GYNECOMASTIA please help!! One side is bigger than the other, what can I do?

Question

So I’m currently 6 months post op and my left side is looking really good but my right side just looks fattt and doesn’t have the same shape as my left one. I am right handed so I figure my right pec is larger but I just feel like there is still plenty of fat that can removed. How likely is this to change over the next 6 months? Is there hope for my right pec to become more like my left? Please help any answers much appreciated!

Fady A. Sinno, MD · Answer

Thank you for including photos. It is unlikely that you will see further changes after 6 months. If the extra fullness on the right side bothers you, talk to your surgeon about possibly removing more fat from that side. Best wishes!

James F. Boynton, MD, FACS · Answer

Thanks for your question.  I agree with my colleagues that it will not likely change a lot at 6 months. If there is a nodule of residual tissue, sometimes I consider a kenalog injection to further shrink the right side.  If that is unhelpful than I would consider a revision, but I usually wait until a year before that.  Kenalog injections can be helpful and you should discuss your options with your plastic surgeon.  Good luck!

Marc DuPéré, MD · Answer

Thank you for your question and pictures.I think it is unlikely to change after 6 months.  My thought, based on pictures, is you need a touch-up liposuction to the right side, assuming most of the glands were removed during the first procedure.  As you likely know, most gynecomastia involves breast tissue and fatty tissue and it is common to combine fat removal (liposuction) and gland removal (often a tiny incision 5-7 o'clock at the areola perimeter).Best is to visit your plastic surgeon who should be able to help.Kind regards,Dr. Marc DuPere, aesthetic plastic surgeon

Ian MacArthur, MD, FRCSC · Answer

Thank you for your question. Beyond 6 months it is fairly unlikely that you will see further improvement in your results. Based on your photos alone, you may be a candidate for a revision procedure to help improve your symmetry. If this is something you are interested in, I suggest you schedule a follow-up appointment with your surgeon to discuss your concerns. All the best.

Daniel Brown, MD, FACS · Answer

Hello and thanks for your questions and photos.  Sorry to hear that you have an uneven result.  Short answer is, that not much will change after 6 months and you will not see much, if any, further improvement.  The result you have now is what you will have going forward unless you undergo a revision.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of  Plastic SurgeonsCastle Connolly Top DocReal Self Top 500

GYNECOMASTIA please help!! One side is bigger than the other, what can I do?

Answers (5)