Do I have scar tissue after gynecomastia surgery? (Photo)

Thank you for your questions and photos. You have developed 'lumpy' scars that will benefit from massage and steroid injections if the they do not settle. I would wait 12 months after surgery when all the internal scars have disappeared to assess the chest asymmetry. Keep massaging the chest area also as this will help break the scar down.

Thank you for sharing your question and photograph. For what appears to have been your liposuction port site I would recommend surgical excision followed by aggressive silicone scar cream/sheet therapy and cortisone injections.  As for asymmetry in your chest, only an in-person examination to determine what has caused the difference - fat, scar, muscle, rib cage - can help diagnose the issue in order to offer treatment advice.  Hope this helps.

Thanks for writing,The best way to asses you tissue is with physical examination and even ultra-sound can be helpful. I would ask your physician and seek a second opinion if you fell it is necessary.Stephen M. Davis, MD, FACSCertified: American Board of Plastic Surgery Member: American Society for Aesthetic Plastic SurgeryMember: American Society of Plastic Surgeons

A plastic surgeon can perform a physical exam to determine and to show the patient if there is swelling, residual fat, scarring, lymphatic fluid, seroma, hematoma or any other type of build up.  

Thanks for your question. It is hard to say from the photographs. The asymmetry could be caused by a number of factors. It could be muscular asymmetry, it could be more or less fat/breast tissue was taken from one side vs the other, you could have had more dense connective tissue on one side than the other resulting in asymmetry after lipo. There are a lot of possibilities. A revision is reasonable after 6 months to a year and kenalog to the adit sites (incisions) may be reasonable as well. I would recommend seeing your surgeon and discussing all of these issues. After an exam he or she should be able to give you a more certain answer.I hope this helps!

Good evening and thank you sir ! The best way to evaluate would be to see your photographs and a close personal evaluation, so we would request that you see your plastic surgeon because only they can decide whether it is a scar tissue.That situation would demand the use of steroid injections to reduce the scar.

Hi and welcome to our forum!
A keloid represents an abnormal proliferation of cutaneous scar tissue (collagen), which does not regress over time and grows beyond the original margins of the scar. It often follows a hereditary pattern.  It is initiated by trauma or infection. Recurrence following excision is common. This must be differentiated from a hypertrophic cutaneous scar, which may initially appear thickened, but regresses over time ( up to several years). These lesions are confined to the scar itself and may occur if there is excessive tissue tension or motion at the site of surgery. 
This is a cutaneous phenomenon, involving the skin only. Keloids and hypertrophic scars may flatten with kenalog injections, but may also become broadened and demonstrate pigmentary change with treatment.
As you note residual fullness of the breast itself at 10 months out, it suggests residual deeper soft tissue, which may require revisional surgery. 10-15% of cosmetic procedures may require revision.
Schedule a visit with your plastic surgeon.
Best wishes...