Gynecomastia Dilemma.... Please Help! All Procedures Were Performed by Different Surgeons? (photo)

Here's my story Spring '10: Lipo performed on chest to remove fat. Was offered Gynecomastia surgery, was afraid and declined Fall '10: Procedure was performed to remove glandular tissue. Satisfied with results on left chest but right chest appeared more cone shaped (felt lumpy inside) as opposed to flattened left chest. Waited till.. Fall '12: Glandular and scar tissue was to be removed from right chest but it wasn't done right, now it's all deformed. Many thanks in advance for all feedback.

Doctor Answers 6

Gynecomastia Dilemma and Revisions Have Been Made

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As you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. 

In the future, if you are still experiencing your crater concern, its best to ask questions of your surgeon or their nursing staff.  They may possibly be able to address the issue with fat grafting or cosmetic fillers if you are a good fit.

Typically, its best to wait at least one year following the initial surgery to consider a revision. It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Significant contour abnormalities after gynecomastia sometimes require revision.

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If your most recent revision was in the fall of 2012 is probably too early to pursue a revision particularly since this is in the wake of several previous operations. If the contour problems persist, tissue might need to be removed or fat grafted to solve the problem.

Gynecomastia Contour Deformity

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    It is rare to have one of these done perfectly, but fat grafting into any areas of depression can be useful.  Kenneth Hughes, MD Los Angeles, CA

Problems following gynecomastia surgery

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Some times if liposuction is attempted with liposucton only then the underlying breast tissue may not be fully removed.  Then if you have a subsequent subcutaneous mastectomy then there may be some loss of soft tissue coverage since all of the overlying fat was removed at the time of the first surgery.  If you have a significant indentation then you may consider fat transfer to fill the contour depression.  


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It seems that more tisssue was taken out from the area of indentation and the scar is stuck to the underlying tissue. That is why the indentation is more pronounced when the arms are up, it pulls on the scar.

Revisional surgery can be either filling and releasing the scar or advancind some of the tissue under the indeted scar. the choice of surgery depend on the appearance of the opposite side.

Samir Shureih, MD
Baltimore Plastic Surgeon

Gynecomastia Revision

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It appears that you now have an indentation deformity on the underside of the nipple with the upper portion still a little full. Given that its now six months from the last surgery, you are probably looking at the final result. A light bit of tissue need to be removed from right under the upper nipple and that tissue transferred down into the indentation area.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.