Gyno uneven and creases. What can I do to improve this? (Photo)

Hello RSM Jay in Akron. Thank you for your question regarding options to improve uneven gynecomastia results and skin creases.

Thank you for your pictures and your history. In analyzing your picture, you have excess breast skin. The only way to get rid of excess breast skin is by removing and tightening the skin. This can be achieved by making an incision from your armpit down the side of your chest. In this procedure, an elliptical area of skin and fat is removed and the lateral breast skin is pulled to the side. This will eliminate your excess breast skin. Alternatively, an incision can be made underneath your breast where the breast meets the upper abdominal wall, but that incision would be highly visible.

Another option is to consider pectoralis implants. A pectoral implant will fill out the chest and make it appear that you are extremely muscular. Considering all factors, I think pectoralis implants would be your best option. All these gynecomastia correction procedures can be done under general anesthesia in an outpatient setting.

Good luck. I hope I’ve answered your question regarding how to improve the results of your gynecomastia surgery.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Thank you for questioning your pictures. This is a tough situation. Obviously you have an excess skin that did not distribute evenly. I have two thoughts on the matter: number one – you can have revision liposuction with the addition of body, tight or vision visor liposuction. In hopes to help skin retraction. Number two – excision of excess skin, so that the scar is at your natural crease. Removal of your natural nipple and replacement in a more aesthetic place after skin removal at the same operation. You definitely need to seek several opinions prior to making a commitment.

Best wishes!

Earl Stephenson, Jr, MD, DDS, MBA
ESJ Aesthetics,
#TruthAndTransformation

Skin creases after liposuction procedures can be a result of loose skin, scarring or usually both. 4 months is still early on in the recovery. If they are still present at 1 year after the surgery, options include scar release with fat grafting or skin excision if there is significant loose skin.