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A shirtless man before male boobs removal surgery. A shirtless man before male boobs removal surgery.

Dr. Azouz sees many male patients who desire revision gynecomastia surgery in Dallas after already undergoing a procedure to remove gynecomastia elsewhere. Revision gynecomastia patients often report insufficient 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. Gynecomastia surgery requires meticulous technique, planning, and evaluation. Gynecomastia surgeon Dr. Azouz uses various liposuction techniques to achieve the most optimal results, reduce the amount of breast tissue, and provide a more sculpted and attractive chest.

Why is choosing an experienced board certified plastic surgeon critical in revision gynecomastia surgery?

man chest

Choosing an experienced board certified plastic surgeon is critical for many reasons. Having performed thousands of gynecomastia surgeries Dr. David Azouz understands that it is critical to perform gynecomastia surgery with safe, detailed and meticulous techniques. Dr. Azouz has revised gynecomastia surgery from other practitioners where patients may be unhappy for a multitude of different reasons. The most common reason for needing revision gynecomastia surgery include: excessive scarring, inadequate resection of glandular tissue (breast bud), and inadequate liposuction of axillary or lateral chest wall adipose tissue.

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, teenagers, 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.

Anesthesia for Revision Gynecomastia Surgery

The selection of anesthesia is determined by Dr. Azouz, the anesthesiologist, and the patient. Often, gynecomastia surgery can be performed without a full general anesthetic that would require intubation. Some patients elect for 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 a local anesthetic. This usually allows the patient a comfortable experience without the grogginess and nausea that can be associated with general anesthesia. Gynecomastia surgery and revision gynecomastia surgery are day surgery in nearly all cases.

Techniques for Revision Gynecomastia Surgery in Dallas

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 that 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.

Recovery after Revision Gynecomastia Surgery

The majority of patients in Dr. Azouz’s practice report no significant pain after gynecomastia revision surgery. Most patients do not require all of the analgesic pain medication prescribed by Dr. Azouz for a prolonged amount of time. Many patients report that the surgery eliminated the pain associated with gynecomastia. 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 in Dallas

man chest

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 for Men

A significant portion of men chooses to undergo revision gynecomastia surgery in Dallas with a variety of plastic surgical procedures for men, 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 in multiple areas. Combining gynecomastia surgery with other procedures can lower surgery’s overall cost compared to performing gynecomastia surgery on a separate day from another plastic surgery procedure.

Revision Gynecomastia Surgery cost

Dr. Azouz considers different factors, such as surgeon’s fee, anesthesia, surgical facility, lab tests, the extent of the surgery, and post-operative recovery expenses, to establish a revision gynecomastia surgery price. At your consultation, Dr. Azouz will evaluate your particular case to determine the cost of your revision gynecomastia surgery in Dallas.

Benefits of Revision Gynecomastia Surgery in Dallas

  • Removal of excess gynecomastia tissue
  • Flat and attractive chest
  • Minimal scarring

Revision Gynecomastia Surgery results

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 has been able to provide many patients with the removal of excess fat and gynecomastia tissue, as well as an improvement in scarring that patients were hoping for.

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).

Schedule a consultation with Dr. Azouz

Schedule an appointment with Dr. Azouz in Dallas today to determine if you are a candidate for revision gynecomastia surgery.  If you are out of Dallas/Texas, call (972) 702-8888 to schedule your virtual consultation.

Frequent Asked Questions

Revision gynecomastia with Dr. Azouz

“If I could imagine an ideal experience with an ideal physician, it would be Dr. Azouz. I have never met anyone in any medical specialty who is as genuinely committed to his craft as this man. From the initial consultation through the follow up visits, Dr. Azouz was consistent in his attention to detail and personable bedside manner. I chose Dr. Azouz for gynecomastia revision and he went above and beyond in correcting my condition.”

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