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Revision Surgery for Previous Incomplete Gynecomastia Surgery

We are visited by many patients who have undergone Gynecomastia surgery in other places who are not happy with the results of their previous surgery. There is usually residual tissue, either fat or mammary glands or both. As a result, the chest looks asymmetrical and bulging. It may be on one side or both. Corrective surgery in such patients is usually difficult.

During liposuction or dissection for glands, the normal anatomy of the breasts gets disturbed. The normal planes of dissection which are usually available during the first surgery get completely distorted. Islands of residual patches of fat and glands tissue result due to incomplete removal. These areas are separated by dense fibrous tissue. Revision surgeries are always a challenge to the surgeon.

Almost always, complete surgery has to be re-done to give a desired result. Residual mammary glands tissues along with whatever fat has been left behind has to be removed by liposuction. Tumescent Awake technique gives excellent results in all such cases because of the bloodless nature of the surgery. Below are some examples of the corrective surgeries which we do quite often.

 

1. This patient was operated upon two years earlier in another hospital in Delhi. On examination it was found that he had mainly residual fat on right side and fat and glands on left side. Fat and residual glands were removed.

Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia
 

This patient came for checkup for the residual breast tissue after a surgery that was performed six months earlier. There were two badly placed scars, a horizontal one on right side and a long elliptical on the left side. There were residual fat and gland on both sides. Surgery was done. All residual gland and fat were removed from both sides. Revision surgery for the wide scar on right was also done.

Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia
 

43 years old man was operated elsewhere and presented with residual fat and glands on both sides. He was operated upon and all the residual tissues were removed. Good symmetrical results.

Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia
 

40 years old man was operated upon in another hospital. Surgery had been done through a badly placed long scar. On examination it was found that there were large glands still present on both sides along with fat. He was operated upon by Tumescent Awake technique, totally under local anaesthesia. All the residual glands and fat were removed. Pictures below show before and after

Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia
Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia
Surgery For Incomplete Gynaecomastia Surgery For Incomplete Gynaecomastia