Gynecomastia Gone Wrong. What to Do? (photo)

Question

I had a Gynecomastia late last year and the results are everything but satisfactory. My left side is larger/fatter than the other side, the skin is stuck to the chest on my right side. My left side is deeper than the other side which you can't see it on the photos. What can be done about it?

Jed H. Horowitz, MD, FACS · Answer

The areas after Gynecomastia Surgery may feel “lumpy” or irregular, and should decreases with time. Often massaging these areas will help soften the scar tissue. Also, 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. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible that any indentations could be addressed with fat grafting or cosmetic filler(s) if eligible.

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.

John Nguyen, MD, FACS · Answer

Revision surgery is a possibility.  Judging from the photo, you have redundant skin folding over the inframammary fold.  In my practice, I would suggest a periareolar skin excision.  Consult with a board certified plastic surgeon for more details.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Leo Lapuerta, MD · Answer

A gynecomastia revision surgery can be performed to improve the areas of your concern. I recommend consulting with a board certified plastic surgeon for a formal examination and to go over your options.

Babak Dadvand, MD · Answer

Hi babanata,Thanks for the post and photos.  You likely had a preoperative asymmetry as well with the left side being larger and/or having looser skin. If there is skin redundancy you will likely need excision of the skin. If there is just fullness on the lower left breast without skin redundancy then liposuction may be the best option. If by your left side being deeper you mean there is cratering, then perhaps a fat flap or fat grafting would be the best option. In any event, you would need to be evaluated in person in order to develop a surgical plan. Sincerely,Dr. Dadvand

Steven Wallach, MD · Answer

It is possible that you might be a candidate for a revision if you are unhappy with the result. Reviewing pre-op photos would be helpful and an in-office exam would be necessary. Good luck.

Gynecomastia Gone Wrong. What to Do? (photo)

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Answer: Revision Gynecomastia Surgery

Answer: Revision Gynecomastia Surgery

Answer: Gynecomastia revision?

Answer: Gynecomastia revision?

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Gynecomastia Gone Wrong. What to Do? (photo)

Answers (8)

Answer: Revision Gynecomastia Surgery

Answer: Revision Gynecomastia Surgery

Answer: Gynecomastia revision?

Answer: Gynecomastia revision?

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.