Do I need gynecomastia revision? (Photo)

Thank you so much for submitting your questions and photo. I’m sorry your outcome is not what you had hoped for. Based on your photos, there are a few things that can be done to improve the appearance of your chest. This could include releasing scar tissue that is tethering your nipple/areolas downward, rearranging tissue beneath the nipple to improve the contour, liposuction to other areas to improve the contour, etc. A board certified plastic surgeon can examine you and discuss a treatment plan that will give you the look you desire. Good luck and thanks again for reaching out.

Hello,
There are some areas that appear to be over- resected and or aggressive scarring. You can try a scar release with fat grafting which should provide some improvement. Sometimes a second fat grafting procedure is needed but each procedure only requires a few tablespoons of fat. Best of luck.

Dear johnfm,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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

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.

Dear Johnfm, In my opinion, some fat grafting in your areola area should help the concavity. Speak with a surgeon experienced in fat transfer.

This is a common problem from over-resection of gland tissue during gynecomastia surgery. I see many patients with this issue and it is best treated with fat grafting and fat equilization--- harvesting unwanted fat from another part of the body and transferring it to the chest to even out the contour irregularities. It is difficult but not impossible.

From your photo it appears you would benefit from a revision to improve the chest contour. An examination is needed to give the best recommendation, but it appears you could consider fat grafting to even out the concavity.

Unfortunately, your surgeon lacked skill or experience and removed too much glandular tissue.
These are not easy cases to revise.
I cannot emphasize enough the importance of properly vetting plastic surgeons before having procedures done. Once the tissue has been removed, there are not many good choices to restore volume needed.
I’m curious if your provider what’s the board-certified plastic surgeon.
You may want to consider writing some reviews about your experience, so others will know to avoid this provider for a gynecomastia surgery.
Best,
Mats Hagstrom, MD