Gynecomastia revision surgery, or redo male breast reduction surgery, is not uncommon. Revision surgery is an excellent option for many post reduction surgery patients who are unsatisfied with their initial surgery results.
Often, corrective gynecomastia surgery requires more skill, expertise, and experience than the initial surgery. Each case must be individualized and carefully orchestrated. Scar tissue, crater- like deformities, or other apparent indentations may require further tissue removal and sculpting, fat flaps, or fat grafting.
If you are apprehensive about undergoing corrective surgery, a consultation with a gynecomastia specialist will help you understand your options.
Search for a Gynecomastia Specialist Near You
If you’ve lost confidence in your surgeon, it may be in your best interest to find a gynecomastia specialist. Take the time to research a plastic surgeon who has extensive experience with gynecomastia corrective surgery. Do not hesitate to travel if necessary, and if you do (especially out of state), make sure you can easily communicate with the surgeon and the office staff. Only proceed if the surgical facilities and services provided meet your expectations. Www.gynecomastia.org lists a panel of surgeons in different locations around the world who specialize in treating gynecomastia. This list can help you find the right surgeon for your needs.
Top Three Reasons for Male Breast Revision Surgery
Liposuction only, without gland excision
Treatment of gynecomastia must have male breast reduction surgery with gland removal.
An important point to remember about gynecomastia is that the breast gland tissue is a significant component in this condition. The breast tissue may be hard and firm or composed of a softer, fibrous network of tissue. In both cases, surgical removal of this tissue is critical for a successful outcome.
Liposuction is adequate for pseudogynecomastia because the breast fullness is due to fat. Today’s liposuction techniques are very advanced and include ultrasonic liposuction, tumescent liposuction, smart liposuction, and sharp liposuction cannulas. These instruments do a great job of removing fatty tissue, but they do not remove breast glands, which gynecomastia does.
The male breast reduction surgery consisted of gland excision and liposuction, but it was too conservative, so breast fullness remains.
Many physicians take a “no harm” approach because taking out too much tissue is more challenging to correct. The surgeon will be in a better position to perform a successful revision procedure with sufficient residual tissue. We advise you to work with your original plastic surgeon, since he or she will have a solid understanding of your case based on your first surgery. The surgeon will make every effort to address your concerns.
Crater deformity after gynecomastia surgery
A crater deformity is also called “sunken nipples,” which is a complication of male breast reduction surgery. There are three contributing factors:
- Too much breast tissue was excised underneath the nipple-areola complex.
- Not enough tissue was removed from around the nipple-areola complex.
- The nipple-areola has adhered to the underlying pectoralis muscle.
- Any combination of the three abovementioned factors
The use of fat flaps corrects the crater deformity. The use of fat injections is another treatment option. If the skin is attached to the muscle, this is released from the scar tissue. In some instances, all three techniques may be required.
Other Reasons for Gynecomastia Revision Surgery
- Excess or loose skin requires further refinement.
- The fat in the armpit area does not blend into the chest and looks unnatural.
- Patient expectations were unrealistic.
There are other reasons for gynecomastia revision surgery, but these are some of the most common. Your plastic surgeon will customize your correction accordingly. If you don’t already have a surgeon, Gynecomastia.org proudly features a panel of some of the most respected gynecomastia specialists in the U.S.
What does gynecomastia revision surgery cost?
Many plastic surgeons will revise their work the first year at no charge for the surgery fee. Have a conversation with your doctor.
Gynecomastia revision costs depend on the problem. Some revisions are done under local anesthesia, and others require general anesthesia. As a general rule, a local anesthesia procedure will cost 25% of the original surgeon’s fee, and general anesthesia will cost about 50% of the original fee. Choosing an experienced surgeon the first time is ideal for reducing the chances of revision gynecomastia surgery.
How do you get rid of scar tissue?
Scar tissue is a natural part of the tissue healing process. It is initially firm and tight, which may concern a recovering patient. At times, the patient may think that the gynecomastia is recurring. However, scar tissue takes time to mature, and during this process it softens. Scar tissue maturation can take up to four months or more. Massage will help soften the area. Also, a physician-administered steroid injection can be helpful as well.
What is a gynecomastia hematoma?
A hematoma is caused by a collection of blood and is one of the most common complications with gynecomastia surgery. The hematoma rate in plastic surgery literature is 4-8%. The symptoms of a hematoma are pain and swelling, the diagnosis is bruising and asymmetrical swelling, and the treatment is an evacuation of the blood.
Can I have scar revision after gynecomastia surgery?
Your surgeon can easily perform scar revisions after the healing process. It is seldom required, but can be done under local anesthesia in most cases.
Trends in the Surgical Correction of Gynecomastia Rodger H. Brown, MD,1 Daniel K. Chang, MD,1 Richard Siy, M,1and Jeffrey Friedman, MD Semin Plast Surg. 2015 May; 29(2): 122–130.
Gynaecomastia correction: A review of our experience Arvind Arvind, Muhammad Adil Abbas Khan, Karthik Srinivasan, and Jeremy Roberts, Indian J Plast Surg. 2014 Jan-Apr; 47(1): 56–60
Surgical correction of gynecomastia DC Hammond – Plastic and reconstructive surgery, 2009 – cdn.journals.lww.com
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The content on Gynecomastia.org is for educational purposes only. It is not intended as medical advice. It does not replace the need to meet with a physician who will accurately diagnose your condition and suggest treatment options.