Uneven Chest After Gynecomastia Surgery

There can be multiple reasons for your asymmetry.  Some asymmetry is common, and may be due to preexisting underlying chest wall asymmetry, differences in your pectorals size (are you right handed?), or differences in amount of tissue removed.  You did not mention what techniques were used in your operation.  Given your degree of gynecomastia, I doubt that liposuction alone would be adequate.  If you only had liposuction, I think you will need a glandular resection (surgical).  If the asymmetry is fatty and the gland was mostly resected surgically, then additional liposuction may be helpful.  

Gynecomastia reduction can sometimes take 6-8 months to reach its final result after the surgery.  If there is residual asymmetry after, additional liposuction can be performed to even out the chest.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon