Does complete gland removal completely prevent the recurrence of gynecomastia? Gynecomastia came back from Finasteride usage.

Dear Johnjoe54,
in case when the gland is fully removed, then it will not grow back. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. It is possible to remove the residual glandular tissue and replace it with fat to prevent a contour deformity. Even a few cells left can be stimulated to grow with finasteride or anabolic steroids, so a complete excision needs to be done.
Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

I appreciate your concerns and frustrations, however Gynecomastia can be a side effect of finasteride use. However there is a higher incidence of Gynecomastia when other bodybuilding steroid medications are used in conjunction. It appears from your photos that you would benefit from revision of your Gynecomastia surgery with further gland removal. Consult with a board-certified plastic surgeon in our area for consultation to explore the best options for you.

Complete gland removal during gynecomastia surgery can significantly reduce the likelihood of gynecomastia recurrence in the same area. This is because the glandular tissue responsible for the enlargement of the breasts is removed. However, it's essential to note that gynecomastia recurrence can still occur in some cases, albeit less frequently.Recurrence of gynecomastia can happen due to various reasons, including:1. Hormonal changes: Gynecomastia can recur if there are hormonal imbalances or changes in hormone levels, such as those caused by medications like finasteride.2. Weight gain: Significant weight gain can lead to the development of excess fat tissue in the chest area, which may mimic gynecomastia.3. Use of certain medications: Some medications, including hormones, steroids, and certain antidepressants, can contribute to gynecomastia development or recurrence.4. Underlying medical conditions: Certain medical conditions, such as hormonal disorders or tumors, can cause gynecomastia or its recurrence.5. Incomplete gland removal: If glandular tissue is not completely removed during the initial surgery, there is a higher risk of recurrence.Regarding your situation with finasteride usage, it's important to discuss this with your healthcare provider and your plastic surgeon. Finasteride is a medication commonly used to treat enlarged prostate and male pattern baldness, but it can potentially cause or exacerbate gynecomastia in some individuals due to its effects on hormone levels.If you have experienced gynecomastia recurrence after finasteride usage, your healthcare provider may consider alternative medications or treatment options. Additionally, if you're considering revision surgery, discussing your concerns and medical history with a skilled plastic surgeon is crucial to determine the most appropriate course of action.

You can have the gland comepletely removed. I use vasculatised flaps of adjacent fatty tissue to fill in the space and eliminate or prevent contour deformity. You do not need to trade off gynecomastia for a contour deformity.If you are using Finasteride for hair Growth, you may consider PRF for hair growth as it can be very effective without the side of effects of medication.