7 months post gynecomastia reduction. Left chest looks awkward when I flex. Loose skin? (Photo)
Doctor Answers 7
Gynecomastia, male breast reduction.
DIAGNOSIS: It appears from your pictures that a disproportionate amount of excess male breast tissue and/or fat was removed on your left side. The skin above the resection is trying to contract; however, underneath this area of skin, the foundation of the breast has been removed. This is why the skin appears normal in repose, but appears tethered when you flex.
SOLUTION: Until you are 12 months after surgery, I would suggest conservative treatment. I would suggest continuing chest compression to maximize skin contracture. If after 12 months nothing has changed, I would suggest revision gynecomastia surgery. This revision surgery would entail two objectives. The first objective would be to release the scar adhering the depressed skin to the underlying tissue. The second step would be to add foundation to the nipple areolar complex graft with autologous fat grafting. During autologous fat grafting, fat is taken from one part of the body and transferred to another. In your case, it may be possible to take fat from your abdomen or inner thigh and transfer it to your left breast. Dissecting the underlying scar and autologous fat grafting can be performed during the same procedure.
Good luck. Thank you for your question regarding gynecomastia surgery and possible revision gynecomastia surgery. If you have any questions, please contact my office.
Sincerely, Dr. Katzen.
Possible Asymmetry During Healing
Possible complications resulting from gynecomastia surgery -
- Asymmetry during the healing process (which appears to be experienced in your photos)
- Lumps or firmness under skin
- Prolonged swelling (edema)
- Skin Pigment changes
- Prolonged redness of the incision
If you find that you are uncomfortable or concerned about the asymmetry which you are experiencing after your procedure it would be best to visit your surgeon to have the are examined for proper healing. There is always a chance that this can happen during the healing process, while it can also take up to about 18 months for scars, muscles and skin to completely mature and settle after surgery. You may still be healing. Good luck!
Dr. Blau who responded would be a good choice to discuss your options with.
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Fine an experienced surgeon to correct it
7 months post gynecomastia reduction. Left chest looks awkward when I flex. Loose skin?
Kenneth Hughes, MD
Beverly Hills, CA.....................
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