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?
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.
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?
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.
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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