Will revision for scar tissue post Gynecomastia Surgery just cause the same amount of scar tissue or more? (photos)

Thank you for your photos and question. It is tough to know what to do here because the image is in great and I cannot tell if this is fat or a seroma that has turned into scar tissue. Nonetheless, I suspect is easily correctable..

Dear tiredeyes89,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I think the outcome of the procedure is directly related to how the procedure was performed. in other words your chest contour is based on tissues removed and tissues not removed.

I don’t think scar tissue is creating a contour issue for you.

Gynecomastia surgery is not the easiest procedure to perform well with consistent high-quality results on every patient.

Even mild skin laxicity can also contribute and have an impact on what results look like.

The best way to assess the contour of underlying soft tissues is to put one arm behind your head putting both the chest skin and pectoralis muscle under tension. while stretching one arm at a time behind your head with the skin and muscle under tension you should be able to pretty clearly see the underlying soft tissue contours.

If these are on even then they are uneven. if your soft tissue layers are not even then making them even would improve the contour.

This may be easier said than done but it is in a nutshell what an assessment and recommendation would come down to.

The decision of having a revision is a combination of how much your current state bothers you and your current level of faith with your provider.

Best,

Mats Hagstrom MD

it is hard for me to tell from your pictures what is bothering you about your chest. I personally strongly prefer direct excision in the OR and not liposuction, because direct excision of the tissue is more aggressive. However, your dr (hopefully a board certified PS) is correct, if you excise a small amount of scar tissue, the body heals by forming scar tissue. If the scar tissue that bothers you is quite small, it is probably a good idea to leave well enough alone,.

david berman md, frcsc