9 mths gyno srgry help - lumps, ripples/ wrinkles? Suggestions? (photos)

Question

9 mths ago I had tissue excision (via Aerola) and lipo (via side chest incision) to remove mild gyno. My chest now seems indented, pulling in strange ways, rippled below - not sure if fat still there, scar tissue or tethered basically not looking smooth. Really want some 3rd party thoughts on what it may be and options to improve? Suggestions? Massage till hurts? Does it look a difficult thing to fix. Attaching a few pics here! Also on how to deal w side indents and scars. Thnx 1m!

Tim Neavin, MD · Answer

Thank you for your photos.  You will benefit from a revision of some sort.  This would include a combination of fat transfer and liposuction.  The good news is that this is not very difficult and can be done under local anesthesia.  I suspect your result will be terrific.  Please find someone with a lot of experience in these types of procedures.

Daniel Barrett, MD · Answer

Dear joshjosh,
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

In order to differentiate what the underlying soft tissues look like try putting your pectoralis muscle and skin under tension by stretching one arm at a time far behind your head. With your pectoralis and skin under full tension you can better see what the underlying glandular tissue and subcutaneous fat look like.

The uneven contour may be due to how the Liposuction or glandular tissue was excised.

It’s difficult to correct areas over treated but under treated areas are easier to fix.

Follow up with your provider or schedule a few in person consultations with other board-certified plastic surgeons.

The three variables that contribute to the shape of a male chest are skin laxity, breast tissue and subcutaneous fat.

The look and shape is made up of those three tissues in some combination.

It’s important to understand what the problem is before going in and re-operating.

Glandular tissue needs to be done through open excision, liposuction remove subcutaneous fat and skin laxity when it’s an issue is challenging to fix.

Skin is typically more of a problem for older men or guys who have had significant weight loss.

Best,

Mats Hagstrom MD

9 mths gyno srgry help - lumps, ripples/ wrinkles? Suggestions? (photos)

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9 mths gyno srgry help - lumps, ripples/ wrinkles? Suggestions? (photos)

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Everything you need to know about Gynecomastia Surgery

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