Gynecomastia revision in Gangnam – Can nipple protrusion remain after surgery be corrected? | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
30s |
89kg |
174cm |
30 |
Surgical site
gynecomastia, side chest
2-A
Even after undergoing gynecomastia surgery,
some patients may notice nipple protrusion returns,
or asymmetry and imbalance in chest contour
develop over time.
In such cases, gynecomastia revision surgery
may need to be considered.
The most common reasons for revision include:
• Incomplete removal of glandular tissue
• Excessive focus on liposuction over excision
• Changes from weight fluctuation, skin laxity,
or certain medications
If these factors lead to persistent symptoms
or newly visible chest protrusion,
simply repeating gynecomastia surgery is not enough.
An accurate diagnosis of the current condition
and a personalized revision plan tailored to
body shape and tissue characteristics
are essential for long-term correction.
This patient had been struggling with
gynecomastia symptoms since adolescence,
experiencing persistent psychological discomfort
due to the bulging shape of the chest.
To address this concern, he underwent
gynecomastia surgery once in his early 20s.
However, as time passed, protrusion around the nipples
and noticeable asymmetry reappeared,
leading him to consider revision surgery.
Despite consistent exercise and diet control,
the swollen areola did not improve.
Recently, he also began to feel
a firm lump in the lower chest,
indicating that his previous surgery
had not fully resolved the underlying issue.
At this point, he realized that an
accurate diagnosis and a structural correction
were necessary, and thus visited
Lesarts Plastic Surgery for further evaluation.
Before undergoing revision gynecomastia surgery,
photos of the patient’s chest showed a clear protrusion
around the nipples, with slight asymmetry
between the left and right sides.
In particular, excess lower chest volume
was more prominent on one side,
and the bulging areolar contour
was visible even through a T-shirt.
For precise diagnosis, an ultrasound was performed,
which confirmed residual glandular tissue
in both breasts.
The patient was diagnosed with true gynecomastia.
Based on this, we established a customized
revision surgery plan as follows:
1.Gland excision and tissue repositioning
Remaining glandular tissue was carefully removed,
and on the left side, surrounding tissue was rearranged
to restore a natural chest shape
and reduce protrusion.
2.Lateral chest liposuction
Liposuction was performed to reduce volume
around the areola.
On the left side, suction was focused more intensely
due to higher fat accumulation,
while on the right side, a minimal approach was taken
to avoid hollowing.
3.Adhesion prevention and depression correction
As this was a revision surgery,
special tissue repositioning techniques were applied
to minimize adhesion and prevent depression
in the chest area.
Below, we will review the before-and-after photos
taken 1 month after revision gynecomastia surgery,
to observe the degree of improvement achieved.
Before revision gynecomastia surgery,
the chest line extending below the nipples
showed a noticeably bulging contour.
From the side view, the lower chest protrusion
was especially prominent, and the lateral chest line
appeared heavy and unrefined.
At 1 month post-op, after excision of the residual
glandular tissue and complementary liposuction,
the chest size was reduced and the previously uneven,
asymmetrical silhouette was reshaped
into a smoother and more balanced contour.
The lower chest line became lighter,
while the swelling around the nipples diminished,
settling into a flatter, more stable chest shape.
Even at this early recovery stage,
the asymmetry between both sides
was naturally corrected, and the difference
in overall silhouette was clearly noticeable
even when wearing a T-shirt.
Before revision gynecomastia surgery,
the chest protrusion centered around the nipples
and overall chest volume were clearly visible
even under a short-sleeved T-shirt,
causing discomfort with body shape.
The areola area was distinctly swollen,
forming a bulge that was noticeable through clothing,
leading to self-consciousness in daily wear.
At 1 month post-op,
with recovery stabilized, the chest contour
appeared much smoother and more balanced
even under a T-shirt.
The upper body proportion was visibly refined.
The protrusion around the nipples subsided,
the fabric no longer lifted awkwardly,
and the lower chest volume was reduced,
resulting in a neater and more natural fit overall.
The patient’s main concern before surgery
was nipple protrusion and chest asymmetry
that did not improve with exercise or weight control.
To correct this, the remaining glandular tissue
from the first surgery was excised,
and liposuction of both sides of the chest
was performed to reduce excess bulk
and refine the chest contour.
Despite being a revision procedure,
the results stabilized well,
and the improvement in T-shirt fit
brought high satisfaction.
With continued lifestyle management
and exercise, this positive transformation
is expected to last long term.
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