Revision Gynecomastia is offered at NYC Gynecomastia Center in Manhattan, NY. Free revision gynecomastia surgery consultations are offered.
Gynecomastia is a common condition in which the male breast becomes enlarged and takes on a female like breast shape. The breast may be firm or sagging with downward position of the nipple and areola. The condition is often due to weight gain, certain medications or hormonal imbalance. The enlarged breast may be composed of excessive fat, glandular overgrowth or a combination of accumulated fat and gland. For men that are bothered by gynecomastia that persists after puberty surgery is usually the recommended treatment. The evaluation of the gynecomastia patient begins with a detailed medical history focused on any current or past medical conditions and a medication history.
If the patient and surgeon agree that surgery is warranted, the appropriate surgical plan is discussed. In some instances, in which a very lean patient has gynecomastia due to gland enlargement, only direct excision of the gland may be necessary. For patients that are overweight liposuction alone may be sufficient in reducing the breast to an acceptable size. Often, a combination of liposuction and gland removal is the best choice as the need to cut out tissue can be minimized if the liposuction can remove fat as the cause of the enlarged breast. For patients that have a sagging or ptotic breast, skin removal may be necessary along with repositioning of the nipple to a more anatomical position.
For patients that have undergone gynecomastia surgery and are dissatisfied with the results, revision surgery may be necessary.
Indications for revision gynecomastia surgery include:
- Asymmetry of the chest
- Scarring of the nipple and areola region
- Poor breast shape
- Residual fullness of the chest region
- Sagging of the breast skin
The approach to revision gynecomastia surgery includes a detailed medical history and an understanding of the prior surgical interventions. The original surgery may have been inadequate due to poor technique, planning and execution, or complications of wound healing.
The revision gynecomastia procedures may include:
- Scar revision of the nipple, areola or chest
- Liposuction of the central or lateral chest
- Excision of residual gland or post-surgery scar tissue
- Skin removal and reshaping of the breast skin
- Nipple areola reshaping or repositioning
- Fat grafting to areas requiring tissue support
It is often best to wait several months after the initial surgery before performing revision gynecomastia as it takes time for the skin to soften and recover. In office ultrasound treatments can speed up healing and improve results, reducing the need for surgery. Performing surgery before the final appearance of the initial surgery is not advisable as the early recommended treatment may be different than what is necessary later. Periodic photographic documentation is useful in evaluating the subtle changes in the chest region as healing progresses and is helpful in formulating a surgical plan.
At Gynecomastia Center NYC we have experience in treating patients who are seeking correction of gynecomastia surgery performed elsewhere. Patients are advised to seek consultation soon in order to provide early intervention and formulate a plan for healing, prior to another surgical procedure if needed.
Maintaining A Relationship With Your Plastic Surgeon
Should you elect to move forward with gynecomastia surgery any and all questions regarding your surgery will certainly be answered in advance by your doctor and staff. After surgery, you will return to the NYC Gynecomastia Center office for follow-up care at prescribed intervals, at which time your progress can be evaluated. Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your gynecomastia recovery or need additional information at a later time, you should always feel free to contact us. We take pride in putting the patient first and the best possible surgical outcome. Please feel free to read some of our glowing reviews.
Our best in class gynecomastia surgeons pride themselves on providing you highly personalized and comprehensive care before, after, and during your gynecomastia (male breast reduction) surgery. The NYC Gynecomastia Center’s philosophy of direct doctor / surgeon to patient care at every visit has made us one of the most trusted and respected medical practices in NYC. For more information or to schedule a complimentary gynecomastia (male breast reduction surgery) consultation please feel free to contact us:
NYC Gynecomastia Center
461 Park Ave S, Floor 7, Suite B
New York, NY 10016