Is revision gynecomastia for gland excision more risky than the initial operation?
Doctor Answers 7
Risks Associated with Gynecomastia Surgery
The treatment of gynecomastia involves removing the tissue that is causing the chest to look puffy or enlarged. In most cases this involves removing 100% of the breast tissue. However, sometimes a very small amount of tissue may need to be left behind to avoid any contour abnormalities. For this reason, it is always discussed with patients that if they continue steroid use after surgery there is a chance that #gynecomastia may return, albeit to a lesser degree.
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.There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding. For instance, studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. Therefore, it is important for patients to be as close as possible to their normal body weight prior to surgery.
Not only will this decrease risks of complications, but will also enhance the aesthetic results. Further, normal body weight is different from one patient to another.
Thank you for your clinical post. Repeat surgery in an operative field generally comes with a slightly greater risk. There is added scar tissue and the risks are usually associated with achieving optimal contours in the bed that has compromised tissues. There is slightly increased risk for skin necrosis including the nipple areolar complex. However, revision gynecomastia surgery can often be done with energy-assisted liposuction. I have been performing SmartLipo, BodyTite and VaserLipo for over 8 years and find that scar tissue and glandular tissue can be coagulated and liquefied with these techniques, which greatly minimizes the risk of post-operative complications. I would encourage you to follow-up with your operative surgeon and see if they have these techniques in their practice, if not, perhaps seek them out.
BodyTite emits electrical current energy and can coagulate scar tissue and gland as well as lead to good skin contraction with internal-external thermal monitors it’s a very safe and effective way to have no scarring technique of glandular reduction even for secondary surgery.
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
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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.