Is there a risk of permanent deflated look disfigurement after gynecomastia / mastectomy surgery? (photos)

Hello, and thank you for your question. Here are some common post-operative healing issues that can occur with this procedure:Asymmetry during the healing processLumps or firmness under skinProlonged swelling (edema)Skin Pigment changesProlonged redness of the incisionBlood clotsHematomaBreast contour or shape irregularitiesAnesthesia risksInfectionScarringFluid accumulationPersistent painTemporary or permanent changes in breast or nipple sensationAnd some definitions of these issues:Contour Abnormalities: Although the doctor will make every effort to give you a “perfect” result, the area of excess tissue removal may end up with a contour that is slightly too high or too low. You may feel the “edge” around the areolar dissection. Massage and time (4-6 months) usually eliminates or reduces this problem, if it occurs.Reduced sensation of nipple: Any surgery of the breast can lead to reduced nipple sensation. Reduced sensation is usually temporary, but may take months to resolve. In unusual cases, some permanent loss of sensation may occur.Recurrence of Breast Enlargement: This is uncommon, but can occur. If this happens, you may require further surgery later.Seroma Formation: A collection of fluid under the skin occurs occasionally during the postoperative period. Aspiration of the fluid with a needle is frequently helpful. Secondary surgery is rarely necessary.Harness Within Breasts: Postoperative scarring within the breast tissue may cause areas of hardness. Occasionally, areas of hardness, when discovered later may cause worries about cancer. Mammography or even biopsy is occasionally indicated.Now, one of the best things to remember is that if you find yourself concerned at all about the healing process at any point you should visit your surgeon to have the area examined and make sure that everything is progressing as it should. There can always be complications, but revisions are possible if needed. Best of luck.

while it is early on, it does appear that you are deflated.I typically perform gynecomastia with liposuction and then a small removal of the remnant breast tissue.it appears you might've had a formal mastectomyits best to follow up with your plastic surgeon.If a revision is required,  please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.The best way to assess and give true advice would be an in-person exam.best of luck!Dr Schwartz

Consider waiting a few months prior to having any revisions but most likely the gynecomastia tissue under the nipples was removed. The tissue over the chest/pecs may need to be addressed as well. Seek a plastic surgeon with specialty training in gynecomastia surgery.