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Tuesday, April 10, 2018

Gynecomastia Surgery and the Formation of Scar Tissue

Crater Deformity and After Gynecomastia Revision

After gynecomastia surgery sometimes scar tissue will develop. Scar tissue takes a while to form, usually around 4 to 12 weeks but could be longer. When scar tissue develops, some men are fearful that their breast tissue is growing back as it feels somewhat similar under the skin. Take a look at some websites such as and to see the numerous men who have this concern.

It is understandable that men would be worried that their man boobs are coming back after undergoing surgery! However, if they have avoided known causes of gynecomastia such as; some medications, steroids, Propecia, etc., then it is not likely to be the return of breast tissue. If after surgery they had a nicely sculpted chest but noticed changes after a few weeks it is most likely scar tissue. Swelling noted right after surgery is normal in the recovery process or possibly not enough fat and/or tissue was removed.

It is not known why some men develop more scar tissue than others, but there are non-surgical solutions such as steroid injections like Kenalog, which are often used and work well.

Dr. Miguel Delgado, M.D. states that over 40% of his gynecomastia surgery is revision surgery where other surgeons have not removed enough tissue or too much creating a “crater deformity.” Revision surgery is more challenging because now the surgeon has to deal with scar tissue and less skin elasticity.

Be sure to choose your surgeon carefully, make sure the surgeon has lots of experience with gynecomastia surgery and is board certified in plastic surgery.

Dr. Delgado has been performing male breast reduction surgery since 1988 and is an expert in his field. Call now (415) 898-4161 for a consultation if you have any gynecomastia concerns.