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

It is too early to evaluate your result. Skin may improve and contract further. Irregularities and lumpiness after liposuction/ excision will also improve in coming months. Some patients who had very large, feminine breast may need second stage surgery to remove extra skin and shape the breast. In that time all irregularities and bulk may be addressed. You should wait at least 6-8 months before considering revision.

To make an assessment regarding the outcome of any plastic surgery procedure with generally always need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.
There are three variables that contribute to fullness in the Male chest.
These are skin laxity or loss of skin elasticity to weight, fluctuations or age.
The second is excess subcutaneous fat.
The third is excess glandular breast tissue.
At age 55 you have loss of skin elasticity, and by your picture it looks like a modest amount of subcutaneous fat.
It looks like the excision of breast tissue was done fairly aggressively.
I’m not sure what you were hoping for but unless the skin component is addressed, there’s always going to be some fullness.
To differentiate soft tissues versus skin try taking a look at your chest or have someone take pictures of your chest with one arm at a time up over your head like you’re scratching your upper back.
By putting your pectoralis muscle and skin under tension, you can see the remaining to variables.
Maybe your candidacy for the procedure was not as great and this may not have been explained to you during the consult.
Best,
Mats Hagstrom MD