Too much tissue removed at the time of my gynecomastia surgery - will this fill out or should I consider a revision? (photos)

Question

Hello, in my recent gynecomastia surgery, too much tissue was removed behind the nipples (leaving indents), and under one pec, giving it a triangle shape instead of round when looking from the side. I have attached photos. Is this issue normally fixed through revision surgery, or will it somehow fill out with time.

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding the overcorrection following your gynecomastia surgery. Thank you also for providing your history and photos.

If your gynecomastia surgery was performed recently, it is essential to allow adequate time for healing before considering revision surgery. Typically, I recommend waiting at least 6 to 9 months post-operatively, as swelling, scar tissue maturation, and natural adjustments in the surgical area can continue during this time.

Based on your description and photos, the indentations and asymmetry you are experiencing are likely due to the removal of too much tissue, leaving insufficient support under the nipple and one pec. Unfortunately, these areas will not naturally "fill out" on their own.

For revision, there are a couple of options:

Fat Transfer (Fat Grafting): This involves harvesting fat from another part of your body (such as the abdomen or flanks), processing it, and carefully injecting it into the areas of indentation. This technique can effectively restore a smoother, more natural contour.

Liposuction Refinement: In some cases, liposuction can be used on the other side to create better symmetry, ensuring a balanced appearance.

Combination Approach: If the asymmetry involves both indentation and volume mismatch, a combination of fat transfer and liposuction may provide optimal results.

Your concerns are valid, and a revision procedure performed by an experienced, board-certified plastic surgeon specializing in gynecomastia can help you achieve the results you desire. Please consult with a surgeon who has expertise in this area to discuss the best approach for your situation.

Good luck, and I hope this answers your question regarding the next steps after overcorrection during gynecomastia surgery.

Sincerely,
Dr. Katzen

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!I will base my answer on the limited information and pictures provided , for a more detailed and personalized plan please consult with your plastic surgeon.
I am sorry that you are not pleased with your outcome so far . I am not sure when you had your surgery and what was done during surgery , it looks like you have peri-areolar scars so you likely had direct excision of the gland and I believe i see some liposuction scars so I am guessing that you had some liposuction done. That being said , it takes a while for the swelling to go down and for you to be able to see the final outcome , but if it has been a while since your surgery and the excision was excessive then a revision surgery will likely be needed to fix the issue. I would encourage you to discuss the issue with your surgeon , so that they can come up with a plan that works for you.I hope this helps, best of luck!

Too much tissue removed at the time of my gynecomastia surgery - will this fill out or should I consider a revision? (photos)

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Everything you need to know about Gynecomastia Surgery

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Too much tissue removed at the time of my gynecomastia surgery - will this fill out or should I consider a revision? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.