I need a second opinion. There is still a lot of gland left after my surgery 10 months ago (Photo)

Dear Magical65390,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a 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

Well your pictures are reasonably good the one single picture that tells the most is a picture with you putting your arm behind your head like you did in the first picture without pinching your nipple. Based on that picture it doesn’t look like you have much glandular tissue at all.
There are three tissue variables that can contribute to fullness in the Male chest. They are subcutaneous fat, skin laxity and glandular tissue.
By putting the skin and pectoralis muscle under tension you’ll see the outline of the glandular tissue perfectly.
With your arm in that position it should look slightly over treated to get the perfect outcome as the skin and will bulge when you put your arm down.
Knowing your age or any history of Weight fluctuations or having been even 15 pounds overweight at some point can I have a significant impact on the skin.
Failure to see quality results after gynecomastia surgery is either due to skin laxity or insufficient glandular excision.
From your first picture your glance looks small but a picture with your arm behind your head putting the pectoralis and skin under tension should show it clearly.
These procedures can be a little challenging and I would say the number of people who are truly satisfied with her outcome is probably about 20%. most men wish they had a better results.
This is especially true for guys over the age of 35.
The key in making a quality assessment is to differentiate the three tissue layers and see which one is contributing the most. Watched the contour of your chest as you slowly move your arm from behind your head to down along your side. you’ll see it bulging as the skin drops. it doesn’t look like you have much subcutaneous fat so I doubt that is any longer an issue.
I realize that the scale for doing these procedures including doing a quality assessment very substantially among plastic surgeons. While it’s not an uncommon procedure it’s not the most common thing we do.
Finding surgeons who can accurately identify what tissue layer is contributing the most and predict outcomes accurately is key.
For a quality second opinion consultation scheduled those in person consult with other board-certified plastic surgeons in your community.
Best,
Mats Hagstrom MD