What to do after this surgery? A revision? I'm scared to develop hematoma again (Photos)

Hematoma is not that rare after gland excision; for that reason we always place small soft drain or, in larger reduction, a suction drain. However, if that happens, even very small one should be drained asap. Considering that this was not done in your case you should patiently wait until blood cloth is replaced with scar which is going to make current deformity smaller. Injection of corticosteroid may help further. Excision of mass in local anesthesia can be done at any time, however. Second opinion consult may be considered?

Understanding, gynecomastia surgery, including what the procedure can achieve it what it cannot is a bit tricky. This is especially true when a lift or areola reduction is involved. Doing an areola reduction requires a circumferencial skin, excision, which inherently limits blood supply to the nipple and areola from any of the surrounding skin. This leaves on the deep blood supply that goes through the breast, tissue itself through perforator vessels from the pectoralis muscle and chest wall. In order to minimize the chance of tissue necrosis breast, parenchyma reduction needs to be kept at a minimum when making an incision all the way around the areola.
There are generally three tissue variables that need to be assessed for gynecomastia surgery. This includes skin laxity, excess glandular tissue and subcutaneous fat.
Reducing skin and aggressive breast reduction at the same time increases the chance of serious complications, including complete loss of the nipple areola complex.
I suggest to follow up with your provider and have him or her address your concerns.
Revision surgery is sometimes indicated.If you wanna proper second opinion consultation, then you may be better off, scheduling those as in person consultations with other providers. For inperson second opinion consultations I suggest bringing a proper before, and after pictures, a copy of your opera report, and consultation note which can be obtained from your current provider upon request.
Best,
Mats Hagstrom, MD