Revision Gynecomastia Surgery


Revision Gynecomastia Surgery by Plastic Surgeon Dr. Marwan Khalifeh (edited 5/26)
Revision gynecomastia surgery may be necessary after patients have already had a procedure in the past attempting to correct the gynecomastia.

When Do Patients Need Revision Gynecomastia Surgery?
The need for revision gynecomastia surgery occurs most often after patients have had a liposuction procedure alone. Sometimes it occurs after patients have had liposuction and excision, but either they did not achieve the goals they expected, or more rarely, because the gynecomastia recurred. In both of these cases, we will evaluate the case for a revision gynecomastia procedure.
Does glandular tissue come back?
The return of glandular tissue is extremely rare, especially with cases of complete gland removal like we currently advocate at our center. Other older techniques that I no longer recommend leave some gland behind. The reason is that a depression around the nipple would be caused if the surgeon tried to remove all the gland tissue, because unlike the surrounding skin, the nipple area does not have much fat underneath it. Even in those cases, recurrence is rare, but it can happen occasionally and need re-excision, especially if the patient is using high dose steroids.
How is gynecomastia revision different than primary gynecomastia surgery?
In most cases, gynecomastia revision and primary gynecomastia is very similar. Dr. Khalifeh always attempts to use existing incisions and scars for revision surgery. This way the patient does not get additional scars. There will also be some elements from the initial surgery that may not be able to be changed. This is especially true of any areas of excessive thinning. Other than that, the procedure will proceed in a very similar fashion to primary gynecomastia surgery.
Why choose Dr. Khalifeh?
Gynecomastia surgery and gynecomastia revision are mainstays of Dr. Khalifeh’s surgical practice, performing more than 60 gynecomastia procedures yearly. Dr. Khalifeh has established himself as one of the leading gynecomastia surgeons in the midatlantic region. He has also eliminated the need for general anesthesia in most cases, making this procedure safer, easier, and quicker to recover from. Dr. Khalifeh’s attention to detail and awake procedure specialty will produce high quality results. Contact us to schedule an in-person or virtual consultation. We also offer fly-in procedures for out of town patients.











