Can gynecomastia return after surgery if I still continue to have low testosterone levels in the body?

I totally understand your frustration, but 5 weeks is really too soon to be passing judgement on your results. You are still swollen and very well could be for the next few months. For now, be patient. If you are still not happy at 6 months post op then speak with your surgeon.

Like everything, there is a scale of "normal". Your nipples are simply on the larger end of that scale. If they really bug you, you could schedule a consultation with a board certified plastic surgeon to discuss nipple reduction surgery, but this will probably also reduce your nipple sensation....

This is typically due to hormonal or weight changes. If there has been no weight gain and the mass has enlarged it should be evaluated by your doctor to insure it isn't something more significant.  Don't sleep on it. All the Best, Dr. J

While I understand that you want immediate solution, take note that waiting at least six months (or until all the residual swelling has resolved and the skin has fully redraped to the final contour) is the best way to achieve predictable results from a revision surgery. Most likely fat graft ...

Based on your photos, it appears that yes, you will need some form of revision surgery to even out your results. I am surprised that your original surgeon didn't perform liposuction. I would encourage you to get an in person opinion from a different board certified plastic surgeon who...

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or...