Can my masculinizing top surgery results be corrected? Concerned about unnatural contour, puffiness and scars (photos)

Question

I had my first surgery in June of 2023 and came out very disfigured. The surgeon decided to go back in and fix it after 4 months. She created much bigger scars than I desired the second time around, but said that it was necessary. She also did a small bit of liposuction. The contour doesn't look natural to me as there seems to be a big of fat left on the right inner bottom pec and my left side still has bit of puffiness around the nipple. Can this be fixed? Can the scars be lightened?

Elizabeth Kiwanuka, MD, PhD · Answer

It sounds like you've been through a challenging experience with your surgeries. In terms of addressing the concerns you have about your results, there are options available.
Regarding the contour irregularities and leftover tissue, a revision surgery might be necessary to refine the appearance of your chest. This could involve further liposuction to remove any remaining fat deposits and sculpt the area for a more natural contour. Additionally, your surgeon may need to remove skin to achieve better symmetry between the sides.
As for the scars, there are techniques to help improve their appearance. Scar revision procedures can involve various methods such as surgical revision, laser treatment, steroid injections, or topical treatments. These approaches aim to minimize scar visibility and promote better healing over time.
Additionally, be sure to communicate openly with your surgeon about your desired outcomes and any previous experiences. This will help ensure that you're both on the same page regarding expectations and that you receive the best possible care moving forward.

Jaime Caloca, Jr., MD · Answer

Revision surgery is possible. Improvement, not perfection is the objective. Volume reduction on the "puffy" side and scare relocation on the other is necessary

Joshua T Halka, MD · Answer

Hello,
It looks like there is additional tissue which would be resected, your scars are already in a decent position so it should not be too hard to improve your contour. Additionally, it appears that the surgeon did not adjust the position of your nipples relative to the rest of the skin and your chest, this is often done during these procedures to masculinize the chest as the female nipple position is often quite different from the male.
Don’t worry, there is definitely a lot that a well-trained plastic surgeon can do to help you!

Can my masculinizing top surgery results be corrected? Concerned about unnatural contour, puffiness and scars (photos)

Answers (3)

Recommended reading

Everything you need to know about Masculinizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Can my masculinizing top surgery results be corrected? Concerned about unnatural contour, puffiness and scars (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Masculinizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.