Gynecomastia Surgery - I am scared of re occurrence and going for surgery again if it didn't work out in the first place.

Gynecomastia always have a fatty element and gland element.  Liposuction only gives improvement of fat removal. Gland needs to be excised surgically to have full improvement.

Liposuction alone reduces chest wall fat in gynecomastia surgery but it does not correct the problem with breast fullness due excess breast tissue.  By removing breast tissue through a small incision under the nipple, the final result would allow for a more masculine flattening of the breast tissue.  Performing both fat removal with liposuction and breast tissue removal with direct excision, you would then have an overall improved contour and less of a chance of secondary surgery.