Asymmetric healing from gynecomastia surgery (4 months post-op). Is this scar tissue? (Photos)

Thank you for sharing your question and photographs.  Though difficult to assess without an in-person examination it appears that your surgeon may have performed only liposuction to your tissues.  This has removed much of the fat that was camouflaging your glandular tissue.  At this point you will need to have a revision procedure to remove the gland and achieve a result you are more interested in.  Hope this helps.

Your best course of action is to follow up with your surgeon so he can examine you in person to help determine if this represents scar tissue, a prolonged swelling of the tissue, a fluid collection or residual breast tissue.  Because scar tissue and swelling can take 6-12 months to resolve, it is usually a better idea to delay revision surgery for 6-12 months.  Close follow up with your doctor will be the most helpful course at this point.  Best of luck with your continued healing!

Hi hongkong2017,Thanks for the post and photos. It appears that you still have excess tissue on both sides in addition to the asymmetry. This will need a revision at some point. I recommend waiting at least 6 months from the time of surgery. Discuss the plan with your surgeon and do not be shy to get a second opinion by someone who has a lot of experience with revision gynecomastia surgery.Sincerely,Dr. Dadvand