Multiple Gynecomastia Surgeries

I have had the surgery done twice now. The same thing occurred both times, when the wrap was first taken off i was completely flat, then within a month they became to get fuller yet again. I am pretty athletic and don't do any kind of drugs. Any thoughts?

Doctor Answers (7)

Is more than one procedure for gynecomastia necessary

+1

Most commonly only one procedure is needed to correct gynecomastia. But sometimes what appears to the plastic surgeon to consist of only fatty tissue turns out to also contain actual breast tissue for which a subcutaneous mastectomy becomes necessary. Also as with any procedure revisions may become necessary. An experienced Board Certified plastic surgeon will help you through the process to ensure that you get the best result possible


New York Plastic Surgeon
4.0 out of 5 stars 20 reviews

Gynecomastia revision works.

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Hi.

You have the kind of story that really needs to be evaluated in person.  Your situation is really unusual.

But we have never seen a gynecomastia patient that could not be made flat. So don't give up. Get another opinion.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

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Two gynecomastia surgeries and still not satisfied

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I would not necessarily consider two surgeries to be "multiple". It is far easier to repair an undercorrection then an overcorrection. An assessment requires estimating how much of your condition is due to excess skin, areola, nipple, gland, and fat. Correcting your problem requires addressing each of these components. If sufficient gland has been removed, perhaps you now need excess areola excised. This will require more scarring and you should be prepared to accept this if full correction is your goal.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Pancake flat

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A couple of thoughts/points

1.  The result should not critically evaluated at one month.  It takes about six months for the final result to evolve.

2.  Compression garment use is critical!  Seroma (fluid collections) can produce fullness.

3.  Completely flat is not my endpoint especially in your case where you state that you are athletic.  You may well developed pectoralis muscles.  Your endpoint should be an well contour athletic chest NOT A FLAT CHEST.

Good Luck

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Gynecomastia

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If  appearance is good after surgery then start to increase after surgery then it could be hematoma which forms a large scar and recurrence.

First you need a compression garment for 6-12 weeks after surgery.

You may need to discuss your concerns with your plastic surgeon. What is the cause? how to prevent it ? What is the next step?

Samir Shureih, MD
Baltimore Plastic Surgeon

Gynecomastia treatment

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It si diffiuclt to say what is going on without at least seeing pictures, or knowing the details of your surgery and history. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.