I am small-chested but have some droop (not much, but some) over the inframammary fold. I had a consult with Dr. Medalie, expecting that he would tell me I as borderline for peri, but he told he didn't think I was a good candidate for it. He cited my excess skin from the sagging to be an issue and that I might end up with something that looked more like a breast reduction. He stated how he doesn't like performing a procedure he's not confident in because he wants his patients to be happy. I really appreciated his honesty, and liked hima lot. All that said, this has been kind of devastating for me as I'm not emotionally prepared to have DI scars. I've spent ~10 years thinking I would have peri but in that time my skin quality changed I guess.
Medalie would still be willing to do peri on me, if I insisted on it. He thinks DI would provide a much better male contour, but I am less concerned about that with peri. I'd accepted that my nipple-areola complexes might be placed more medially (centrally) and that they might be larger, or later widen because of the tension on the purse-string closure, and I'd pretty expected that I ould have a revision. It's important to me to retain sensation in my chest, have responsiveness to temperature, and I feel my best shot at that is with peri. I also want my nipple to protrude from the areola, which I've found with the nipple grafts done with DI, doesn't really happen-- they tend to be flat.
I'd like to hear others' thoughts and experiences.
Did you go for peri despite your surgeon being hesitant and recommending you do DI? Or did you go for DI, ith nipple grafts or retaining the nipples attached?
Did you have ptosis/drooping beforehand?
Did you have to have revisions, if you had peri, and did those revisions resolve your issues with excess skin/puckering?
Did your skin feel "too tight" post revision? Did your areola widen a lot?
I'm really having a tough emotional time of it, and am starting to research DI and learn about it, though I really would like to avoid having DI scars. I also have consults planned with Fischer and McLean to get additional opinions on what is possible, though I would still likely go to Medalie for financial reasons. I am also considering a consult with Melissa Johnson.
