What do I do after gynecomastia surgery fail? (photos)

Question

I consulted with endocrinologist, after tests, he advised my testosterone level is low and i should take medication. Result : 8.97 nmol/L (attached). I didnt listen to him and got surgery. after surgery my chest was very flat. But within 2 months i even got bigger man boobs. All fat again accumulated on my chest. My question, please advice what to do now, my surgery failed, shoud I take medication to increase testosterone. If yes please prescribe medication. Age 34, wt 122KG, ht 5' 10"

Ronald Schuster, MD · Answer

You should first get your hormone levels normalized. This might require several different meds and you should go to a specialist for this. testosterone is converted into estradiol and therefore could increase the chances of gynecomastia. It doesn't look like you had a complete operation the first time so you should also look for a gynecomastia specialist before getting further surgery. Good luck.

Jed H. Horowitz, MD, FACS · Answer

Hello, and thank you for your question. Here are some common post-operative healing issues that can occur with this procedure:Asymmetry
     during the healing process
 Lumps
     or firmness under skin
 Prolonged
     swelling (edema)
 Skin
     Pigment changes
 Prolonged
     redness of the incisionBlood clotsHematomaBreast contour or shape irregularitiesAnesthesia risksInfectionScarringFluid accumulationPersistent painTemporary or permanent changes in breast or nipple sensationAnd some definitions of these issues:Contour
Abnormalities: Although the
doctor will make every effort to give you a “perfect” result, the area of
excess tissue removal may end up with a contour that is slightly too high or
too low. You may feel the “edge” around the areolar dissection. Massage and
time (4-6 months) usually eliminates or reduces this problem, if it occurs.Reduced sensation
of nipple: Any surgery of the
breast can lead to reduced nipple sensation. Reduced sensation is usually
temporary, but may take months to resolve. In unusual cases, some permanent
loss of sensation may occur.

Recurrence of
Breast Enlargement: This is uncommon,
but can occur. If this happens, you may require further surgery later.

Seroma Formation: A collection of fluid under the skin
occurs occasionally during the postoperative period. Aspiration of the fluid
with a needle is frequently helpful. Secondary surgery is rarely necessary.

Harness Within
Breasts: Postoperative
scarring within the breast tissue may cause areas of hardness. Occasionally,
areas of hardness, when discovered later may cause worries about cancer.
Mammography or even biopsy is occasionally indicated.Now, one of the best things to remember is that if you find yourself concerned at all about the healing process at any point you should visit your surgeon to have the area examined and make sure that everything is progressing as it should. There can always be complications, but revisions are possible if needed. Best of luck.

Sean Doherty, MD, FACS · Answer

I always have my patients blood work done before surgery and if there hormones aren't in balance, that must be addressed first. So, yes, get your testosterone levels in check before considering any kind of revision surgery. Hope this helps.

Clayton L. Moliver, MD · Answer

During consultation with my gynecomastia patients, they are given lab orders that check several factors including testosterone levels. If those levels are not within a normal range, I refer them to the appropriate specialist. And not until the patient's levels are under control do we schedule them for surgery.

What do I do after gynecomastia surgery fail? (photos)

Answers (4)

Answer: Testosterone and Gynecomastia

Answer: Testosterone and Gynecomastia

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What do I do after gynecomastia surgery fail? (photos)

Answers (4)

Answer: Testosterone and Gynecomastia

Answer: Testosterone and Gynecomastia

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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.