Deformed Chest After Male Breast Reduction?

Swelling persists for months after gynecomastia.  Sometimes I inject a dilute steroid into the edema behind the nipple to expedite the healing.  No need to rush into anything right now.  Asymmetry and firmness are normal at this point.

3.5 weeks after surgery is still early in your recovery. You should wait a few months before you judge your results, as you may be affected by swelling. You can ask your surgeon about whether massage will help the uneven contours.

It is too early to tell whether the contour irregularities are typical swelling after gynecomastia reduction or something that may require further intervention.  I suggest waiting and communicating with your surgeon.  Good luck and be safe.John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

                  It’s
not unusual to have minor contour irregularities following the surgical
management of gynecomastia. These changes are often the result of swelling and
scarring, and tend to improve with the passage of time. They often present as
lumps and bumps and other types of contour irregularities.

                  In
the immediate post-operative period compression and massage can facilitate
remodeling. Surgical revision may rarely be necessary.

                  It
usually takes six to twelve months before a decision can be made regarding
revisonal surgery. It takes at least this long for swelling and scarring to
completely resolve. It’s important to discuss these issues with your surgeon
who can reassure you regarding your clinical course. 

Your body will be going through a healing phase.  Scar tissue is certanly present and requires time to resolve.  The shape sometimes takes four to six weeks to see the outcome.  The swellig needs to come down during this time frame.  The sharp pains will resolve as well.