Had gynecomastia surgery twice and within a month they get full again. Thoughts?

I would not necessarily consider two surgeries to be "multiple". It is far easier to repair an undercorrection then an overcorrection. An assessment requires estimating how much of your condition is due to excess skin, areola, nipple, gland, and fat. Correcting your problem requires addressing each of these components. If sufficient gland has been removed, perhaps you now need excess areola excised. This will require more scarring and you should be prepared to accept this if full correction is your goal.

A couple of thoughts/points

1.  The result should not critically evaluated at one month.  It takes about six months for the final result to evolve.

2.  Compression garment use is critical!  Seroma (fluid collections) can produce fullness.

3.  Completely flat is not my endpoint especially in your case where you state that you are athletic.  You may well developed pectoralis muscles.  Your endpoint should be an well contour athletic chest NOT A FLAT CHEST.

Good Luck

Dr. ES

I have performed thousands gynecomastia procedures and very rarely I have seen patients that were prone to internal scarring and swelling starting not long after the surgery. Assuming the removal of the glandular tissue was adequate and this is the case, there are options to improve your problems by injectable with or without revision surgery.