Two years post gyno - Both the right and left sides of my chest are protruding. How can this be fixed? (Photo)

Thank you for your question and photo. Yes, this can absolutely be fixed. It appears you had a common operation done poorly, leaving behind residual gynecomastia, excess axillary and lateral chest wall fat, and scars in highly visible places. True gynecomastia often extends laterally beyond the pectoralis major muscle, which was unfortunately not addressed in your first surgery. As a board-certified plastic surgeon experienced in advanced male body sculpting, I recommend a secondary procedure utilizing VASER liposuction combined with direct gland excision. The VASER technology is crucial here, as it allows us to effectively break down the scarred fat and release the tight scar tissue under the skin. Postoperatively, you should expect to wear a compression vest and foam padding for 3–4 weeks to optimize your contour. I highly recommend scheduling an in-person evaluation with a board-certified plastic surgeon who specializes in secondary male chest reconstruction. Good luck.

It is certainly possible to have recurrence of gyneomastia following treatment. Especially if one has had treatment when one is a younger teenager, the chest is still developing. There is always some breast tissue left behind following correction of gynecomastia and it is possible for this to enlarge. Also, with weight gain, obviously fatty tissue can build up also and cause a recurrence. The most common sense management would be to seek out your original gynecomastia surgeon for evaluation. He or she will review possible reasons for recurrence-could this be partially medical or partially weight gain? The original surgeon would also know exactly what had been performed on the first surgery and may be able to counsel you as to what the next best steps are.

The lateral chest fullness is likely remaining excess fat. You would likely benefit from lateral chest liposuction with some skin tightening with Renuvio J-Plasma.