Scar Tissue After Gynecomastia Surgery- Do I Need A Revision?

Swelling after male breast reduction can take months to resolve. In addition, it may take months for the skin to tighten.  Scar tissue can be present for up to six months.  It is best to wait until 6 months from surgery before considering a revision.

Your incisions will go through a maturation #process following #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely. Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.In the future, if you are concerned with scars, with your surgeon's approval you may be able to use scar management treatments such as Biocornuem,  Scar Guard, Scar Fade,  IPL Laser,  Yag Laser,  5fu/Kenalog for thick scars, or silicone sheeting.

You may want to consider revision surgery nonetheless, since the lumps may also be caused by remaining glandular tissue that wasn't removed in the original surgery.

Liposuction alone will only correct the male chest for one who has "pseudo-gynecomastia", which is caused by fat alone. Male breast tissue is too dense to be removed through a cannula that is used for liposuction. The majority of men have true gynecomastia, which is a combination of fat and breast tissue. You most likely have breast tissue remaining along with scar tissue which can only be removed by surgical excision. Revision surgery is more difficult but can be done with great results. Good Luck!

If you are not satisfied with the surgery I would let the surgeon perform the revision. It shouldn't be too difficult at all. Be prepared to pay for the facility fee but most surgeons would waive any further professional fee.