I have been thinking a lot about top surgery recently. I am probably a C cup right now. I am probably too big for a doctor to want to perform periareolar top surgery but I am young so I assume my skin elasticity will be quite good. As I understand it B cup is borderline. I was wondering about the possibility of loosing weight and then being able to have a peri rather than a DI.

I am 1 month on T so body fat changes haven't started happening yet but I have seen guys go down a cup size on T and considering the soonest I could have surgery would be in 1 years time (almost definitely will be later though) I was wondering if it would be worth trying to loose body fat (I have more than I'd like anyway but I'm not overweight) and get my size down enough.

I understand that people who are borderline often have to have revisions, but I am a long term thinker so as long as I can wear a shirt without having to bind after my first op I am fine with revisions. All in all I wouldn't be heartbroken if I had to have a DI and then deal with the scars but I think they would still give me some discomfort. Sensation isn't an issue as I have barely any already.

Was anyone here borderline for the peri, or had a reduction in chest size on T? What do you guys think?

Losing weight won't help. The amount of breast tissue won't change.

I know a guy who was B cup. I don't think the surgeon was too knowlegable and tried to do a peri. SO far he is on his 4th revision. What ended up happening is that he had to have a DI as a "revision".

I agree with KAT it isn't "losing weight". YOu have so much tissue there, I don't think that a C can become an A. It just doesn't work like that. Maybe can bring down to a B but as I indicated, I wouldn't go there. It is NOT cheaper and you won't be happy with the results. (Actually peri can be MORE expensive than DI.) The other factor is nipple and areola size. You don't want those big as that is not a male looking trait.

Scars get better and lighter with time. I am still feeling the scars (ie tightness) after 7 weeks, but it isn't a huge issue. They are already lighter (from using scarguard and silicone strips). If you have chest hair (which I don't) it will start to cover the scars too. Also some guys use tattoos to sort make people look at their tattoos vs their scar lines. You should look at scars about 3-4 years post-op. I think they are a non-issue.


--Jay

Quote from: aleon515 on December 28, 2013, 05:52:13 PM
You should look at scars about 3-4 years post-op. I think they are a non-issue.

I agree with Jay's statement. I also agree with those who said losing weight will not 'shrink' your chest enough to be a candidate for peri.

I'm a C cup and it has never crossed my mind to even question getting anything but double incision. Can you look at your chest, imagine the surgeon taking out the stuffing, leaving the skin, and you being satisfied with the results? If you have any sort of droop in your chest shape now it'll be there after peri.

The best looking chest results (imo) belong to the guys who actually qualified for peri or those who had double incision (with a good surgeon of course), babied their incision scars for at least the first year, and then worked out their pectoral muscles so the scars fell along the pectoral muscle curve. Scars fade and look better in the long run than excess skin from a surgery not meant for you or scars from multiple surgeries to correct a botched procedure.

B cup is considered borderline and at that, a smaller B cup.  At a C cup right now, it's very likely not going to happen.  You'd have to drop over a cup size to qualify and even at that be at a borderline level.  Best peri results are A cups really.  There's two I know who need to get DI surgery as revisions because it was just too optimistic.  DI scars are not always that bad either!  As for being a C cup, that's a bigger size, so are your nipples even a good size?  One of the guy I know who was borderline and got a peri eventually decided he needs DI because his nipples are just way too big and look like pepperoni slices (his description) and his skin didn't tighten up enough.  This guy is actually 19 and super fit.  He's got decent pecs but there's just too much skin and the nipples are too big.  He wants a less than quarter size areola and about half the nipple he has right now.  Do you already have this or would it just look ridiculous without a nipple graft?  I think one of the biggest issues people forget with size and deciding whether to get DI is that the smaller cup size you are, the smaller your nipples are likely to be, and if you are bigger, they tend to be stretched and bigger.  Big nipples look really weird on guys. 

I didn't get a reduction on T, whether I was fit or overweight for a spell last year it make little difference there.  On T my hips and butt have drastically changed already, but I was still a C when I went into surgery.  It's mostly tissue in there.  Very few actually lose much here.  It CAN happen, but it's more likely in overweight people who lose fat in that area with fat distribution changes while also actively losing weight.  If you're not overweight, there's not much fat in that area to lose.

Quote from: Simon on December 28, 2013, 06:21:02 PM
I agree with Jay's statement. I also agree with those who said losing weight will not 'shrink' your chest enough to be a candidate for peri.

I'm a C cup and it has never crossed my mind to even question getting anything but double incision. Can you look at your chest, imagine the surgeon taking out the stuffing, leaving the skin, and you being satisfied with the results? If you have any sort of droop in your chest shape now it'll be there after peri.

The best looking chest results (imo) belong to the guys who actually qualified for peri or those who had double incision (with a good surgeon of course), babied their incision scars for at least the first year, and then worked out their pectoral muscles so the scars fell along the pectoral muscle curve. Scars fade and look better in the long run than excess skin from a surgery not meant for you or scars from multiple surgeries to correct a botched procedure.

I agree with the latter statement as well. Though tbh some of those guys are awesome looking guys in general and probably would look good whatever they did (A Lion's Fear's on youtube comes to mind). But I believe he could have had a peri and had a DI.

Dr G doesn't really do DI (though the page says he does), I'm guessing he likes the rather consistent results that DI gives you over peri.

It's true that a good job with a DI helps with scar results. If the scars are right below the pec line, it seems like they will look better. The pec line will hide scars but really if you look 3-4 years post op, most guys look fine. If you look a year post-op most scars are still pretty visible, but it's not like you are going to be upset with them so much. I'm not now. 7 weeks they have faded quite a lot and I don't really have pecs, hair, tattoos or anything.

--Jay

I had considered the areola and nipple size thing. To clarify I mean purse string rather than just lipo. I gathered from the video of Dr Medalie doing this op they can resize the nipple and areola a certain extent. I mean if they didn't do the nipple it is a pretty simple op that could be done at a different time. I also wish to clarify that I do know better than to undergo this op when I am not a candidate, this was more about whether it would be possible to become a candidate rather than if it is wise to undergo the procedure when larger than recommended. Like if a guy has lost fat in that area is the skin going to be a disqualifier?

Quote from: Jack_M on December 29, 2013, 01:48:20 AM
I didn't get a reduction on T, whether I was fit or overweight for a spell last year it make little difference there.  On T my hips and butt have drastically changed already, but I was still a C when I went into surgery.

It was interesting to know that not everyone experiences changes in chest tissue whilst experiencing other changes. I am not medically overweight but have a perfectly sculpted one-pack for a stomach. I have seen photos of a guy with similar body fat to me go from probably a B to an A so I guess it must just be luck.

It is less a matter of scarring but the significance of the scarring. I guess I just know there is a chance I will obsess over the reminder. There are cis-guys with scarred up chests but you don't see big "we removed tissue here" lines on their chests.

I personally wouldn't like to be any guinea pig and would get a DI before, but if I become a surgeon I might look at inventing a 2 stage peri for folks like me. Go in first time and get the tissue out and leave the areolar a bit too large but take up most of the skin. 6 months later come back and cut out the scarred tissue from the first op and basically do the purse string the same as if they guy had a tiny chest to start with. Multi stage top surgery is actually quite common where I live so I can't see it being too much of an issue.

Purse string surgery is probably okay for a *little* larger guy (I think it would be large A and maybe small B), you still don't qualify.

I wouldn't worry re: the "significance" of the scars. There are a lot of surgeries which have the kind of scars which DI produces including double lung and severe gynecomastia. If you got asked about it, pretty impolite but it can happen, you can say "Oh dude, don't want to talk about" and then the person will be sorry they asked, which they should be. Will they think you are trans? I seriously doubt it.

I'm sure someone would want to invent a procedure like you describe, but there are limits to the amt of skin, tissue that can be removed this way.

If I am going to have top surgery, I don't want to go to an A cup. That's reduction, doubt you'd want to go out swimming with that one.



--Jay

Regardless of stage surgery you need only think of the purse string idea. If you have too much skin, it just gets bunched up. The reason for DI is to remove that amount of skin in a way you can bring the skin together. If there's too much skin you'd need to look at the T anchor idea or making scars outward from the nipple which would likely look weird with little control over eventual look.

Some can lose in their chest but you can't lose breast tissue, just fat. In my case I was on the edge of being overweight just over a year ago. Now I train every single day (well not now I'm recovering from surgery) and I'm a fit and fairly trim. I compete at light to middle weight depending on who I actually want to spar. I either cut or gain a little. I walk around inbetween those weights really. I didn't lose anything in that area really. And I lost quite a fair bit of fat. Overall 25lb loss but with muscle gain so I lost a lot of fat to go from almost overweight to a much healthier weight. If you don't have much fat to lose, then a cup size or more is just highly unlikely I'd imagine

But with scarring I wouldn't panic too much. There's lots you can do to minimise scarring and it's plastic surgery so the scars are minimal. I have noticeable scars behind my ear, on my legs, hands, arms and back that are fugly scars. Just looking at how my scars are healing from top surgery, they're going to be super fine and no biggy. Remember that a lot you see only online is from months after surgery or less than a year. It takes time for scars to fade.  And like Jay said, there's lots of reasons to have those kind or scars and you can just not want to talk about it. I get asked about other scars that are from a traumatic time in my life and I say that and get left alone. People aren't generally pushy when you say you don't want to talk about scars, they figure it's something traumatic and back away.  The most questions you get regarding scars, I find, are from inquisitive kids and then I'll just make up some story about a crocodile or shark or even a dragon. Lol

Quote from: Jack_M on December 30, 2013, 09:20:39 PM
But with scarring I wouldn't panic too much. There's lots you can do to minimise scarring and it's plastic surgery so the scars are minimal. I have noticeable scars behind my ear, on my legs, hands, arms and back that are fugly scars. Just looking at how my scars are healing from top surgery, they're going to be super fine and no biggy. Remember that a lot you see only online is from months after surgery or less than a year. It takes time for scars to fade.  And like Jay said, there's lots of reasons to have those kind or scars and you can just not want to talk about it. I get asked about other scars that are from a traumatic time in my life and I say that and get left alone. People aren't generally pushy when you say you don't want to talk about scars, they figure it's something traumatic and back away.  The most questions you get regarding scars, I find, are from inquisitive kids and then I'll just make up some story about a crocodile or shark or even a dragon. Lol

I really like this there is going to be a really nice tall tale where I just barely made it with life after a go around with a dragon. You're an excellent man, Jack.


--Jay