- read about redo gynecomastia surgery
- see before and after photos-videos
- alternatives, risks, benefits & recovery
The type of revision surgery performed depends on what type of tissue contributing to the breast enlargement was not addressed or only partially addressed at the previous surgery.
- glandular: requires surgical removal of glandular tissue
- fatty-glandular: requires surgical removal of glandular tissue with or without removal of adjacent fat to give the best overall shape
- simple fatty: requires diet/exercise for weight loss, possibly removal of the fat
Health insurance coverage for the procedure is highly variable. Even if the initial surgery was covered by health insurance that does not mean the revision will be covered. Dr. Stone has seen a number of cases where the patient went to an insurance participating surgeon who then performed low cost inadequate surgery. The patient is then stuck for the full bill of the revision with another surgeon. In California state law mandates coverage if there is severe right vs. left asymmetry or alot of excess skin i.e. a visible abnormality easily seen by the average person and recognized as such.
This patient had surgery by another surgeon with inadequate breast tissue or skin removal that left him with drooping stretched out nipple complexes. The solution was patient specific removal of the breast tissue and skin leaving a skin scar that the patient can live with.
Video: Gynecomastia Surgery
Read Dr. Stone’s blog about gynecomastia surgeryGynecomastia Surgery
Gynecomastia surgery can enhance your appearance and your self confidence. Realistic expectations are important to be happy with any surgery. As each patient is an individual, different results can be expected in each patient.
The only available alternatives to revision surgery are laser of unfavorable scars.
As with any type of surgery there is the risk of infection or bleeding. Additionally there is the risk of seroma or blood fluid collections under the skin, residual right left asymmetry, uneven surface contours, complete or partial loss of the nipple complex and diminished nipple sensation. Depending on the previous surgery there is a risk that the problem may not be completely repairable.
The benefits are not being self conscious shopping for clothes or when in a bathing suit at the beach, not having to wear layered loose clothes to hide your gynecomastia and not hiding in the gym locker room. For younger patients it may put an end to bullying behavior by classmates. Being pleased with your new appearance can be a major incentive to changing your lifestyle, diet and exercise regularity in order to maintain your new look.
In order to have a well perceived result patients need to have the proper expectations going into surgery and the appropriate patient specific surgery needs to be employed. Dr. Stone has seen a number of patients initially treated elsewhere unhappy with their result because the fat and gland components were addressed but the skin component was not addressed. Your surgeon needs to look at the whole package before surgery and address the whole package during surgery.
The most important part of recovery is exercise and activity restrictions for 3 to 4 weeks after surgery after which patients gradually return to their pre-surgery exercise routines. Being to active too early after surgery can easily lead to seromas that adversely affect the end result.
Dr. Aaron Stone
Call today for a consultation!120 South Spalding Dr, Suite 330
Beverly Hills, Los Angeles,CA 90212