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What is Revision Gynecomastia

Scar Tissue Formation

Sometimes the initial results of gynecomastia surgery appear to be excellent – the chest is smooth and contoured and has nipples that lie flush with the surrounding skin. This would indicate that appropriate surgery has been performed and that all excess tissues had been removed.

Then, weeks to months after surgery, there seems to be a firm lump (usually directly under the nipple) which the patient may believe is a re-growth of breast tissue. In these circumstances, given a normal appearance directly after surgery, it is most likely due to the growth of scar tissue and not a re-growth of breast tissue.

The exception to this is if the patient has post-operatively used anabolic steroids, Propecia, or any other medication which can cause the growth of breast tissue. If however, the chest never appeared satisfactory after surgery, then inadequate removal of sub-areolar tissue is probably the cause.

Revision Surgery Is Not Always The Answer

The presence of objectionable scars on the chest is of concern to many patients seeking revision gynecomastia surgery. It must be understood that once a scar is present, it cannot be removed and replaced by virgin, unscarred tissue. Scar revision surgery can, at best, improve a scar but it cannot make a scar magically disappear.

Before and After 1 Gynecomastia Surgery
Before and After 1 Gynecomastia Surgery

Gynecomastia Surgery Scar Removal

Before and After 2 Gynecomastia Surgery
Before and After 2 Gynecomastia Surgery

For flat and wide scars, the best one can do is to try to narrow them but the location of the scar cannot be changed – it is permanent. Depressed scars will require scar revision to bring them flush with the surface skin. Thickened and raised scars are best treated with cortisone injections or sometimes with silicone gel, silicone strips, or lasers. Red scars will often fade with time or may require laser treatments. Dark scars usually fade over time. For all scars, time alone may offer some improvement.

Why Treat Scar Tissue With Cortisone-Like Medication?

When the growth of scar tissue is suspected, revision surgery may not be needed. Rather, an injection of a cortisone-like medication (Kenalog, for example), will gradually “melt” away from the tissue. Occasionally, more than one injection may be required. These injections work over a period of about six weeks. Therefore, injections should be spaced at least 6-8 weeks apart. Kenalog injections can be done any time after the problem arises: several months or even years.

Before and After 3 Gynecomastia Surgery
Before and After 3 Gynecomastia Surgery

Ideal Candidates

If you have scar tissue then you may be a good candidate for scar removal treatment if you meet the below criteria.

Teenagers

You are in overall good health

Older men

Have no skin conditions in the affected area

Patients affected

Have realistic scar tissue treatment expectations

Individuals

You are a non-smoker

What to Expect from Recovery

Dr. Jacobs will provide you with clear instructions on the do’s and don’t during your treatment recovery period. It is important that you follow these instructions to ensure the best results are achieved.

What to Expect from Recovery
Benefits of Gynecomastia Revision Surgery

Benefits Of Scar Tissue Treatment

  • Reduced scar visibility over time
  • A smoother skin surface
  • Improved confidence

Risks Of Scar Tissue Treatment

Dr. Jacobs will discuss the risks and side effects with you in detail during a personal consultation. Depending on the type of treatment recommendation, some risks and side effects may include, slight pain, swelling, bruising, and bleeding.

Risks of Revision Male Breast Reduction Surgery
Why Choose Dr. Jacobs for Breast Reduction Surgery?

Why Choose Dr. Jacobs for Gynecomastia Scar Removal?

Dr. Elliot Jacobs is an award-winning board-certified plastic surgeon with expert knowledge, and experience, in scar tissue treatment. With more than 40 years of experience, he continues to deliver consistently desired results for his patients in Boca Raton, South Florida, Florida, and the surrounding areas.

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Reach out to Dr. Jacobs today to schedule your consultation!

561.367.9101 Book Now