Should I Change Surgeons if I Need Gynecomastia Revision Surgery?
San Jose, California - There can be different reasons for gynecomastia revision. Some are just a minor office procedure like excising loose skin. In fact, sometimes it may be planned this way and the patient is aware of the possibility prior to the original surgery. This is normal and should not be of concern to the patient.
However, there are other instances that require more extensive revision due to a surgery that wasn’t done correctly in the first place. Miguel Delgado, M.D. states that 40% of his gynecomastia practice is revision surgery. Most of them are due to the original surgeon removing fat only by liposuction and leaving behind the breast tissue that needs to be removed by surgical excision.
The only exception to using liposuction alone would be for the patient who has pseudo-gynecomastia, which is the male breast that consists only of fat and not breast tissue. This is fairly rare, however, as most men have “true” gynecomastia. Removing only fat for the man with true gynecomastia can make his male breasts appear even more prominent.
Liposuction only is the most common cause of gynecomastia revision.
Correction of the “liposuction only” case requires the skill of a gynecomastia specialist as now the surgeon needs to deal with scar tissue and compromised elasticity of the skin caused by the original surgery.
Another complication that can happen during the original surgery is if the surgeon removes too much fat/tissue or not enough. If too much tissue is removed, the chest will have a sunken appearance which is known as a “crater deformity”. This would need to be corrected by a gynecomastia specialist who would use either fat injections or perhaps a fat flap. If not enough were taken out, there would be a need for re-excision.
The severity of the correction should determine whether or not the patient needs to find a new surgeon. If it is a minor correction that can be done as an office procedure and you were told in advance of this possibility, there is probably no need to change surgeons.
If you have lost your confidence in your surgeon or you are in need of a more major correction; it might be time to get a second opinion from a Board Certified Plastic Surgeon who specializes in gynecomastia.
Miguel Delgado, M.D. has specialized in gynecomastia surgery since 1989 and is a gynecomastia revision expert. If you have concerns about your original surgery or want a consultation regarding your male breasts, call today for an appointment (415 898-4161) or email (firstname.lastname@example.org).