7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision? (photos)

An exam would be necessary to make a determination if additional surgery would be advised. Overall not a bad result, but it can likely be improved.As a bodybuilder and a plastic surgeon, let me say that the result is pretty close, but the right can undergo additional liposuction or resection.  I would try to liposuction that bit out, because the incision used for the gynecomastectomy can cause areolar widening. Your asymmetry is slight and I would leave it.

Dear Intuitive,I am sorry you still have some fibrous glandular tissue remaining.  For this, I make a small incision outside the breast or go through the old incision.  Then I use instruments I have designed to remove any remaining gland....exactly what you are pinching.  Please see your surgeon and discuss this exact area of fullness.  All the best, Dr. Joe

Thank you for your question. Based on your photos provided, you would benefit from glandular removal. I would recommend that you follow up with your original surgeon to discuss a possible revision.