What procedure do I need in my revision gyncomastia surgery? (photo)

Thank you for your query. You will benefit from a careful removal of the lumps and some RF treatments to tighten the skin. A small amount of fat may need to be injected as well. These are difficult treatments and you will need to find someone with a lot of experience. All the best!

Gyno can have a strong negative effect on a man’s self-confidence. It can affect your ability to play sports or enjoy outdoor activities shirtless. Gynecomastia can be either mostly breast tissue, mostly fat or most commonly a combination of the two. I have found over the last 15 years that I rarely have to make an incision to directly excise the gland. I am able to do it through a small hidden incision in the crease of the male breast, perform a thorough liposuction to remove the fat and break up the hard breast tissue and then using a special instrument I’m able to surgically remove the glandular tissue through the same incision. This has the benefit of having a hidden scar and not having any chance of having a depression behind the areola as you have shown in the pictures. I actually do a fair amount of revisions of these and I’m generally able to release the scar tissue and redistribute fat in the chest to correct the deformity.

Asymmetry of areolas can be corrected in local anesthesia. However, irregularities after hematoma resolution, with residual scars/lumps may need different treatment depending on presentation (excision, liposuction, fat grafting). In person consultation with a board certified plastic surgeon is recommended. Good luck.

I appreciate your concerns, but it appears that a minor revision would be the best option for you to attain symmetry and achieve the best result. In person examination would be needed however, and it may be possible to perform the revision under local anesthesia. Come see me or another board certified plastic surgeon in our area to explore the best options for you. Good luck.