Scar tissue from Gynecomastia surgery

Question

About 18 months ago I had Gynecomastia surgery, without lipo. My problem is now the lower part of my nipples have excess scar tissue (where incision was made) and makes them stick out at the bottom. Not to mention fat distribution is also imbalanced (I assume do to the fact the breast tissue was different sizes?). So although I am pretty muscular (188lbs 11% bf) my chest still looks awful. I work as a personal trainer so looks matter. Is another surgery the only way to fix this?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph and I am sorry that your current results have not been what you anticipated.  Only an in-person examination can offer you the best treatment advice but it appears that you may have excess adipose tissue (pseudogynecomastia) that is causing your chest asymmetry.  This can be improved but would require an additional surgery with liposuction to better contour both chests.  Hope this helps.

Sean Doherty, MD, FACS · Answer

Based on your photos, it appears that yes, you will need some form of revision surgery to even out your results. I am surprised that your original surgeon didn't perform liposuction. I would encourage you to get an in person opinion from a different board certified plastic surgeon who specializes in gynecomastia revisions. Given how fit you are, you should be able to achieve a much more ideal result. Best of luck.

Christopher S. Zarella, MD · Answer

Your concerns with your result are well noted.  I usually let my patients know that, after about a year post-op, the result that they have is the result they will continue to have.  As you are 18 months out in this case, I would say that the best way to improve your result is with a revision surgery.  This will likely involve liposuction of the chest, and may involve a small amount of skin removal above the nipple to elevate it to a position that is more desirable.  In cases like this, I always encourage patients to revisit their initial surgeon first.  If this is not a possibility, or you desire a second opinion, I would encourage you to visit a board certified plastic surgeon who is experienced in gynecomastia surgery.

Robert Caridi, MD · Answer

No doubt you are not even and you will only benefit from another treatment that takes into consideration that the layer of tissue on your chest needs to be even. This is why removal of tissue without some form of liposuction is uncommon. A comprehensive treatment of all Zones of your chest will take care of this problem. No worries.

George C. Peck, Jr, MD · Answer

It appears that you need additional liposuction to achieve better symmetry. A consultation with physical examination will help determine your options. Please consult a Board Certified Plastic Surgeon. Best wishes!

Scar tissue from Gynecomastia surgery

Answers (5)