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Revision Gynecomastia Surgery in Austin, TX
Not every gynecomastia surgery hits the mark. Whether you're facing leftover glandular tissue, uneven contouring, scarring, or crater-like indentations, revision gynecomastia surgery offers a clean slate. At the Austin Gynecomastia Center (AGC), revision work isn't a side offering—it's a cornerstone of what we do. I specialize in fixing prior procedures that fell short, with a focus on delivering real, lasting results for men who deserve better.
Many men seek revision gynecomastia surgery after being let down by previous results. Maybe the initial surgeon missed key tissue, left unevenness, or overcorrected to the point of collapse. Common issues include:
One of the most common issues patients face is the presence of leftover glandular tissue, often beneath the nipple area. This residual tissue can maintain a puffy or rounded appearance, making it seem as though the original surgery didn’t work. In many cases, surgeons simply removed fat without fully addressing the denser, more fibrous glandular component. Effective revision requires precise, total excision of this tissue to restore a flatter, more masculine chest.
Crater deformities happen when too much tissue is removed, especially under the areola, creating a sunken or hollowed-out appearance. This overcorrection is sometimes the result of aggressive liposuction or poor surgical judgment. Fixing this often requires structural fat grafting to rebuild volume and blend the area into the surrounding chest smoothly. Each case must be carefully evaluated to avoid recurrence or further asymmetry.
No two sides of the chest are identical, but noticeable imbalances or uneven contours post-surgery suggest a lack of planning or poor execution. This may involve uneven gland removal, poorly applied liposuction, or scar tissue pulling on one side. Revision in these cases demands careful recalibration—balancing volume, shape, and skin tension to restore symmetry in a way that feels natural.
Scars are inevitable, but they don’t have to be obvious. Some patients arrive at AGC with wide, raised, or poorly placed incisions that disrupt the natural appearance of the chest. Correcting these may involve scar revision, reorientation of incisions, or laser therapy in conjunction with surgical techniques. The goal is to minimize visibility and create a more discreet, natural result.
In some cases, patients report a return of gynecomastia symptoms months or years after their initial procedure. True recurrence is rare when glandular tissue is completely removed, but hormonal shifts or incomplete surgery can lead to a resurgence of symptoms. Identifying the root cause—be it surgical or systemic—is key to crafting an effective revision strategy.
Revision cases demand a higher level of expertise. With over 5,000 gynecomastia surgeries under my belt—a significant portion being revisions from around the globe—my process is rooted in precision and customization:
Successful revision starts with a clean surgical slate. I re-enter the original site and carefully assess for any remaining glandular or fibrous tissue. Unlike fat, gland tissue does not respond to diet or exercise. It must be manually excised in its entirety. Leaving even small remnants can compromise the final contour, so I ensure a definitive, thorough removal.
Where tissue has been over-removed or indentations exist, I use autologous fat grafting to restore volume. This involves harvesting fat from another area of your body—commonly the flanks or abdomen—and carefully injecting it into the deficient areas. This technique helps soften transitions, smooth out the contour, and correct sunken areas. Grafting is done conservatively and in layers to ensure survival and longevity.
Scarring from the previous procedure may be hypertrophic, tethered, or simply misplaced. I evaluate the quality and position of old scars and determine whether they need to be removed, reoriented, or minimized. In many cases, new incisions can be placed along the natural borders of the areola, creating less noticeable lines and preserving the aesthetic integrity of the chest.
Beyond removal and repair, revision also involves reshaping. Using refined techniques, I sculpt the surrounding tissue to ensure the chest appears balanced, athletic, and natural. This includes smoothing transitions between muscle, skin, and subcutaneous fat, and ensuring even skin tension across both sides of the chest.
All revision procedures are performed using a no-drain technique that significantly reduces post-op discomfort and speeds up healing. By using layered closure methods and managing bleeding at the source, I eliminate the need for surgical drains while still achieving excellent outcomes.
The best way to see what’s possible? Look at the transformations. Our photo gallery features real revision patients with real outcomes. Many came to AGC after being told their results "couldn’t be fixed.".
Revision gynecomastia surgery is a more complex path, but the destination is worth it. Here’s how the process typically unfolds:
The consultation is more than a formality—it's an in-depth review of your medical and surgical history, previous operative reports (if available), and visual assessment of scar patterns, nipple placement, and chest contour. We determine what went wrong, what can be improved, and how we’ll get there.
Procedures are performed under general anesthesia in our accredited facility, with a surgical plan customized to your anatomy and prior procedure. I review the operative goals in detail with you beforehand so you know exactly what to expect. Surgical time may be longer than primary cases due to the complexity.
Despite being a revision, most patients are surprised by how manageable the recovery is. Thanks to the no-drain technique and meticulous surgical control, swelling and discomfort are kept to a minimum. Most patients return to daily routines or desk jobs within 3–5 days, with restrictions on heavy lifting or chest workouts for several weeks.
The outcome is a flatter, firmer, and more natural-looking chest. In many cases, the emotional result outweighs the physical: confidence restored, shirts worn proudly, and a sense of relief that the original damage has finally been addressed. My patients often say, "I finally look how I was supposed to after the first surgery."
At AGC, fixing gynecomastia complications isn’t an afterthought—it’s what we do. I’ve dedicated my entire surgical practice to this specialty and have helped thousands of men achieve the chest they were promised the first time around.
If you’ve been left disappointed by a previous surgery, I invite you to take the next step. There is a way forward.
Don’t settle for botched outcomes or half-fixed problems. Submit your online consultation today, and let’s talk about what went wrong—and how we can make it right.
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Why Do Revision Surgeries Happen?
Fixing Crater Deformities
Results You Can Count On
Too many men come to AGC feeling let down by previous gynecomastia procedures. Whether it was incomplete gland removal, scarring, or a chest that still doesn’t look right, we can help fix it. Revision surgery at AGC is performed by a true specialist who handles complex cases from around the world. This isn’t damage control. It’s your second chance done right.
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It’s a secondary procedure performed to correct problems from a previous gynecomastia surgery, such as residual tissue, scarring, or contour issues.
True glandular tissue doesn’t grow back once fully removed, but incomplete removal or hormonal changes can cause recurrence.
Crater deformities are often corrected with fat grafting, strategic tissue release, and contour reshaping.
That depends on experience and specialization. At AGC, we focus exclusively on gynecomastia and have handled thousands of complex revision cases.
Yes—revision work involves scar tissue, altered anatomy, and higher stakes. That’s why choosing a true specialist is critical.
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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