Revision Gynecomastia Surgery by Washington DC Plastic Surgeon Dr. Marwan Khalifeh
When is Revision Gynecomastia Surgery Necessary?
Sometimes patients come to our practice request gynecomastia surgery after they have already had a procedure in the past attempting to correct the gynecomastia.
This occurs most often after patients have had liposuction alone. Sometimes in 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.
Gynecomastia Surgery Before & After Photos
Disclaimer: there’s no guarantee of specific results and that the results can vary.
Does Glandular Tissue Come back?
In my experience, it is very rare, but possible, to have glandular tissue recurrence after gynecomastia surgery. This is because gynecomastia surgery does not seek to eliminate 100% of the glandular tissue. 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. Rather, it is the glandular tissue that keeps it at or above the level of the surrounding skin.
During gynecomastia surgery, we seek to create a natural appearance, therefore leaving a bit of cushion to the nipple is needed. Can this tissue grow back? extremely unlikely. Unless the person is using steroids or has a medical problem, this tissue lies dormant.
The most likely cause for ‘recurrence’ of gynecomastia is either incomplete removal the first time, or significant weight gain by the patient over the years. The most common patients that seek gynecomastia revision have had liposuction to the chest, but once in a while I get a patient that has had excision, a number of years back, with recurrence.
How is gynecomastia revision different than primary gynecomastia surgery?
In most cases, the procedure is very similar. I will attempt to use existing incisions/scars for revision surgery when they suit my goals, this way the patient does not get more scars.
Also, there will be some changes 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 our practice?
Gynecomastia surgery and gynecomastia revision is a mainstay of our surgical practice. We perform more than sixty gynecomastia procedures yearly, establishing my practice as one of the leading gynecomastia practices in the midatlantic region. We have also eliminated the need for general anesthesia in most cases, making this procedure safer and quicker to recover from. Our consultation is complementary (a $50 dollar deposit is taken to reserve a consultation spot, but is refunded wether or not you decide to proceed with surgery as long as the consultation appt is kept), so call today and let us discuss your individual case. For out of town patients, we do offer phone consultations.