Understanding your options
Gynecomastia revision surgery, or corrective male breast reduction surgery, is not uncommon. For the majority of post-gynecomastia surgery patients who are unhappy with their initial surgery, this secondary surgery, while sometimes more complicated, is still an excellent option.
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 obvious indentations may require further tissue removal and sculpting, fat flaps, or fat grafting.
If you are anxious or apprehensive, it is always best to discuss your concerns with your plastic surgeon.
Find a surgeon you can trust
If you've lost confidence in your surgeon, it may be in your best interest to find a different gynecomastia specialist. Take the time to research a specialist near you; however, don't hesitate to travel if necessary. If you do travel, especially out of state, make sure you can easily communicate with the surgeon and the office staff and that the surgical facilities and services provided meet your expectations.
Start your search here, on Gynecomastia.org, where we feature many of the most prominent gynecomastia surgeons in the country.
Top two reasons for male breast revision surgery
The initial surgery employed only liposuction, which did not reduce the breast gland tissue.
An important point to remember about gynecomastia is that the breast gland tissue is a major component of male breast development. 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 can provide an optimal outcome.
However, many surgeons perform gynecomastia surgery using the liposuction technique without removing the breast gland. The liposuction techniques that are utilized today include: ultrasonic liposuction, tumescent liposuction, smart liposuction, and sharp liposuction cannulas. While these treatments may be adequate for pseudogynecomastia, they do not remove the glandular tissue found with true gynecomastia.
Both male breast gland and liposuction procedures were performed, but in a too conservative manner, leaving a prominent gynecomastia breast mound
Many plastic surgeons take a "do no harm" approach, in part because taking out too much breast and fat tissue is more difficult to correct. The surgeon will be in a better position to perform a revision if there is still sufficient tissue left to correct.
We encourage you to work with your initial plastic surgeon; since he/she will have a solid understanding of your unique situation based on your previous surgery and will make every effort to address your concerns.
Other common reasons for gynecomastia surgery
- An overly aggressive surgical removal left a depression or "crater deformity"
- Stubborn sagging skin requires further refinement
- The area around the armpit area was not adequately treated
- Unrealistic patient expectations
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.