American Society of Plastic Surgeons
For Medical Professionals
 
dolive
3 years ago
Answered

Poor outcome?

I had a gynecomastia surgery done 7 weeks ago. We agreed on a semilunar technique with lipo. I woke up with huge scars below my chest and no lipo performed. I’m very upset about this as it is not what I agreed upon.

Did this unconventional technique cause me to have a botched outcome? Can it be fixed? I called for my follow up visit and found out he no longer works at the hospital! Please help!

Procedure: Male Breast Reduction
Location: indianapolis, IN

Replies 3

George Marosan
ASPS Surgeon
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Sorry for your poor surgery. I personally never see an incision placed in an obvious visible place on the torso. I personally, place a one cm stab wound within the areola ( the pigmented skin around the nipple) and one in the armpit. This leaves no visible scar, no sign that surgery was ever done.

Most surgeons place a half circle incision around the lower pole of the areola, I believe this is not necessary either. I remove excel breast tissue through the 1 cm incision.

What’s more upsetting, that your results are not good and you also have a long visible scar. You still have gynecomastia and poor definition of the male chest.

You need to find your surgeon or raise your concerns with the hospital. A surgeon cannot just disappear.

Good luck with your healing.

George Marosan, M.D.

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Dennis Hurwitz
ASPS Surgeon
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Usually moderate sized gynecomastia is corrected with a combination of liposuction through remote stab wound incisions (I prefer ultrasonic assisted lipoplasty) and a pull through resection through an incision in or around the areola. Your inframammary scar should heal leaving a fine scar and most of the breast prominence gone. If not revision surgery is indicated.

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Nelson Castillo

Thank you for sharing your question and photograph. This is an unusual incision placement for a mild case of gynecomastia and I would hope the hospital will do its best in finding a surgeon willing to work with you on this matter. If not, or if delayed, you may want to find local ASPS board certified surgeons in your area for a second opinion.

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