I have spent a lot of my time around gynecomastia and gynecomastia revision. For over a decade, I have operated on about 150 people a year. There are some things that I have learned that I am happy to share that with you.
Men who suffer from gynecomastia obviously want the tissue removed—it can be like a cancer the way it concerns those who have it. Even adjusting to the new chest contour can be a challenge for some patients. At times, patients bring “little” issues about the result to my attention. This often includes complaints of slight asymmetries in the contour side to side, a small divot or crease, or the appreciation of some scar tissue that may or may not actually be visible.
So what do I recommend under these circumstances? Often, time is on our side and it’s important to wait up to a year to allow for complete healing. Small injections of steroids may help with scar tissue formation; massage and rolling can soften scars as well. A “minor” procedure can also be undertaken to adjust scar tissue.
However, there can be downsides to further surgical treatment—especially when the problem is not that significant and the issue is made worse with another procedure. You don’t necessarily want to be the patient who says, “I should have left well-enough alone.” My boss and mentor from my residency teaching program always told me, “the enemy of good is better.”
If you find yourself overly concerned about something that I consider “minor,” and it is within a year of your surgery, I would very much suggest that you take a deep breath before seriously considering any revision. I will help you make that decision, because if I am willing to adjust something before a year after surgery, it is likely to work out just fine. There is a lot that can be gained in waiting for the right time to revise a good result.