Living with chest puffiness, uneven shape, or noticeable scarring after gynecomastia surgery can be deeply frustrating. Many men choose surgery to feel more confident in their bodies, only to feel disappointed when the results do not look natural or complete. If the first procedure does not fully resolve the issue, revision surgery may be the next appropriate step.

At Seattle Plastic Surgery, gynecomastia revision surgery is performed by board-certified plastic surgeons Dr. Craig Jonov, who has over 20 years of experience, and Dr. Tarak Patel, who has more than 25 years of experience in plastic and reconstructive surgery. Both surgeons specialize in complex male chest correction and gynecomastia revision procedures. Men from Seattle, Tacoma, and surrounding areas seek revision care here for thoughtful surgical planning, natural-looking chest contours, and long-term results.

Gynecomastia Sps
Gynecomastia Sps

Understanding Gynecomastia Revision Surgery

Gynecomastia revision surgery is designed to correct concerns that remain after a previous male breast reduction. This may include leftover breast tissue, uneven contours, scar-related distortion, or changes in nipple position.

Revision surgery is more complex than first-time gynecomastia surgery because the chest has already been operated on. Scar tissue, changes in blood supply, and altered anatomy all require a more careful and experienced approach. Each revision plan is customized based on what was done previously and what needs improvement now.

Why Men Need Gynecomastia Revision Surgery

Men pursue revision surgery for several common reasons after their initial procedure.

Incomplete Tissue Removal

The most frequent issue is remaining breast tissue or fat that was not fully removed during the first surgery. This can leave the chest looking soft or rounded instead of flat and defined.

Uneven Chest Shape or Asymmetry

Some patients notice dents, dips, or uneven sides after healing. These issues are often more visible during movement, exercise, or when wearing fitted clothing.

Scar Tissue or Nipple Concerns

Internal scar tissue can feel firm and distort the chest shape over time. Other concerns may include widened areolas, nipples sitting too high or too low, or changes in sensation.

According to the National Institutes of Health, excessive scar formation can significantly affect soft-tissue healing and appearance after surgery, making revision procedures more technically demanding.

Why Men Need Gynecomastia Revision Surgery

What Makes Revision Surgery Different from Primary Gynecomastia Surgery?

Revision gynecomastia surgery requires working through scarred tissue rather than untouched anatomy. This changes how tissue responds during surgery and increases the importance of precision and planning.

Because of this, revision procedures often take longer and may combine several techniques, including targeted fat removal, direct glandular excision, and skin tightening when needed. The goal is to restore balance and create a natural chest shape while protecting the skin and nipple area.

The Surgical Approach for Male Breast Revision Surgery in Seattle

Your consultation begins with a detailed review of your prior surgery, current concerns, and aesthetic goals. The chest is carefully evaluated for tissue quality, scar placement, and skin elasticity. When available, previous surgical records are reviewed to better understand what was done before. This careful evaluation is often what patients look for when searching for the best revision gynecomastia surgeon, as revision surgery requires experience, precision, and realistic planning.

During the surgery, the remaining glandular tissue is carefully removed, and fat is sculpted to improve chest definition. If loose skin is present, small amounts may be removed to help the chest look firmer and more proportional.

Whenever possible, existing incision lines are used to limit additional scarring. Most revision procedures are performed under general anesthesia and typically take two to four hours, depending on complexity.

Recovery Timeline and Expected Results

Recovery Timeline and Expected Results

Healing after revision surgery requires patience, as the chest has already undergone surgery once before.

During the first one to two weeks, compression garments are worn to reduce swelling and support healing. Most patients return to desk work within one to two weeks.

Between weeks three and six, light activity can resume, with full exercise usually allowed around six weeks.

Over the next several months, swelling continues to fade and chest contours become more refined. Scar healing and softening can continue for up to one year.

Choosing the Right Surgeon for Gynecomastia Revision

Gynecomastia revision surgery is more complex than first-time male breast reduction because the chest has already been operated on. Scar tissue and changes in anatomy require careful handling to avoid further contour issues. Choosing a surgeon who regularly performs revision procedures is critical for achieving a natural, balanced chest. 

At Seattle Plastic Surgery, revision procedures are performed by both board-certified plastic surgeons with extensive experience in male chest surgery and corrective cases. Their approach focuses on careful evaluation of prior surgery, realistic goal-setting, and precise correction rather than over-treatment. The American Society of Plastic Surgeons notes that revision surgery should be handled by surgeons with advanced experience due to its complexity, which is why choosing an experienced revision specialist can make a meaningful difference in both results and long-term confidence

Cost of Gynecomastia Revision in Seattle

The cost of gynecomastia revision surgery in Seattle varies based on case complexity:

  • Minor revisions addressing small areas cost less than extensive corrections
  • Heavy scarring increases surgical time and associated costs
  • Skin removal involves additional surgical steps and expense
  • Combination techniques requiring both liposuction and excision affect pricing

Seattle Plastic Surgery provides transparent pricing during consultations and offers financing options through CareCredit and PatientFi to make revision surgery more accessible.

Preparing for Gynecomastia Revision Surgery

Proper preparation improves your results and recovery:

  • Maintain a stable weight for at least 3 months before surgery
  • Stop smoking at least 6 weeks before and after surgery (mandatory)
  • Discontinue blood-thinning medications as directed, including aspirin, ibuprofen, vitamin E, and fish oil
  • Set realistic expectations by understanding that revision surgery works through scar tissue and healing takes time
  • Arrange support, as you’ll need transportation home after surgery and assistance for the first 24-48 hours

Why Choose Seattle Plastic Surgery for Gynecomastia Revision Surgery?

Seattle Plastic Surgery is a fully accredited surgical practice specializing in advanced aesthetic procedures. The facility meets strict safety standards and is equipped with modern surgical technology to support complex revision cases. Patients benefit from structured surgical planning, experienced operating room staff, and consistent follow-up care throughout recovery.

Revision procedures are performed by Dr. Craig Jonov and Dr. Tarak Patel, both board-certified plastic surgeons with decades of combined experience. Their work focuses heavily on male chest surgery, including difficult revision cases where precision and judgment matter most. Their experience allows them to address issues left behind by prior procedures while prioritizing natural chest contours and long-term satisfaction.

Schedule Your Revision Gynecomastia Surgery Consultation in Seattle

If you are unhappy with the results of a previous gynecomastia surgery, expert evaluation is important. Seattle Plastic Surgery offers confidential consultations for men in Seattle, Tacoma, and surrounding areas.

Call 206-324-1120 to schedule your consultation and learn how gynecomastia revision surgery can help you achieve a more natural and confident result.

Frequently Asked Questions

Will revision surgery create more scarring?

Dr. Jonov and Dr. Patel work through existing incisions whenever possible, minimizing additional scarring. The final scar appearance depends on individual healing factors, but experienced surgeons employ methods that promote better scar maturation.

How does pain compare between revision and primary gynecomastia surgery?

Most patients report similar or slightly less discomfort compared to their primary surgery. Seattle Plastic Surgery provides detailed pain management protocols, including prescription medication and guidance on managing post-operative discomfort.

What success rate do gynecomastia revision procedures have?

Our providers report the highest patient satisfaction with revision procedures, based on internal patient surveys. Individual results vary based on case complexity, but realistic expectations and proper patient selection contribute significantly to successful outcomes.

Can surgeons perform revision surgery under local anesthesia?

Minor revisions may use local anesthesia with sedation, but most extensive corrections require general anesthesia for patient safety and surgical precision. The surgical team discusses anesthesia options during your consultation.

How can I determine if I need revision surgery or if I’m still healing?

Schedule a consultation if persistent concerns exist 6 months after your initial surgery. Either Dr. Jonov or Dr. Patel at Seattle Plastic Surgery can evaluate whether your concerns represent normal healing or require surgical intervention.

What happens if the results are still unsatisfactory after revision surgery?

While revision surgery corrects most concerns, complex cases occasionally require additional refinement. Your surgeon typically waits 6-12 months before performing additional procedures if needed. Selecting an experienced revision surgeon initially minimizes the likelihood of needing multiple revisions.

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