the time? I think it's harder to remove everything accurately if the person has a fattier chest mixed with gland. You should share your doctor's names (No big deal if you don't want to). There are more bad surgeons out there than not.

I think the biggest risk of gyno recurrence is a massive bodyfat increase.

No, bodyfat increase will not cause a high risk of true gyno reoccurrence. Allowing high estrogen levels or messing with other steroids known to cause and or increase gyno possibly could.

And with gland removal and lipo at same time, bodyfat isn't a deal breaker with a skilled surgeon. Lots of men get this done, not just aas users.

 

[Inspired]

Larger bodyfat increases can absolutely cause gyno recurrence. The fat gain alone is stimulatory, and the accompanying increase in estrogen/aromatase etc make gyno recurrence a near guarantee.

 

[T&H]

Larger bodyfat increases can absolutely cause gyno recurrence. The fat gain alone is stimulatory, and the accompanying increase in estrogen/aromatase etc make gyno recurrence a near guarantee.

Post some science or studies proving your near guarantee claim.

 

[Inspired]

Long-Term Follow-up of Recurrence and Patient Satisfaction After Surgical Treatment of Gynecomastia - PubMed

DRKS00009630.

pubmed.ncbi.nlm.nih.gov

 

[T&H]

Long-Term Follow-up of Recurrence and Patient Satisfaction After Surgical Treatment of Gynecomastia - PubMed

DRKS00009630.

pubmed.ncbi.nlm.nih.gov

Interesting. Sounds like those who had lipo for pseudo gynecomastia had the most reoccurrence rather than those who had gland removal.

 

[Dr JIM]

Interesting. Sounds like those who had lipo for pseudo gynecomastia had the most reoccurrence rather than those who had gland removal.

Very small study to draw any conclusions but liposuction alone will rarely if ever remove estrogen responsive glandular tissue.

 

[T&H]

Very small study to draw any conclusions but liposuction alone will rarely if ever remove estrogen responsive glandular tissue.

I meant to say that the study in no way was a guarantee too like he claimed. There's definitely a reason most of the reoccurrence was in lipo only, very well because of what you said. When I hear gyno I only think of glandular and not fat which often called pseudo gynecomastia.

 

[supremedonkey]

You guys are lucky. Were you lean at the time? I think it's harder to remove everything accurately if the person has a fattier chest mixed with gland. You should share your doctor's names (No big deal if you don't want to). There are more bad surgeons out there than not.

I think the biggest risk of gyno recurrence is a massive bodyfat increase.

Body fat has nothing to do with luck. You should get shredded to the bone before the surgery to make it as easy as possible for the surgeon.

 

[JC Grifter]

If you guys found a surgeon that legit removed 100% of the gland you’re in a Tiny minority. The vast majority of surgeons WILL NOT do that because it can cause a deformity in the chest.

I’m telling you people just “think” the entire gland has been removed. maybe there’s some rare exceptions where a surgeon actually did it… but rare is the key word.

 

[Inspired]

Body fat has nothing to do with luck. You should get shredded to the bone before the surgery to make it as easy as possible for the surgeon.

That's totally incorrect. You don't stay shredded 365 days a year, so you are asking for contour problems as soon as the person starts to gain weight. Any surgeon that does these surgeries regularly, will advise you to have it done at your regular off season weight. It's about attaining a proper contour.

If you remove only gland while shredded, and you gain fat, then what will happen? You're going to see irregularities that couldn't be accounted for by the surgeon at the time of the procedure.

Does this make sense?

 

[Inspired]

I meant to say that the study in no way was a guarantee too like he claimed. There's definitely a reason most of the reoccurrence was in lipo only, very well because of what you said. When I hear gyno I only think of glandular and not fat which often called pseudo gynecomastia.

The gland and fat are intermingled throughout the chest. Even when you directly excise a large glandular mass, there are still bits and pieces of glandular tissue often left behind. Those bits and pieces are what you need to worry about. Sometimes there is gland left in place to be used for contour reasons, and other times the gland is missed by the doctor. You have have look at this at a cellular level also. It only takes a few remaining cells and some stimulation for gyno to grow.

Recurrence of glandular gynecomastia is relatively common. There are other studies that show this, but I thought it was common knowledge.

A lot of patient's need revision surgery for reoccurring gyno. However, the gland usually grows back so slowly, that it's not a problem. Like when a flat chested teenager eventually develops substantial gynecomastia in their 60's. It's a slow growing thing that eventually develops into gynecomastia. Having a successful gynecomastia surgery doesn't guarantee protection or lifelong immunity against gyno.

If you get the surgery, and then have regular bodyfat increases (let's say you gain 50 pounds of fat every so often), you will not only develop fatty gyno (which may shrink when you lose the weight again), but you'll also grow some gland. The more gland left behind, the more able it is to grow.

 

[juicebro]

That's totally incorrect. You don't stay shredded 365 days a year, so you are asking for contour problems as soon as the person starts to gain weight. Any surgeon that does these surgeries regularly, will advise you to have it done at your regular off season weight. It's about attaining a proper contour.

If you remove only gland while shredded, and you gain fat, then what will happen? You're going to see irregularities that couldn't be accounted for by the surgeon at the time of the procedure.

Does this make sense?

Jeez. How fat do you people get that your pecs get fat? You absolutely can stay shredded 365 days a week and I do just that. Ocassionally I just peak and get even leaner...glutes shredded etc. No reason to get fat ever.

I've heard they do remove the whole gland in some cases but put something in there that prevents the nipple from falling in.

Did you seriously say 50 pounds of fat every so often? What the hell lol. This is bodybuilding not fat gaining.