I had gynecomastia surgery in later March, which involved both excision of the tissue and liposuction around the area. The surgeon also performed lip on my flanks and belly during the same session. It's been almost a year, and there's some concavity on the left side of my chest, and the right side is uneven. Comparing the result to my chest before surgery, and I'm now preferring my old chest. Am I a good candidate for revision, and if so, what would it involve?
April 18, 2023
Answer: Nipple depression after gynecomastia excision Hello johnfm, occasionally, direct excision of the glandular breast tissue from the area under the areola can leave a deficiency of soft tissue, especially in cases where the mass is relatively. It's not corrected, once healing occurs, and the swelling goes down. You can end up with some nipple depression. The goal is to create a relatively smooth contour by closing multiple layers, and in some cases, this involves some rearrangement of the nearby fat. Based on your photo, you do appear to be a candidate for revision, although an examination would be required to be sure, and also to determine the best method of revision. Likely, the same incision could be used to re-elevate the areola, rearrange some of the fat tissue to fill in the soft tissue deficit. There is a possibility, if the tissues are not too tethered by scar, that you may have some improvement with fat grafting, which would be slightly less than invasive, but in my mind the best result would be revision through the original incision. Hope this helps, Brian
Helpful
April 18, 2023
Answer: Nipple depression after gynecomastia excision Hello johnfm, occasionally, direct excision of the glandular breast tissue from the area under the areola can leave a deficiency of soft tissue, especially in cases where the mass is relatively. It's not corrected, once healing occurs, and the swelling goes down. You can end up with some nipple depression. The goal is to create a relatively smooth contour by closing multiple layers, and in some cases, this involves some rearrangement of the nearby fat. Based on your photo, you do appear to be a candidate for revision, although an examination would be required to be sure, and also to determine the best method of revision. Likely, the same incision could be used to re-elevate the areola, rearrange some of the fat tissue to fill in the soft tissue deficit. There is a possibility, if the tissues are not too tethered by scar, that you may have some improvement with fat grafting, which would be slightly less than invasive, but in my mind the best result would be revision through the original incision. Hope this helps, Brian
Helpful
March 24, 2023
Answer: Gynecomastia or Chest Reduction Revisions Thank you for your question regarding whether you need gynecomastia revision. In regards to your chest, I would suggest you seek consultation. In my opinion, there is concavity and asymmetry in the chest. In my opinion, you would do best with chest augmentation. This can involve several different options. The best option would be chest liposuction of other areas and transferring that fat to the chest. This can help to reestablish the chest. However, perhaps the best option would be the insertion of pectoral implants. Pectoral implants are FDA-approved silicone blocks that can show off your chest. I think you can get excellent results. I think pectoralis implants would provide better results than fat transfer. Please seek a specialist in peck implants. Thank you for your question regarding whether you need revision for your gynecomastia.
Helpful
March 24, 2023
Answer: Gynecomastia or Chest Reduction Revisions Thank you for your question regarding whether you need gynecomastia revision. In regards to your chest, I would suggest you seek consultation. In my opinion, there is concavity and asymmetry in the chest. In my opinion, you would do best with chest augmentation. This can involve several different options. The best option would be chest liposuction of other areas and transferring that fat to the chest. This can help to reestablish the chest. However, perhaps the best option would be the insertion of pectoral implants. Pectoral implants are FDA-approved silicone blocks that can show off your chest. I think you can get excellent results. I think pectoralis implants would provide better results than fat transfer. Please seek a specialist in peck implants. Thank you for your question regarding whether you need revision for your gynecomastia.
Helpful