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

Question

I had my gynecomastia surgery On August 17, 2017. Both my surgeon and I noticed there are some asymmetry 12 days after the surgery. My surgeon said I should let it heal and get back to him in 3 months. Since it is now 4 months after the operation, I am getting concerned with the asymmetry as it has not faded away. Question: 1. Is this scar tissue or something else? 2. What can I do to solve this problem?

Nelson Castillo, MD · Answer

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.

Jeffrey A. Sweat, MD · Answer

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!

Babak Dadvand, MD · Answer

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

Anup Dhir, MD · Answer

Thank you for your question.  It is not possible to comment without examining you. It would be advisable for you to followup with your surgeon.

Robert Caridi, MD · Answer

You still have tissue left on both sides and treatment has not been even. I would suggest that you bring this to the attention of your surgeon and see what he/she says. More time is not going to change much of anything.

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

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

Answers (5)

Answer: Asymmetrical healing after gynecomastia surgery

Answer: Asymmetrical healing after gynecomastia surgery

Answer: Gynecomastia results

Answer: Gynecomastia results

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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.