Gynecomastia Revision Surgery in Seattle

It’s disheartening when your male breast reduction (Gynecomastia Surgery) leaves you with more problems than it solved—bulges, dents, or uneven nipples that draw unwanted attention. You didn’t go through surgery just to feel self-conscious again.

Allure Esthetic specializes in correcting those incomplete or botched results so you can finally enjoy a flat, masculine chest. Dr. Javad Sajan has performed 1000 + complex procedures and holds 4.9 ★ Google & RealSelf ratings. Every case is mapped with Vectra® 3-D imaging, carried out in our AAAHC-accredited suite, and backed by the proprietary Scar Protocol™ for smoother healing.

Gynecomastia revision surgery is a corrective procedure performed on men who remain dissatisfied after an initial male-breast-reduction procedure. Rather than simply removing excess tissue, a revision re-evaluates the chest for residual gland, fat pockets, contour depressions, noticeable scars, or nipple asymmetry. Then it addresses each issue in a single, tailored operation. By combining refined excision techniques, targeted fat removal or grafting, and strategic scar management, the surgeon reshapes the chest to achieve the smooth, masculine profile that the first surgery failed to deliver.

Even the best surgeons can leave a trace of gland or create contour irregularities if healing doesn’t follow the textbook. A gynecomastia revision focuses on restoring symmetry, smoothing indentations, and refining scars so that the chest appears naturally masculine from every angle.

Indications After Earlier Surgery

• Persistent or “puffy nipple” bulge
• Crater deformity where too much tissue was removed
• Raised, wide, or dark scars
• Loose skin after major weight change
• Uneven left-to-right contour
• Hormone-related regrowth of gland tissue

If any of these describe your chest six months or more after surgery, it’s worth scheduling a professional assessment.

Revision gynecomastia surgery targets the lingering issues that prevent the chest from appearing naturally flat and masculine. When excess fatty tissue is the chief concern, the surgeon often uses two or three micro-incisions at the edge of the areola or concealed in the under-arm crease, then removes the fat through a thin cannula—an approach that heals quickly and leaves virtually no visible marks. If a firm block of glandular tissue, stretched skin, or an uneven nipple-areolar complex is present, an excision technique is employed instead: an incision hidden along the lower half of the areola allows removal of the gland, trimming of any redundant skin, and when necessary reduction or repositioning of the nipple to create a flatter, more balanced contour. Many revision procedures combine both methods, allowing fat, gland, and skin to be refined in a single session, resulting in a smooth, even outcome that finally meets the patient’s expectations.

Gynecomastia revision is carefully staged so every lingering issue, like fat, gland, skin, or scar, is addressed in a single session. Below is a concise walk-through of how the day unfolds

• Morning review & imaging: Dr. Sajan confirms residual tissue locations with a 3-D scan and marks the chest to guide correction.
• Accredited surgical setting: You’ll be cared for in an AAAHC-certified suite under continuous monitoring by a board-certified anesthesia team.
• Targeted tissue refinement: Through small, well-hidden openings—often the same ones used in your first procedure—Dr. Sajan removes excess tissue, adjusts skin or nipple position when needed, and balances the overall chest contour.
• Layered closure & early scar care: Incisions are closed under minimal tension, and your first phase of scar management begins before you leave the operating room.
• Same-day discharge: After a brief recovery room stay, most patients are discharged home wearing a supportive compression vest.
• Predictable healing timeline: Desk work is usually possible within five days, light aerobic activity at two weeks, full workouts around weeks four to six, and final definition becomes apparent by the six-month mark.

Scar behavior differs in revision cases because pre-existing scar tissue contains disorganized collagen. Scar Protocol is an evidence-based, five-phase system that layers medical-grade silicone, antioxidant serums, and timed LED therapy to realign collagen fibers, soften pigmentation, and maintain the thinness of fresh incisions while simultaneously reconditioning older scars for a smoother, more uniform blend with the surrounding skin.

The cost of gynecomastia revision varies depending on the complexity of your case, covering the surgeon’s fee, accredited operating-room time, anesthesia, and any additional costs, such as the Scar Protocol kit or hormone testing. At AllureEsthetics, after your examination, you’ll receive a personalized, all-inclusive quote, and our patient-care team can arrange flexible payments through CareCredit®, Alphaeon®, or an in-house plan that offers interest-free terms for qualified patients, ensuring the procedure is attainable without financial strain.

A brief conversation with Dr. Sajan can turn lingering doubts into a clear, customized plan for a flatter, more balanced chest. Call (206) 209-0988, start a live chat with our patient care team, or click here to secure your appointment—virtual or in-office—and explore treatment, pricing, and recovery details in one visit.

Can you get gyno again after gyno surgery?

Recurrence is uncommon (under 5 %) when the entire gland is removed, but significant weight gain, anabolic-steroid use, or untreated hormone disorders can stimulate new breast-tissue growth.

What does stage 2 gyno look like?

Stage 2 presents as a firm mound extending beyond the areola with little to no skin sagging, giving the nipple a puffy or protruding appearance while the surrounding skin still retains good elasticity.

Can gyno go away after four years?

Once breast fullness has persisted for more than two years beyond puberty, spontaneous resolution is unlikely; at the four-year point, surgical removal is generally the only reliable option.