Revision Male Breast Reduction

Gynecomastia surgery requires meticulous technique, planning, and evaluation. Patients who are undergoing gynecomastia surgery routinely desire removal of breast tissue and aesthetic contouring of the chest to yield a sculpted and natural look. Dr. Azouz sees many patients who desire revision gynecomastia surgery after already undergoing a procedure to remove gynecomastia elsewhere.

Some patients have already had a male breast reduction by another plastic surgeon but feel there was not sufficient removal of excess gynecomastia tissue, feel their incisions are not concealed, or do not report having a flat or muscular appearing chest as they were hoping for.

Dr. Azouz has been able to provide many patients with the removal of excess fat and gynecomastia tissue, as well as an improvement in scarring that they were hoping for. Dr. Azouz uses a variety of liposuction techniques to achieve the most optimal results.

Good Candidates for Gynecomastia Revision Surgery

Patients are good candidates for revision gynecomastia surgery when they are in good general health, have realistic expectations, and are motivated to improve their appearance. The avoidance of gynecomastia triggers such as steroids (anabolic, estrogen-inducing, testosterone-inducting), hormones, marijuana (cannabis), and gynecomastia-inducing drugs can also contribute to an optimal result. Additionally, candidates for gynecomastia revision surgery have already undergone a male breast reduction procedure in the past. Gynecomastia surgery can be performed on boys in their preteen years all the way to men in their senior years.

These men often want a revision because the initial plastic surgery did not achieve the desired results. Often patients report that, despite diet and exercise, the gynecomastia remains without surgical intervention. Although gynecomastia revision surgery is often successful, patients should always have realistic expectations about the outcome of their gynecomastia procedure.

Why Choose Dr. Azouz

Patients fly to Dallas to have their previous gynecomastia surgery revised because Dr. Azouz is able to optimize preoperative planning, as well as intraoperative surgical technique and efficiency with excellent postoperative care. Dr. Azouz desires that all patients have an optimal experience throughout all steps of their plastic surgery journey. Many patients report that they have had an excellent experience with Dr. Azouz. Dr. Azouz is also involved in managing other chest and breast deformities including Poland syndrome, asymmetries of the breast, contour irregularities of the chest and body, and male pectoral enhancement (pec implants).

Dr. Azouz also performs breast augmentation, breast lifts, and correction of asymmetries in women. Dr. Azouz has noticed a large increase in the male population desiring gynecomastia surgery in the last few years. There are many couples whereby both the husband and wife elect to undergo plastic surgery with Dr. Azouz.

Techniques for Revision Gynecomastia Surgery

Dr. Azouz uses a combination of liposuction and gland excision through camouflaged incisions. High definition liposuction, tumescent liposuction, power-assisted liposuction, traditional liposuction, and safe liposuction techniques are all meticulously performed by Dr Azouz during a gynecomastia and revision gynecomastia surgery. With these liposuction techniques, Dr. Azouz is often able to achieve not only reduction of the breast but also significant nipple areolar reduction and retraction. This allows Dr. Azouz to improve contour irregularities, reduce scar tissue, remove residual fat, and remove excess gynecomastia. Asymmetries are common in many patients who undergo first time gynecomastia surgery and gynecomastia revision surgery.

No Drain Gynecomastia Surgery

Dr. Azouz avoids placing drains whenever possible in performing gynecomastia surgery. Drainless gynecomastia surgery is more comfortable for patients, allows for better compression, permits better contouring, and avoids unneeded scarring.

Compression Garments

Dr. Azouz uses compression garments that are effective and simple. Dr. Azouz recommends patients purchase compression garments which are inexpensive, and communicates to his patients when to adjust and remove compression. Dr. Azouz will also educate the gynecomastia patient when to return to light and full activity. Gynecomastia surgery is customized for each patient based on their physical appearance and their general health.

Anesthesia for Revision Gynecomastia Surgery

The selection of anesthesia is determined by Dr. Azouz, the anesthesiologist, and the patient. Often, a gynecomastia surgery can be performed without a full general anesthetic that would require intubation. Some patients elect for a full general anesthesia and some patients desire a local anesthetic and sedation. Dr. Azouz utilizes highly-trained anesthesiologists who are able to keep patients safe and comfortable during gynecomastia surgery. Dr. Azouz routinely offers his patients the ability to have gynecomastia surgery performed under intravenous (iv) sedation with local anesthetic. This usually allows the patient a comfortable experience without the grogginess and nausea that can be associated with a general anesthesia. Gynecomastia surgery and revision gynecomastia surgery are day surgery in nearly all cases.

Pain after Revision Gynecomastia Surgery

Pain is very patient-dependent and variable in gynecomastia surgery. The majority of patients in Dr. Azouz’s practice report insignificant pain. Most patients do not require all of the analgesic pain medication prescribed by Dr. Azouz for a prolonged amount a time. Many patients report that the pain associated with gynecomastia was eliminated by the surgery. Patients often return to work within the first few days following the procedure for most types of employment. Pain, swelling, and bruising are minimized by compression garments, meticulous surgical technique, and by avoiding heavy activity in the recovery period after surgery.

Scar Revision in Gynecomastia Revision surgery

Dr. Azouz is routinely able to revise scars that are trauma-related or iatrogenic (caused by a different surgeon) at the time of gynecomastia revision surgery. Dr. Azouz uses meticulous surgical techniques to protect the nerve and blood supplies to the nipple areolar complex.

Selecting the correct plastic surgeon is one of the most important factors in successful gynecomastia surgery or revision gynecomastia surgery. Dr. Azouz performs a high volume of gynecomastia surgery and revision gynecomastia surgery.

Combining Revision Gynecomastia Surgery with Other Plastic Surgery Procedures

A significant portion of men choose to undergo revision gynecomastia surgery with a variety of plastic surgical procedures including liposuction of the abdomen and love handles (iliac rolls), a tummy tuck (abdominoplasty), eyelid surgery (blepharoplasty), brachioplasty (arm lift), rhinoplasty (nose job), and facelift. Each patient’s considerations and health are analyzed when planning for plastic surgery on multiple areas. Combining gynecomastia surgery with other procedures can lower the overall cost of surgery compared to performing gynecomastia surgery on a separate day from another plastic surgery procedure.

Scheduling with Dr. Azouz

Schedule an appointment with Dr. Azouz today to determine if you are a candidate for gynecomastia surgery.

WHAT PATIENTS ARE SAYING

“A huuuuuuge thanks to Dr. Azouz and the wonderful job he did on my laser resurfacing. I felt like a million bucks on my wedding day and I couldn't have achieved that level of confidence without him! So grateful!” - Katie

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