What are my options for gynecomastia revision surgery?
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All the best,
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What are my options for Gynecomastia Revision Surgery?
I would advise some fat injections for restoration of the contour and scar treatments for the next few months to soften and improve the scaring. Scar Revision, if required, can be done after one year after the initial procedure.
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Contour restoration after excisional gynecomastia surgery
The contour deformity may be amenable to fat transfer for contouring, but you will need to avoid significant weight gain if that is done, as the fat can then enlarge with weight gain. I would not recommend any change in the areola and nipple as they appear normal and as symmetrical with the opposite side as is seen normally. I hope that this helps.
Scalloping and Tethered Deformity after Gynecomastia Surgery
Plastic surgeons tend to treat lower grade gynecomastia patients with aggressive liposuction alone. If a thick fibrous collection of breast tissue still remains after liposuction, only then is a very small inconspicuous incision made within the areola to directly excise this tissue. Even then, a small amount of tissue needs to be left behind both right under the skin and on top of the muscle in order to prevent scar tethering.
To correct the deformity as demonstrated in your submitted photos, you will most likely need a combination of scar release, liposculpting, and autologous fat transfer. Make sure you look for a board certified plastic surgeon in your area who is proficient in these techniques.
Gynecomastia Revision Surgery
Gynecomastia revision California
Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully. The decision is yours. What follows is some advice to assist in making your selection.
1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.
2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.
3. Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?
We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.