Can this bad gynecomastia surgery be fixed? (Photo)

Question

Hello, I had a periareolar excision gland removal. I had hematoma on both sides a day after surgery. My chest looks like this at the moment. Can I have a revision surgery? Thank you

Daniel Careaga, MD · Answer

Generally I recommend waiting 6 months after the initial surgery to perform revisions. During these months there is a significant amount of inflammation and it is never advisable to operate on areas that are inflamed.

Sean T. Lille, MD · Answer

Dear Lightning06, 
My recommendation depends on how far post-op you are. This would not be an unusual scenario a couple of weeks post-op, but it would be unusual a year post-op. I recommend giving your recovery 9-12 months and re-assessing your result. Recovery is an evolution. Best Wishes.

Jonathan Brower, MD · Answer

It looks like your chest is still recovering from surgery and the added trauma of a hematoma evacuation procedure. I would give the skin about 6 months to tighten up and smooth out before looking into any revision procedure. Hopefully, you wont need one at all!

Zoran Potparic, MD · Answer

It appears that your result is still fresh after gynecomastia surgery. Since your current "deformity" is not so significant to require immediate revision, I would recommend waiting at least one year for the result to settle and mature and consider a revision if needed. Hope it helps.

Anmol Chugh, MBBS, MS, MCh · Answer

When was the surgery done? Usually, we can do revision surgery at 9-12 months. It will require the removal of residual glands along with fat transfer.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

It looks like you are still in the early stages of healing following your gynecomastia surgery which was complicated by a hematoma on both sides.  Because of the complication, it will take longer to heal.   It is unfortunate when a complication happens, however we do know that they do occur from time to time.
 
When I look at your photos I see that the scars are still fresh and there is lumpiness and uneven contour on both sides.  The scars will continue to improve as they heal.   The lumpiness and uneven contour will continue to heal as well.  It is too early to be alarmed, right now it is recommended that you wait things out while the healing occurs.  I recommend you gently massage the scars and the areas that are uneven and wear a compression garment.  Both of these actions will help smooth the scar tissue and swelling that is present.  You can use a favorite lotion or oil to massage and gently rub the areas with clean hands 5 minutes twice daily.   Be sure to follow up with your surgeon's office as they will be able to assess the tissues in person as they heal.
All the best to you,
Dr. Nancy de Kleer

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment on the outcome of a plastic surgery procedure, we need quality information. This generally means always including proper before and after pictures. If you don’t have before and after pictures to ask your surgeon to forward the pictures they took. We also need to know the timeframe of how long ago you had surgery. Assessments regarding outcomes should not be made within the first 3 to 6 months at a minimum. Preferably patients should wait 6 to 12 months before assessing final outcomes, even if results are not what was hoped for. Jumping to conclusions and having premature revision surgery is not a good idea.
While your results may not be what you had hoped, for they may still represent quality out, but may be difficult to improve upon. We can’t make an assessment without knowing what was done, and that requires seeing before and after pictures and more detailed information.
I suggest you remain patient and give your body time to heal appropriately then follow up with your provider and share your concerns with him or her.
If you want a proper second opinion consultation, then wait at minimum at six months until after your surgery and come prepared to bringing with you copies of your operative report, consultation, follow up notes and a complete set up before and after pictures.
Best,
Mats Hagstrom, MD

Can this bad gynecomastia surgery be fixed? (Photo)

Answers (7)

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