Is it common to have a second surgery following gynecomastia surgery (small gland excision and liposuction?

Question

I had the surgery 14 months ago and

Miguel Delgado, MD · Answer

Sometimes a secondary surgery  may be necessary as a second stage procedure, or maybe a minor  touch up procedure depending on the issue, many times it can be done as an office procedure. Good luck.

Donovan Rosas, MD · Answer

While it is not common to undergo revisionary surgery for Gynecomastia, occasionally patients will undergo a minor secondary procedure. If there is some persistent residual glandular tissue, it can may be removed at that time.It is difficult to offer any real advice without photos. There is no substitute for an in-person exam.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Nelson Castillo, MD · Answer

Thank you for sharing your question.  In general a second surgery is not common with gynecomastia but occasionally residual glandular tissue may be present, or a touch-up on chest contour may be needed to maximize yours.  Hope this helps.

Sean Doherty, MD, FACS · Answer

No. It is not common to need revision surgery following gynecomastia. But having said that, there is always the exception. The best way to avoid being an exception is to see a really qualified and experienced surgeon such as a board certified plastic surgeon with a lot of gynecomastia experience. Hope this helps.

Anup Dhir, MD · Answer

Hello, it is not common to need a second surgery but on occasions may be needed to improve on the result. Your surgeon will be able to advise on whether a second surgery would help.All the best.

Tal T. Roudner, MD, FACS · Answer

It is not common to have a second surgery after gynecomastia surgery but at times a revision is necessary depending on the results and the issue in hand. Pictures would be helpful.Good luck!

Steven Wallach, MD · Answer

Sometimes  revisions are needed and sometimes the procedure is staged knowing that lipo may not treat everything.

Elliot W. Jacobs, MD · Answer

Yes, on occasion the results of gynecomastia surgery are not acceptable to a patient.l  Realize that revision or secondary surgery is always playing catch-up -- the best chance for a great result is the first procedure.Revision may require additional fine liposuction of the chest and/or gland excision under the nipples. Sometimes, too much tissue has been removed which leaves a crater deformity.  These are challenging cases but oftentimes the crater can be reconstructed with adjacent tissues.  Sometimes there are poor scars -- and often they can be improved through scar revision.  And sometimes there is just some scar tissue (often under the nipples) which may require only a cortisone injection.You are best advised to seek the opinion of a gynecomastia expert in your area -- or consider traveling for such expertise. For further information, please read about revision gynecomastia surgery on my website (captioned below).Good luck!Elliot W. Jacobs, MD, FACSNew York City

Robert Caridi, MD · Answer

One of the problems with gynecomastia treatment is the removal of too much tissue or not enough tissue. The "art" of the procedure means that you often get this balance just right. This is a happy patient. Leave too much tissue or don't remove enough and often the patient isn't happy and if there is too much tissue more needs to be removed.
When do you consider removing this tissue excess? It depends, but often the swelling isn't that significant and if you can appreciate the tissue it simply needs removal with additional contouring of the chest as needed.

Robert E. Zaworski, MD (retired) · Answer

It is not common to need a second surgery following gynecomastia in my practice. Every patient heals different, so without an exam it is impossible to diagnose you.  Contact your surgeon for a follow up visit.

Is it common to have a second surgery following gynecomastia surgery (small gland excision and liposuction?

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