Some of you know my story, lipo and gland both sides, drain on one side, three years ago now. Overall I am thrilled and I still say so to anyone who asks.
But. In the last year or so I have become aware that the left side has a slightly fuller look directly under the nipple, mainly in a thin t-shirt or in the mirror after a shower. If I pinch I think there is a small firm bit there, maybe the size of a coin. Right side is flat. Weight is the same as it was, give or take a couple of kilos, and I have never touched anything hormonal.
Two questions. Can gland grow back three years later? And is it reasonable to go back to the surgeon over something this small, or is that the definition of being picky about a result most people would kill for?
Not picky. You paid for a flat chest and you know your own chest better than anyone. Go and ask.
Following. Not had mine done yet (the ultrasound said gland both sides, more on the left, as some of you know), and what happens if it is not quite even afterwards is exactly the question I want answered before I book. Would be interested to know what they say.
M#4September 24, 2026, 9:48 am Ryan, it is reasonable to go back, and a good surgeon will not think you picky. I cannot examine you, so take this as the general picture rather than an answer about your chest.
Gland that has been properly excised does not grow back. When a small firm area appears or becomes noticeable years later on one side, the usual explanations are a small amount of residual glandular tissue that was always there but has become more visible as the rest settled, scar tissue, or a small change in the fat around it, and occasionally a new hormonal driver. Which of those it is needs someone to feel it, and sometimes an ultrasound. Minor asymmetry between the two sides is common, and under-resection leaving residual firmness is one of the recognised reasons men have a second, smaller procedure.
What revision usually looks like at this stage is set out in gynaecomastia surgery revision. Often it is a small excision through the old periareolar scar rather than anything like the first operation, but whether it is worth doing at all depends on what is there and how much it bothers you, and that is a conversation, not a verdict.
Pete, it is a very good question to take to consultation: ask how the surgeon handles residual tissue or asymmetry, and what their revision policy is, before you book.
And one more thing for anyone reading. A lump that is new, growing, or comes with nipple discharge, skin change or pain that will not settle should be looked at whether or not you have had surgery. Most of the time it is benign tissue, but the check comes first, and your GP can do it if getting back to the surgeon is slow.
Emailed the clinic and they have offered me a review in a fortnight, free since it is follow up. Will report back.
Review done. He felt both sides and is fairly confident it is a small bit of residual gland on the left that has become more visible as everything else settled, not regrowth. He offered a small excision through the same scar under local, or leaving it. I am leaving it for now, honestly just knowing what it is has stopped me checking it every morning. Pete, put the revision question on your list.