Gynecomastia revision - can this be fixed with a periareolar incision? (Photo)

I had a Gynecomastia surgery 9 months ago. As you can see from the pictures, the results are uneven with over resection on the right side and redundant skin and some gland/scar tissue leftovers on the other side. I also feel like the areola is lower than where it’s supposed to be. Is this something that can be fixed with a periareolar incision approach or will fat grafting be necessary. I also hear that fat grafting doesn’t have a good reputation as it doesn’t work long term.