Liposuction revision after gynecomastia surgery 5 years ago? (Photo)

A few things come to mind from reviewing your post.
It looks like your glandular excision was done slightly more aggressively on the left side than the right.
The right side is also far more diverted meaning that the nipple position sits more towards the side on the right side than on the left side.
And most individual at the left breast, including pectoralis muscle sits higher on the left side than the right side, and this is true for you as well.
Most likely a revision with Liposuction alone isn’t going to do much, but if you like the appearance of the left side better than slightly more resection of the glandular tissue may be helpful.
Personally, I think your left side looks slightly over seed and think the right side looks more natural regardless of the divergence. there’s also potential skin laxity that can increase over age that can have an impact on the appearance of the Male chest.
To get a really accurate assessment of subcutaneous tissue, especially any residual access glandular tissue try examining with one arm at a time over your head like your scratching the back of your neck.
with one arm at a time and have someone else take pictures of you.
With the pectoralis muscle and skin under tension by putting your arm over and behind your head you’ll see the soft tissues clearly, including if there is excess glandular tissue.
Overall, I think your outcome is quite good and I don’t see a strong indication for further surgery.
RevisionOverall, I think you’re outcome is quite good and I don’t see a strong indication for further surgery.
Revision surgery typically delivers much less in comparison to the primary procedure.
Anytime someone goes for aggressive, glandular resection there is always a risk for over resection, which is not fixable.
There’s something to be said about leaving good enough alone.
Get a few in person the second opinion consultations with other plastic surgeons in the community.
Personally, I find gynecomastia surgery to be fairly complex and it’s really important to learn to differentiate if the problem is primarily related to skin laxity, subcutaneous, fat or glandular tissue.
Often, it’s a combination.
The treatment for each is different.
Not all plastic surgeons have mastered gynecomastia surgery so finding the right provider is absolutely key.
Any attempt at improving outcome with revision surgery also has the potential of making things worse.
When vetting plastic surgeons insist that they open their portfolio and show you their entire collection of the before, and after pictures of previous patients with similar body characteristics to your own period
Highly experienced surgeons should have access to 100’s of before and after pictures to choose from.
If providers don’t have an impressive collection of before and after pictures, then you should just continue consulting with more providers until you find the right surgeon to be working with.
Like I mentioned earlier sometimes leaving good enough alone isn’t a bad idea.
Best,
Mats Hagstrom MD