Can a gynecomastia revision half moon incision compromise blood supply and lead to nipple loss or necrosis ? How common is this?

Doctor Answers 4

Risks and Necrosis Associated with Gynecomastia Revision Surgery

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As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation. Reduced sensation of the nipple is possible, as it is with any breast surgery, and can lead to reduced nipple sensation. Reduced sensation is usually temporary following surgery and may require a few months resolve. However,  in some cases, the loss of sensation can be permanent. It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision and reduce the chance of a necessary revision.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Gynecomastia and incision

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Dear foreveryoung908,

Skin and soft tissue necrosis following glandular excision through a nipple areolar complex approach is extremely uncommon. Diabetic patients, patients with peripheral vascular disease and smokers would be at greater risk, however, if these risk factors were mitigated and you had primary surgery it would be extremely unlikely that this would occur secondarily with a revision enhancement procedure. Revision enhancement procedures could also be performed without repeating the hemi nipple areolar complex incision if we use internal or radio frequency ablative technologies such as the NeckTite and BodyTite. These strong radio frequency lipo contouring devices can coagulate scar tissue, adipose tissue as well as glandular tissue and often eliminate the need for any glandular incision or excision minimizing the risk of skin necrosis.
At this point you’re best to visit your operative plastic surgeon as they are in the best position to advise you of your risk of complications even rare ones such as skin necrosis.

I hope this information is of some assistance and best of luck.

To find out more, please visit the link below.

R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 101 reviews


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While it is listed as a possible complication with almost any breast surgery, it would be very rare for this to occur in a hemi-circumferential nipple surgery for gynecomastia.

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 30 reviews

Gynecomastia and incision

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It would be extremely rare, but possible for the nipple to be compromised during surgery for gynecomastia.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.