Do I Need A Liposuction Touch-Up After My Gynecomastia Surgery?

Q: Dr. Eppley, I have had gynecomastia surgery performed, but there are areas where liposuction was done that I am very unsatisfied with. I would like to know if there is anything I can do with these areas in regards to slim lipo or laser. I’m not looking for perfection by any means, but currently I feel like the job is half done and am looking for someone to help me finish it.

A: When it comes to dissatisfaction with liposuction, anywhere on the body, the issues primarily revolve around whether adequate reduction was done or that areas of irregularities or indentations exist. While both can be treated, the methods and the success of secondary revision are different. Irregularities pose much greater challenges than inadequate reduction. On the chest, I suspect the liposuction issues are more inadequate reduction. This is because the chest skin and tissues are thick and are less prone to irregularities than other body areas. Further liposuction reduction may be possible. If the issue is persistent areolar fullness or puffiness after liposuction, it may be that you really need open gynecomastia excision to remove the remaining excess breast tissue.

Dr. Barry Eppley

Indianapolis, Indiana