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

When considering a revision after a Gynecomastia procedure, there are some factors to consider. Did the patient gain considerable weight? Is there a hormone imbalance from an underlying medical concern or prescription medication that could be the culprit? Although not particularly uncommon for a revisional surgery after a Gynecomastia, it is always best to be seen in person for a consultation so an experienced physician can examine the chest area to distinguish why a revision may be needed. Such as; Is there more fat to be suctioned or if there is still part of the glandular bud that was left behind? Is what the patient feeling scar tissue, or excess skin? A board certified surgeon who has experience in the procedure should be able to address your concerns and determine what is needed for the best possible outcome.

Thank you for posting your question here!let me start by saying that my answer will be based on the limited information and pictures presented , for a more in depth answer and a bespoke plan please consult with your plastic surgeon in person.It is hard to assess if it is fat or glandular tissue that is still present under the nipple areolar complex , the recommendation on how to proceed with revision will vary based on what the underlying issue is. This is better assessed in consultation . but rest assured whatever the issue there is a solution for it but I would seek a surgeon who is well trained in those issues as over excision can result in other deformities that will not be aesthetically pleasing.
As for sensitivity usually it resolves with in a year but it's usually unpredictable and it seems that yours has lasted a little longer. There is a small chance that you developed a neuroma which if your surgeon can pinpoint it's location they can excise it during the revision surgery.
I hope this helps, best of luck!

It's certainly worth discussing your concerns with a plastic surgeon.

Given the asymmetry you've described, a revision liposuction procedure might be a good option to improve the contour of your right chest and address the nipple sensitivity.

Here are some factors to consider:

The surgeon's expertise: It's important to choose a surgeon who is experienced in revision liposuction and has a good understanding of the anatomy of the chest area.
Your goals: Be clear about your goals for the revision procedure and discuss them with the surgeon.
Potential risks and benefits: Discuss the potential risks and benefits of the procedure with the surgeon.
A consultation with a qualified plastic surgeon will help you determine if a revision liposuction is the right course of action for you. They can assess your specific situation, discuss your options, and answer any questions you may have.

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