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Video

Voiceover: David Pratt has a skin condition, but it isn’t fungal, bacterial or viral.

David: When I was young I started gaining weight. I used to eat the wrong things, completely the wrong things until I was 25-26 stone. I was huge, I was absolutely huge.

Voiceover: At 18 David decided enough was enough. He started to diet and in just two years he halved his weight but losing 13 stone left him with huge roles of excess flesh.

David: I can’t go swimming. I’ve not been on holiday in years because I don’t want to take my top off. Anything that involves taking my clothes off I don’t do.

Voiceover: It’s a problem David has put up with for five years but things now have to change.

David: I’ve got a baby on the way in seven weeks time. As daft as it sounds I want to be the first person to take them swimming and on holiday in the sea and obviously the way I am now I can’t do that as I have to take of my top to do it.

Dr Christian: How are you? Nice to see you. I’m Christian, Dr Jesson. Have a seat for me. So tell me, what’s up?

David: I’ve got a lot of loose skin around the middle and around the upper area here.

Dr Christian: The first thing really is I need to look at the extent of it before I can then think about what we are going to do about it, if anything, and advise you a little bit. Is that ok?

David: I don’t want to but I know I’ve got to. So, I know the only way I’m going to go forward is by showing you.

Dr Christian: If you pop your jacket off, take you jacket off and stick it on there and take your t-shirt off. You show me the worst bits, the bits you hate most, where the problems come, that sort of thing. Which is the bit that makes you most unhappy?

David: Round here at the top here.

Dr Christian: All round that top bit.

David: And then that down there.

Dr Christian: Well, this is just very, very loose skin isn’t it? It’s really the front, your boobs at the front and your tummy?

David: Yep.

Dr Christian: Right. I know what you’d like and I know you’d love for us to be able to just whip it all away in one go. If you think about that it’s a major undertaking. It’s kilograms of tissue and very large areas of skin that we’d be removing. And that doesn’t come lightly.

David: Right.

Dr Christian: It’s not easy and so I think the best thing is that we take this in stages. I think because your breasts are what seem to be bothering you the most I think that would be a good place to start. I know it’s not perfect but what would you feel about that?

David: To me, how unhappy I am now with myself, anything would be better than nothing. So even that would be absolutely wonderful.

Voiceover: David Pratt desperately wants to remove the kilos of extra flesh he carries on his chest. So, Christian has booked him a breast operation. But now that the big day has finally arrived, David is terrified.

David: I think I’ve made the right decision but I am still very, very, very scared. I just don’t like the thought of being bedridden afterwards for God knows how long after being in so much pain. I don’t like the feeling.

Dr Barbara Lutz: Hi David how are you? He is, I have to say, much more stressed than usual. He wants to improve a kind of deformity, breasts, which are not normal in a man. So it has, for him, a really big, big impact and he is nervous about that. Nervous about pain, more than usual definitely yes.

Voiceover: But there’s no turning back. The first stage of the operation is to separate the excess flesh from the underlying muscle, cauterising the blood vessels along the way to prevent excess bleeding. The nipple is removed and stored safely. At this point David’s excess flesh can be cut away. Each of his breasts weighs about half a kilo, that’s twice as much as the average woman’s breast. After she has stitched David back up, the final stage is to replace the nipples. Their new positions are carefully chosen. Finally holes are made and the nipples are sewn back on. It’s a painstaking operation. David’s been on the table for three hours.

Dr Lutz: The operation went fine, no problem. It was routine and we got a nice outcome.

Voiceover: David is one step closer to getting the body he wants.

Voiceover: When David Pratt last saw Christian he wanted his body transformed. Desperate to lose his rolls of sagging extra flesh, he faced his fears and underwent a major operation to have his unwanted breasts removed. Although it’s still early days and his chest is considerably swollen he can’t wait to show Christian the results.

Dr Christian: How have you been?

David: Very well thank you.

Dr Christian: Yeah? What are your thoughts so far?

David: I’m very pleased with it.

Dr Christian: Are you really?

David: Yeah, I am, yeah. It’s loads better and I think when the swelling goes down it will be ten times better as well as that.

Dr Christian: Excellent. Goodness me! That’s amazing. That is quite a difference, isn’t it? To me these bits were the worst bits because they were, for a man, they were prominent boobs weren’t they?

David: Yeah.

Dr Christian: And they’ve now gone. Have a seat for me. I’m delighted, I think that’s an incredible result, I really do. I’m really impressed.

David: I’m a lot more happier now.

Read the video transcript

Consultation: Gynaecomastia

Dr Jessen treats a man whose rapid weight loss has left him with folds of extra skin, and pronounced man boobs.

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Comments and Questions

Comments & Questions are now archived, but if you see anything on the site that worries you, please report it and one of our moderators will look at it as soon as possible.
Please note: Unfortunately Channel 4 cannot respond to individual inquiries. If you have any concerns, you can check out NHS Choices, but ultimately it is always best to check with a health professional.

I went to my local gp about the extra fat tissue on my chest and to see whether gynecomastia surgery was a suitable choice. They told me to exercise more often however this may not get rid of the fat tissue completely. I did my research into where was the place to go and came across www.aurora-clinics.co.uk. Since my consultation I’ve had my surgery and you can no longer see my man boobs through my tshirt.





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Hi. I am 27 years old man. I am facing big trouble. My right hand side chest over size its look like women breast.i am feeling very immbarisment in front of public. I cant wear t-shirts due to chest inlargement problem. Please I want your help. Kindly help me. I am really thankfull to you.





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I am 20 yrs old....I don't hav man boobs..but I have prob with my nipples..when it's cold they are normal but when it's hot they become big n puffy n softer...they can be seen through tshirts...thats y i avoid wearing tshirts in college...please help me...what should I do to get them normal...?





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Hi, I recently got referred to a surgeon by my gp to see if they will perform the gynecomastia surgery on me. I've been reading peoples experiences of this on the internet and a lot seem to say the surgeons try to put you off getting surgery and just don't want to do it. Most people suggest going private which is very expensive. Is there any truth to this?





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Is there an injection that can be used for jubitronce contracture as my husband has his figures on both hands goin in he has had one opporation without success. Can you recommend anything?





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how do you get rid of man boobs ?





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i'm 26 now. I think there must be clear that man boobs is different with gynecomastia. I thought that man boobs is something like a chest fat, and gyno is worse because of abnormal development of large mammary glands. I create complete report about man boobs (how to reduce, how ho hide, and how to get rid) here http://manboobshelp.net.. hope this will help many people. Richard http://manboobshelp.net





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hi my name is paul. in november 2010 i had a gastric bypass coz i was 29 stone and 7 pound.before i had my operation i was told after 2years any skin left saggy would be removed. now the drs are telling me its me who will have too pay too get its removed.I dont take my top off when in this country as i have a lot off skin around my waist. i keep big size cloths too cover my belly and feel uncomfortable around people. could anyone tell me wot i should do coz i stuck on wot too do next. thankyou.





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I've suffered from "Man Boobs" since a very early age. School was a nightmare and P.E was hell on earth. I'm now 23 years old. I have spoken to a doctor about this and he stated it's the worst case he has seen and referred me to a surgeon. The surgeon also said it's the worst case he personally has seen and was willing to do surgery. He stated I had to drop 3 stone in weight and also stop smoking. This was nearly 4 years ago now and I've stopped smoking it's the weight I'm struggling with. Don't really know why I'm writing this tbh haha more a piece of advice really. No matter how bad you feel with this condition it could be a lot worse and there is help out there. I've found a girlfriend who is understanding and infact ignores it which makes you comfortable. Don't get me wrong, I still wear a coat at all times, and clothes shopping is a nightmare but you get through. One day I'll have the op done but right now I'm content with my "Man Boobs"





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Power T Shirts! They CHANGED My Life!! They look like regular t shirts but have some some type of material that flattens out your man boobs. Before I started working out, I used a “power t shirt” that looks like a regular t shirt that flattens out your chest and makes it look like you have no man boobs. They work really great. My life is so different that I even wrote the company and thanked them. The website is at http://www.chestfxstore.com if you would like to check them out. I really hope that this help you out.

I have had man boobs since I was about 10. They don't change if I lose weight or gain. I was very embarrassed at school during PE but learnt to live with them till I was in late 50s when I started to get sore nipples when cycling. So I started to wear a lightly padded bra in cold weather and the problem was solved. I actually enjoy wearing one and get no bounce. I went to be properly fitted and was told I needed a 38DD bra which amazed me.

Hi, i am 16 years old and i don't have man boobs but one problem i have is my nipples. When it's cold they are "normal" but when it's hot or i have just had P.E (I guess my body temperature controls this) my nipples go all big and "puffy" and soft i guess. Please please please can anybody help me as i am beginning to become really self-conscious about my body. I have had this problem for 4 or 5 years now. HELP!





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I am not a Doctor, but my son had similar problems in High School. The clinic told us it was hormonal due to puberty. He did eventually out grow it.

I am also 16 and have this and went to see the doctor today about it. Unfortunately it is something which can occur in puberty and I was told I'll out grow it. I find that it really knocks my confidence but I have decided to go to the gym to see if that makes it any better. Just remember you're not the only person with it and there's a 95% chance it will go by the time you're 18. Try not to think about it too much and try wearing a tight top under t shirts to obscure it.

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