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Revision Gynecomastia Surgeryin Austin, TX

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American Society of Plastic Surgeons logo Fellow American College of Surgeons logo American Board of Plastic Surgery logo The Aesthetic Society logo State of Texas logo American Association for Accreditation of Ambulatory Surgery logo American Board of Medical Specialties logo American Society of Plastic Surgeons logo Fellow American College of Surgeons logo American Board of Plastic Surgery logo The Aesthetic Society logo State of Texas logo American Association for Accreditation of Ambulatory Surgery logo American Board of Medical Specialties logo American Society of Plastic Surgeons logo Fellow American College of Surgeons logo American Board of Medical Specialties logo The Aesthetic Society logo State of Texas logo American Association for Accreditation of Ambulatory Surgery logo American Board of Medical Specialties logo

Revision Gynecomastia Surgery – Correcting Prior or Botched Procedures | Austin Gynecomastia Center

Revision Gynecomastia Surgery in Austin, TX

Not every gynecomastia surgery produces the desired results. Whether you're dealing with incomplete tissue removal, chest contour irregularities, crater deformities, or scar issues, our Austin revision gynecomastia surgery offers a second chance. At the Austin Gynecomastia Center, I specialize in complex revision cases—providing expert-level correction for patients who are disappointed or dissatisfied with previous procedures performed elsewhere.

Why Do Patients Need Revision Gynecomastia Surgery?

Most men who come to AGC for revision surgery do so because their first surgery fell short—either in appearance, symmetry, or permanence. Common reasons for revision include:

  • Residual breast tissue or incomplete gland removal
  • Over-resection leading to indentations or “crater deformities”
  • Asymmetry or irregular chest contour
  • Excess scarring or poorly placed incisions
  • Recurrence of gynecomastia
  • Continuing puffiness of the nipples

These problems are not uncommon, especially when gynecomastia surgery is performed by a surgeon without specialized experience.

The Austin Gynecomastia Center: Leading the Way in Revision Surgery

At the Austin Gynecomastia Center, a quarter of my patients come to me after a disappointing first surgery. In this video, I explain why gynecomastia returns, what went wrong the first time, and how we achieve lasting, natural results.

My Approach to Gynecomastia Revision Surgery

Revision gynecomastia surgery requires advanced surgical judgment, experience, and technical precision. I have performed over 5,000 gynecomastia procedures, including a substantial number of revision cases from around the world. My technique focuses on:

  • Complete and definitive removal of glandular tissue
  • Fat redistribution or fat grafting when necessary
  • Strategic scar placement or scar revision
  • Smoothing and recontouring of the chest wall
  • No drains – a faster, cleaner recovery

Unlike many surgeons, I do not shy away from complex secondary procedures. Every revision case is different, and I tailor your surgical plan to address your unique anatomy and previous results.

Before and After Revision Gynecomastia Photos

Visual proof matters. Explore our photo gallery of real revision gynecomastia patients treated at AGC. These cases reflect some of the most challenging situations and the transformative results achieved with expert correction.

What to Expect From Gynecomastia Revision Surgery

Revision procedures are often more technically challenging than primary surgeries. However, with the right approach, most issues can be significantly improved—or fully corrected. Here's what to expect:

  • Consultation: In-depth evaluation of your surgical history and chest anatomy
  • Surgery: Typically under general anesthesia at our accredited facility
  • Recovery: Similar to primary gynecomastia surgery—most return to work in a few days
  • Results: Improved chest contour, symmetry, and self-confidence

Many of my patients tell me they wish they had come to me first.

Common Revision Scenarios

Gynecomastia revision surgery is often required when initial treatment fails to achieve the desired results. At the Austin Gynecomastia Center, over 40% of our cases are revisions from previous surgeries performed elsewhere. Below are the most common issues we see—along with modern solutions based on our extensive experience and published research.

Read more: Secondary gynecomastia treatment: Bringing it home

Residual Gland Left Behind

Many surgeons are still taught to leave glandular tissue under the nipple-areola complex to avoid collapse. This outdated thinking leads to persistent puffiness and dissatisfaction. At AGC, we advocate for complete removal of all gynecomastia tissue, especially under the nipples. Our published study of over 600 cases demonstrates that this approach allows the nipple-areola complex to shrink naturally and minimizes recurrence. Read the research

Read more: What you need to know about revision gynecomastia

Scar Tissue Formation

Scar tissue is a normal healing response after gynecomastia surgery—and the most common postoperative finding in our patient series. Scar tissue formation can lead to masses on your chest and asymmetries/fullness.

We’ve solved this problem with a protocol of daily chest massage beginning at two weeks post-op, continuing for several months. For established scar tissue, steroid injections or surgical removal may be necessary in resistant cases.

Read more:

Crater Deformities / Overdone Results

Crater deformities often result from over-aggressive tissue removal without proper liposuction feathering of the surrounding chest so the final result is smooth and flat. Treatment includes chest re-contouring and restoration of a smooth, even tissue layer beneath the skin for a natural appearance. Fat transfer to fill depressions sounds like a simple approach to treatment but unfortunately fat transfer has not been proven to be effective or reliable in the treatment of revision gynecomastia.

Read more: Chest wall deformity or Crater deformity after gynecomastia treatment

Skin Irregularities

Following hematomas or seromas, bands of scar tissue can pull the skin inward, creating dents or contour irregularities (creases and skin folds). We treat this with scar release and tissue undermining, followed by massage therapy to maintain soft, mobile skin and prevent tethering. The timing of intervention in such cases is critical to treatment success. Judicious steroid injections can be helpful and part of the overall revision strategy.

Weight loss, advanced age and those with genetically lax skin can have skin folds and creasing resulting from skin excess after treatment. It’s possible to address this problem with a secondary skin removal procedure that results in scars across the chest and around the areolas.

Read more:

Return of Puffiness

Puffy nipples that return over time are usually the result of incomplete tissue removal, particularly beneath the nipples.

In some cases, scar tissue may mimic glandular tissue, especially if the patient avoided proper massage post-surgery. True gynecomastia recurrence is rare in our experience when surgery is performed correctly.

Read more: Puffy nipples after gynecomastia surgery

Psychological Challenges

Gynecomastia is not just physical—it carries deep psychological implications. Some patients have unrealistic expectations or struggle with body dysmorphic tendencies, especially those with muscle dysmorphia or perfectionism.

A careful, honest conversation is essential before pursuing revision to determine whether surgery will truly benefit the patient’s well-being.

Read more:

Recurrence of Gynecomastia

The AGC has performed well over 6000 cases of gynecomastia using the total gynecomastia removal approach. I am aware of possibly two recurrences from this large series of patients. The actual recurrence rate is unknown outside of my practice, as it’s anyone’s best guess. The most common cause of gynecomastia recurrence that I see in my revision gynecomastia practice is incomplete removal of tissue at the original treatment. It’s the tissue that remains after treatment that makes itself obvious in the months following treatment as the swelling subsides. In my practice, your result is “off the table,” and what you see is what you get. You don’t have to wait months for swelling to subside—this implies more tissue left behind than you might prefer.

Asymmetry

Some asymmetry is normal—even in natural chests—but significant post-surgical differences can be caused by:

  • Uneven gland removal
  • Scar tissue formation
  • Residual tissue on one side

With a careful revision gynecomastia surgery Austin patients can achieve greater balance and symmetry.

Liposuction-Only Treatment

Liposuction alone often fails in gynecomastia surgery because it doesn’t remove the dense glandular tissue centered behind the nipple. True correction requires direct excision of gynecomastia tissue, as outlined in our published protocol.

Austin Revision Gynecomastia Surgery model jogging

Trust a True Specialist in Gynecomastia Revision

I’ve built the Austin Gynecomastia Center to serve one purpose: the treatment of gynecomastia in all its forms. When it comes to fixing unsatisfactory gynecomastia surgery, experience matters. At AGC, revision gynecomastia surgery is not a sideline—it’s a central part of my practice.

If you're ready to fix your chest and finally get the results you were hoping for, I invite you to submit a virtual consultation today. I work with patients from across the U.S. and abroad.

Featured Videos

Why Do Revision Surgeries Happen?

Fixing Crater Deformities

Results You Can Count On

Revision Gynecomastia Surgery
Frequently Asked Questions

Revision gynecomastia surgery is a secondary procedure performed to correct unsatisfactory results from a prior gynecomastia treatment—often due to residual tissue, contour irregularities, or asymmetry.

Common reasons include:

  • Incomplete removal of glandular tissue
  • Crater deformities or indentations
  • Persistent or recurrent puffy nipples
  • Scar tissue formation and tethering
  • Asymmetry
  • Skin excess from weight loss, age, or laxity
  • Disappointment with liposuction-only results

The most common cause is incomplete removal of tissue, especially beneath the nipple-areola complexes. When this critical area is not addressed, residual puffiness or fullness often persists or returns as swelling subsides.

Crater deformities are indentations or hollow areas caused by over-aggressive tissue removal without proper contouring of the surrounding chest. Treatment may involve:

  • Tissue redistribution and recontouring
  • Scar release and undermining
  • In rare cases, fat grafting (though not proven reliable in this setting)

Yes. Scar tissue is a natural healing response and is very common. It can cause firmness, tethering, or mimic residual gland. Early, consistent massage therapy is essential to prevent and treat it. Steroid injections or surgery may be needed in established cases.

This is often due to:

  • Residual glandular tissue left behind
  • Scar tissue forming under the areola
  • True recurrence is rare if the original surgery was complete and performed correctly.

No. Liposuction alone often fails to remove the dense, fibrous tissue centered beneath the nipple-areola complex. That’s why many patients seek revision after undergoing liposuction-only procedures elsewhere.

Skin creases and folds may be caused by:

  • Scar tissue tethering the skin
  • Skin excess from weight loss, age, or laxity
  • Treatment can include:
  • Scar release and tissue undermining
  • Massage therapy
  • In select cases, skin excision surgery, which results in chest and areolar scarring

Yes. Revision cases are often more complex due to scar tissue, prior surgical changes, and altered anatomy. That’s why experience matters—revision requires expert judgment and refined technique.

I have done well over 6000 cases and I have seen two occurrences. It happens as a pea-sized tender area under the nipple-areola complex. It’s easily managed with a steroid injection. Many patients think they have recurrence when in fact the tissue was never removed by their surgeons. This is seen months after surgery as the swelling subsides, and it becomes obvious. Recurrence is extremely rare in those who have had gynecomastia treatment as I described but it is not zero.

Most issues become clear within 3–6 months of the original surgery, once swelling has resolved. However, we recommend waiting at least 6 months before proceeding with revision, unless there's a clear early indication (like a missed gland).

While revision gynecomastia surgery can greatly improve appearance, it may not always achieve “perfect” symmetry or erase all signs of prior surgery. We aim for a smooth, natural, masculine chest and realistic improvement.

In most cases, no. Revision gynecomastia procedures are typically considered cosmetic and not covered by insurance.

Fat transfer is occasionally used to address minor contour depressions, but in our experience, it is not a reliable or durable solution for most revision cases due to variable fat survival and risk of further irregularity.

Our approach includes:

  • Complete removal of glandular tissue
  • Proper contouring with liposuction feathering
  • Layered closure and skin management
  • A detailed massage protocol starting two weeks post-op
  • Careful monitoring and honest patient education

Yes, when performed by an experienced surgeon. As with any surgery, there are risks, but with proper technique and follow-up care, complications are uncommon.

Revision cost is typically far more than the original procedure taking into account the complex nature of the surgery and experience needed to treat them appropriately. Cost also varies by region and surgeon.

No more so than if it were never treated. In general, treatment with full anesthesia is painless. Local anesthesia is not painless. Recovery is similar in first-time treatment or gynecomastia revision surgery.

Our team at AGC is here to answer your questions, assist with scheduling your appointment, or help you with any other matters related to your treatment. Book your consultation online for specific questions regarding a personalized surgical plan.

A further detailed discussion with Dr. Caridi and his team will follow this inquiry. If you are seeking more general information or are a previous patient needing to contact medical staff, always feel free to call our office.

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