What Type Of Revisions Gynecomastia Reduction Surgery Do I Need?

Q: Dr. Eppley, I had a gynecomastia surgery in two years ago. The result looked very good in the first month, but after removing the compression strap a scarred tissue lump appeared on both nipples and the skin was also flabby. Six months later my doctor injected steroids and I didn’t like the result, the nipple became very flaccid and came out, especially when they get cold and the nipple become more prominent and areola appears to have deformities, worse than before the steroid. (dexamethasone)

 The ultrasounds say I have the remains of a gland. The doctor who operated on me says it is better not to move anymore, but I can’t live like this. I feel that I have a lot more breasts than before the surgery. I would like to have your opinion of my situation and how I can improve my case to get on with my life. I can’t wear a t-shirt because the nipples are very marked. Thank you.

A:Thank you for your inquiry and sending all of your pictures. The situation you have now is a tough problem and I would be very cautious about deciding what to do since it is very possible to make it worse. The safest thing to do is to break up the scar tissue and remove a little more tissue on the chest wall with liposuction combined with a nipple reduction. Open excision is very likely to make it worse as you already have some contour irregularities.

Dr. Barry Eppley

Indianapolis, Indiana