Disappointed with gynecomastia surgery results - advice? (photos)

I'm sorry to hear you are not happy with your results.
When I look at your after photos, I notice that the area under the areola looks depressed. This could be due to scar tissue formation or perhaps the amount of tissue that was removed was more in those areas.
Without examining you in person my recommendations can't be exact, however I do suggest that adding some volume to the area with a fat grafting procedure can soften the appearance, making it look less severe. I recommend you see your surgeon again in follow up and look at the before and after photos with your surgeon.
All the best to you,
Dr. Nancy de Kleer

One potential option is to focus on pectoralis bulking exercises to provide more definition to the pectoralis. This may be sufficient to prevent any further surgery. Another option is to revise the scars but this is complicated as surgery always leads to more scarring. I would have a conversation with your surgeon.

This is a common complaint that I receive from patients who have been operated on for gynecomastia with gland removal that really needed liposuction. There is a difference between true gland hypertrophy (overgrowth) and excess fatty tissue which obscures chest definition. When gland is removed in someone who only has excess fatty tissue, indentations may form and seem irregular. It is important to consult with an expert in these surgeries as this is a difficult problem to correct---albeit not impossible. Fat transfer works well in these instances to even out the contour irregularities from fat from elsewhere.