5 years after gynecomastia surgery — asymmetric result. What would you advise? (Photos)

31M, 5 years post-op. Surgery was February 2021. From the operative report: trans-areolar incision, liposuction with a 4mm cannula, around 50ml of fat removed per side, followed by bilateral resection of a retroareolar protuberance described as “of fatty origin.” The resected volume isn’t quantified. Pre-op imaging (mammography + tomosynthesis + ultrasound, one month before surgery) found breast density A, essentially fatty composition, with only 3mm retroareolar glandular islands on each side. Its conclusion was “mild bilateral adipomastia, no gynecomastia.” The overall result is good — flat chest, no residual tissue. But five years on, two things remain, and they’re not symmetric: Right side: a depression below and lateral to the areola, extending into an oblique groove toward the axillary line. Clearly visible with the arm raised under side lighting. Left side: the nipple sits flat, as if set into the areola, with an irregular surface. It’s not fixed — it still projects when viewed in profile. I also have a long-standing muscular asymmetry: my right pec is more developed than my left. What I’d like to understand: What do you see on each side — and are they the same problem or two different ones? Around the left areola, does the tissue look like a genuine excess, or like the raised rim of a central depression? What, if anything, would you advise at this stage — and what would you advise against? Photos: right side arm raised (2 angles, side lighting), left side arm