Overly large areolas after gynecomastia surgery. Would another revision help? (Photo)

Question

I had gynecomastia surgery in February 2013 that caused huge keloids around the areolas and a revision last October to get rid of those. However I am still left with very large areolas. My doctor said I should wait 1 year after the surgery and then consider having another surgery if I don't feel happy with the results. Now I just would like to hear other doctory opinions, do you think it is possible to get a decent result with another revision? Thank you for your input.

Charles A. Wallace, MD · Answer

Surgery can definitely be performed to adjust the size of the areaolas to fit your new physique.  I can not seesigns of keloids, but in my patients who are prone to keloid, we schedule a light dose of radiation to the scar.It is possible to have another revision and get a good result.  Best wishes with your personal goals.

Michael Marion, MD · Answer

Sounds like two separate issues.  The enlarged areola can be treated with repeat procedure and modern techniques to limit the stretch of the areola.  If there is concern for hypertrophic or keloid formation, which I can't detect from your pictures, then that can be addressed at the time of revision, possibly with steroid injection.  It has been a year since your last procedure and I wouldn't anticipate the scar to mature much more than at present. All the best.

Steven Wallach, MD · Answer

An areola reduction is possible using a permanent suture around the border upon final closure. Good luck with your surgery.

Samir Shureih, MD · Answer

It is possible to reduce the size of the areola., and hold from spreading wit "pinwheel suture" technique.however, you had keloids as you mentioned, but I do not see keloids. If you are a keloid former, are you willing to take the risk of keloid after revisional surgery?

Overly large areolas after gynecomastia surgery. Would another revision help? (Photo)

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Answer: Large Areola

Answer: Large Areola

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Everything you need to know about Gynecomastia Surgery

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Overly large areolas after gynecomastia surgery. Would another revision help? (Photo)

Answers (4)

Answer: Large Areola

Answer: Large Areola

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.