Tag Archives: Dr. Paul Weiss

Top Surgery Revisions: Dog Ears and Nipple Reduction


Frankenstein’s chest.

After the drains came out, after the packing and the bandages were unwrapped, after the swelling went down, Dr. Weiss told me that he wanted to do minor revisions. He was unhappy with the dog ears in the center of my chest and with the size of my nipples. He thought my chest could look cleaner and more balanced. He told me to think about it; there is no charge for the revisions, they are in-office procedures, and they can be done at the same time.

I decided to wait and see. To let my chest settle in. My nipples are prominent, but in the range for middle age guys. I’m still a little self-conscious of them. The puckering in the middle that Dr. Weiss called “dog ears” is subtle; it doesn’t even show when I wear a close-fitting T-shirt. It is only an issue if I’m naked, or topless. It is purely aesthetic. A hard choice for someone not used to looking carefully in the mirror.

When I do look in the mirror I see the scars. Two long scars, one on each side, going from the middle of my chest to under my arms. They are much more noticeable than the puckering or my nipples. The scars are healing well, fading slowly from red to pink. It is hard to imagine that they will ever be invisible. The scars do not bother me at all. I’m adding them to the list of other scars: the one on my thumb from whittling wood (age 11), the one on my leg from climbing a chain link fence after too much beer (age 19), and the one across my “bikini line” from getting a hysterectomy (age 48). Continue reading

The Nipple Edition


Top surgery. The big reveal. Frankenstein’s monster, 1931.

The thermometer hit 80ºF (27ºC) in New York this week. It is T-shirt season. This is the first week I’ve been out in public wearing just one thin clingy layer. Me, my nipples, and my dog.

I like the contour of my chest in a T-shirt. I like the definition; clavicle, sternum, pecs, and nipples. It looks like a male chest attached to a short and not-quite-so male torso.

Last summer I wore a heavy T-shirt over my binder. I didn’t want the binder’s outline to show. I have not figured out how I want my T-shirts to fit. I’m not sure what is too tight around the chest, what is too loose, what is just right. Where the sleeve should hit my bicep. How the bottom should hug my waist. After years of being overweight, I lean towards loose. I’ve bought and/or returned a dozen different T-shirts. The one thing they have in common is you can see my nipple bumps. I’ve kept a boy’s XL from Lands End, a men’s S from Uniqlo, and a men’s M from Bonobos.

My nipples are prominent. My shirts feel oddly transparent. Prior to top surgery my nipples were invisible; smoothed over by sports bras and binders. Women’s nipples are supposed to stay hidden. The last time it was fashionable for women to poke through a sweater was in the 1950’s, when bullet bras were popular. Even now, magazines routinely airbrush out all evidence of nipples. Even on male models. Continue reading