What can help fix up a botched gynecomastia surgery from 8 years ago? (Photos)

Question

Had a major gynecomastia procedure 8 years ago and am still not comfortable with the results. Have terrible scarring which I have been talking to someone about scar revision but also not happy with the looks of my areola area. Whenever I flex, my nipples fold in and don't look aesthetic at all. Is there any procedure that can fix this up?

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  Looking at your photos I do believe your a great candidate for a scar revision.  I would suggest seeing a Board Certified Plastic Surgeon in person so they can evaluate your specific issue.  Your surgeon may want to start with some kenalog injections to help soften the scar.  Best of luck to you.

Robert M. Tornambe, MD · Answer

Kolan2020 I appreciate your concern, however physical exam is needed to provide a more detailed recommendation. However it appears from your photographs that scar revision with micro liposuction and possibly fat grafting would be your best option. Come see me or another board-certified plastic surgeon in our area for a full evaluation. Good luck.

Mark Deutsch, MD, FACS · Answer

You do appear to be a good candidate for a breast revision. The procedure could involve scar revision with possible fat transfer and Kenalog injection if your scar is wide and thick. It is best that you meet with a plastic surgeon in your area who can meet with you and develop a treatment plan with you.

Barry M. Weintraub, MD, FACS · Answer

I am always disheartened when I see an incision on a male chest as a result of gynecomastia surgery, because there are advanced techniques that can be employed that do not leave any incision near the nipple-areolar complex for a primary gynecomastia surgery. The beauty of this approach is that a patient does not have to exchange embarrassment of male-breast tissue for embarrassment of incisions. Nonetheless, you are now with incisions and possible lack of subcutaneous fat. Corrective surgery can be performed to improve the look of the incisions as well as to correct the contour irregularities.

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,Based on your photos certainly scar revision is needed, you may also need fat grafting and possibly some liposuction.You really need to be evaluated in person to accurately help you understand your options. Good Luck Stephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetics Plastic Surgery
Member: American Society of Plastic Surgeons
Member:RealSelf Hall of Fame

Amit Gupta, MD - Account Suspended · Answer

Good evening and Thank you for your question, it appears that during a previous surgery a complete process was not followed and you probably suffered from a botched Gynecomastia surgery, According to your pictures It seems like you need a scar revision and fat grafting for better shape.I advise you to see a Plastic Surgeon who is well experienced in Gynecomastia surgery.
Thanks and Regards Dr Amit Gupta

What can help fix up a botched gynecomastia surgery from 8 years ago? (Photos)

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