Lipo of the chest, abs & flanks along with gyncomastia. I feel like I am seeing almost no change. Do I need a revision? (Photos)

Liposuction results are generally based into variables.
The first is the patient candidacy for the procedure and the second is the skill and experience of the provider.
In a nutshell, the best candidates for Liposuction are young people with thick layers of subcutaneous fat who have tight skin.
The opposite is also true.
Older individuals with those who have thin they are so subcutaneous fat, and especially those with any degree of skin laxity or lots of skinny elasticity are not going to have the same potential for quality outcomes.
I’m not sure if you’re unsatisfied with all of the outcomes or just in certain areas.
It looks to me like your subcutaneous fat layers were never really thick in the first place. The dramatic changes may not have been possible.
I don’t know how aggressive. your surgeon was so difficult to assess from that perspective.
Certain areas can be particularly tricky when it comes to liposuction on the male torso.
The chest is one of those.
There are three tissue variables that determine what a male chest looks like. Fat is one component glandular breast tissue a.k.a. gynecomastia is another and skin laxity or any loss of skin elasticity will also have a big impact.
Liposuction alone will give good results if the primary problem is subcutaneous fat only.
If there’s also excess glanular tissue, then some of that tissue may need to be removed with an open procedure.
As I’ve mentioned previously anybody who has an 8° of skin laxity or loss of skin elasticity from age or weight fluctuations is not going to have the same potential as those who do not.
Finally, for male abdomen, it’s very important to differentiate if the individual has a distribution of fat that involves more visceral fat rather than subcutaneous fat.
Excess visceral fat will create a bulging bear belly, looking abdomen.
Visceral fat cannot be removed with liposuction and can only be reduced with weight loss.
Individuals who have access visceral fat should be told during the consultation that Liposuction will only reduce subcutaneous fed, and if this layers thin, the result will be subtle.
Generally secondary procedures deliver much much less than the primary procedure.
In other words, if you weren’t happy with the overall outcome of doing Lipo once doing it twice is very unlikely to change the results to the point you think they’re good.
To get a quality assessment we need an in person evaluation.
You may want to consider getting a few second opinion consultations by scheduling with other plastic surgeons in your community.
Look for plastic surgeons who have extensive experience with Liposuction or preferably focus on Liposuction exclusively in their practice.
Best,
Mats Hagstrom MD