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.

Thank you for sharing your question.  Difficult to comment without before images but it does appear that there is room for improvement on both sides of your chest.  The best treatment (liposuction or additional glandular removal) will depend on how the tissues feel.  Hope this helps.

Thank you for your question and the detailed photos you provided. Without seeing your "before" photos I would say your results are satisfactory and your chest within normal limits. If you wanted more definition and address the fat from your nipple to armpit, you could attempt a session of liposuction and skin tightening with ThermiTight once you are 1 year post op. Good luck.

Dear Intuitive9630,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your question and photo! Based on your photo, it seems that there may still be some gland and fat remaining that could be removed. I would expect that any contour irregularities could be improved during that same procedure. I urge you to return to your physician for a thorough discussion on your options. I wish you the best.

Thank you for the question and photos and from them without an examination it does appear that you would benefit from a revision.   So go on some complimentary consultations with experts and compare recommendations after a full examination Dr Corbin

Good evening and thank you for your question. According to your pictures it seems like you require liposuction and some gland removal. However please discuss  your case with a broad certified plastic surgeon with proper assessment.Thanks and Regards Dr Amit Gupta