3 year old ugly gynecomastia surgery. What are my options? (Photo)

Question

after surgery my left nipple was inverted and i had fuller right side, I had lots of fluid for many days (with no drains) that would make sound. I massaged for almost 3 years on n off, initially left nipple used to pain on massage all these years after surgery i have fat or something on chest especially on sides which was not present before surgery and left chest some pain on strong massages and the whole chest has hard web of veins I guess, assuming it was fluid hematoma or seroma, my options?

Tim Neavin, MD · Answer

Thank you for your photos.  It is possible there was a collection of fluid.  This can sometimes happen.  Your chest can be flatten more with more aggressive liposuction, particularly using a Vaser, and possible more glandular excision.  Please go to someone with a lot of experience performing these types of surgeries.  Revisions are often more difficult than the initial surgery itself.

Daniel Barrett, MD · Answer

Dear nalinsharma,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

It’s not quite clear what your question is.

Are you concerned about the outcome of your surgery?

If so I suggest posting before and after pictures.  after pictures should be at least three months out from the date of surgery to make sure the swelling has come down.

If you hadn’t done so then following up with your provider it’s probably the first thing to do.

And the differential diagnosis of persistent chest fullness after gynecomastia surgery including chest skin laxity, excess subcutaneous fat and persistent excess breast glandular tissue.  Each of these can contribute to chest fullness.

One way to get a better understanding of what’s causing the chest fullness is to put the pectoralis muscle and the skin under tension by stretching one arm at a time behind your head.  Do this while looking in the mirror or while someone takes pictures. Compare the chest contour with the skin and pectoralis muscle tight versus with your arm in a down  position.

And the correct contour after a while done gynecomastia surgery with the skin and pectoralis muscle under tension should be flat and almost slightly indented looking.

Even mild skin laxity can limit results for this procedure even with appropriate glandular removal.

Best,

Mats Hagstrom MD

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3 year old ugly gynecomastia surgery. What are my options? (Photo)

Answers (3)

GYNECOMASTIA SURGERY PROVIDERS NEAR YOU