Disappointed with gynecomastia surgery results - advice? (photos)

Question

I had Gynecomastia removal 14 months ago. Glandremoval and liposuction done under local anesthesia. The doctor and entire staff were great through the entire process. I had two hematomas (right side) which were drained and resulted in needing a scar revision on that same side at the 6mth post op mark. I’m really disappointed in the end result and feel like I lost all of my chest definition. It looks pretty obvious that I was operated on and I’m less confident now without a shirt than before.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

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

Gianfranco Frojo, MD · Answer

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.

James M. Economides, MD, FACS · Answer

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.

Andre P. Marshall, MD · Answer

Hi Forceful64132, 
It's always unfortunate when the patient isn't happy with their results. You would most likely need fat grafting to your chest muscles to achieve a more defined look. Fat grafting to the area under your scars may help as well. If going back to your original surgeon is not an option for you make sure to find a surgeon who help you reach your goals and decrease the risk of further revisionary surgery. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Ugur Horoz, MD · Answer

hello, we got your concern. for you it will be useful to do liposuction to needed parts; do fat injection ( can decide before operation) and perform the plasma procedure ( to get the skin more tighten) . 
best regards

Disappointed with gynecomastia surgery results - advice? (photos)

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Disappointed with gynecomastia surgery results - advice? (photos)

Answers (8)

Answer: Gynecomastia Results

Answer: Gynecomastia Results

Answer: About gynecomastia revision

Answer: About gynecomastia revision

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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.