What can be the cause of gynecomastia coming back after surgery?

Dear blink9000,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after 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

Thank you for sharing your question and I am sorry to hear of your gynecomastia difficulties.  If the entire gland is removed then gynecomastia can not recur, as glandular tissue can not be created.  That said some glandular tissue may be left behind in order to avoid secondary issues such as nipple inversion or tethering.  I would discuss your current results with your surgeon for an appropriate diagnosis and treatment plan.  Best wishes.

Gynecomastia recurrence after surgery can be caused by factors such as hormonal imbalances, weight gain, or incomplete removal of breast tissue during the initial surgery. Consultation with a healthcare professional is essential to determine the specific cause and discuss potential solutions.

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) The most likely cause of recurrence of gynecomastia is incomplete excision during the original procedure. (This is fairly common and is done to prevent wound healing complications, prevent vascular injury to the nipple/areola, and prevent contour deformity in the region of the nipple/areola.) Weight gain (if present) may also contribute. If you decide to pursue revision surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Most likely the cause of your recurrence is residual gynecomastia tissue left behind from the first operation.  Usually it's not possible to completely remove the gynecomastia tissue completely as it may leave an unsightly contour deformity underneath your nipple-areolar complex area.

so development of tissue around the Chet in men is either true breast tissue or malposition of natural fat. Sometimes a combination of the two. If your Chet feels glandular and firm then I might suggest that homeowning balance could be the cause. Some of the other causes you list also lead to homeowning balance is for obvious reasons. I think you should seek a consultation from your family practitioner to see if a standard hormone profile is a worthwhile thing to do. Certainly surgery could be the best option for you again but I think it’s worth discovering if there is a underlying cause. Hope that helps. Regards, Adam Goodwin.

Sorry for your problem and depending on the technique that was used, gynecomastia can recur.  So see your surgeon or other expert in the area and be evaluated in person Dr Corbin

Good evening and Thank you for your question come,  the only reason for a Gynaecomastia problem repairing after the surgery is inadequate removal of fat and gland at the time of the surgery, use of steroid medicines for any reason, high intake of soya protein or any hormonal problem in the body. I would suggest that you visit your plastic surgeon who has done a procedure and discuss with him for a possible correction of this problem.Best Regards,Amit Gupta

Thank you for your question. The most common reason for residual gynecomastia after surgery is under treatment at the time of the first surgery. Gynecomastia consists of two issues: fat and glandular tissue. Liposuction alone can address the fatty component of the gynecomastia, but it is not sufficient to treat the glandular component of the problem. For this, direct excision of the gland is necessary. This can be performed from an incision along the lower border of the areaola (not ideal as the incision tends to heal unpredictably) or remotely (preferred).  Unless both components are addressed, the condition is not completely treated and once swelling dissipates, may appear to persist or recur. Speak with your plastic surgeon to be sure that both components of the gynecomastia were addressed. I suspect the glandular component was not treated adequately. Best wishes, Dr. Morrissey