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Swollen Areolas After Liposuction and Nipple Reduction

I am a male who recently had a nipple reduction with liposuction. The doctor did not provide any compression and 5 weeks later, I still have swollen areolas and I look worse than before the surgery. What can I do?

This is really bothering me. I started using a compression vest 4 days after the surgery. Should I continue to wear the vest or is it pointless at this point? I am concerned the streched areolas won't return to their original shape.

Asked 34 months ago by forbsey4 in Laguna, California
Sort 11 expert answers by:
+1

Puffy nipples after surgery.What does it mean?

Give it 6 months and see if the swelling will improve and disappear.If not you probably have residual gynecomastia,glandular tissue that will have to be excised if you want it to be resolved. A board certified plastic/ experienced gynecomastia surgeon should be able to help you. IN WIKIPEDIA GYNECOMASTIA you can get more information. see video
Mordcai Blau, MD
New York Plastic Surgeon
+2

Swollen Nipples After Gynecomastia Reduction

It is normal to still have nipple swelling 1 month after Gynecomastia Excision. If it is bothersome, compression is helpful. This can be done with Ace wrap, compression T-shirts (available on the Internet for about $20), or special surgical garments (expensive and no advantage over commercial compression T-shirts). There is a possibility of persistent tissue excess in the area under the nipple-areola.  If that is the case, a touch-up procedure could be done, but I'd... more
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+1

Revision gynecomastia correction works.

Hi. I am afraid you look like you still have gynecomastia. Compression will not help.  Wait four months, and then consider a revision.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

This may have been the wrong operation.

Based on how you stated your question, and your photograph, I infer that preoperatively you only had swelling and/or fullness beneath the nipple/areola complex. This would mean that your degree of gynecomastia was minimal, and likely due to true glandular tissue being present and not just fatty tissue. With over twenty years of doing these procedures, I can tell you truthfully that liposuction alone, without direct excision of the fibrous, firm glandular tissue by your surgeon,... more
Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
+1

Swollen nipples after liposuction

  After liposuction for the correction of gynecomastia, it is common to have significant swelling. Your body is currently healing and tissue needs to settle. It is extremely important to use a compressive garment after liposuction. This garment allows these swelling to subside quickly and also allows the skin to stick to the underlying muscle in a nice smooth fashion.
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Swelling after Gynecomastia surgery

It is not unusual to have swelling after liposuction. Continue to wear your compression garment for several weeks. Give your body time to heal - you will see results soon.
Emily Pollard, MD
Philadelphia Plastic Surgeon
+1

Swollen areola after liposuction

Perisistent swelling from liposuction can occur for several months after the liposuction procedure. You have to give some more time for the swelling to subside.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Swelling after gynecomastia repair

SEE SAMPLE VIDEO RESTULTS BELOW BY CLICKING MORE: This can occur for some time after surgery. Light compression can be useful and I often have people covert from the uncomfortable restrictive post op garments to spandex type "under armor" shirts for up to 3 weeks after surgery. Manual lymphatic drainage, as mentioned, may be beneficial as well. Give this at least 3 months see video
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

It is still time for compression and massage

It is still time for compression, lymphatic massage. It is always good to discuss the concerns with your surgeon. It will get better with time.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Swelling after breast surgery

It's not uncommon to have excessive swelling following this procedure. It can last 6 months or even longer, especially if you are going to the gym. I would reccomend a compression vest and lymphatic massage after discussing it with your surgeon. I am a big fan of compression garments especially during exercise. A tight fitting under armour shirt might help at the gym, then swtitch to your compression garment when you are done. It's too early to tell about the size of the areola...give it time. more
Michael Diaz, MD
Melbourne Plastic Surgeon
+1

Compression would be good.

Always talk to the surgeon who performed the procedure and has benefit of exam. Next, you may want to ask him about getting roller from a bedroom and bathroom store-a massager. Sometimes the vigorous deep massage will really help mobilize and soften the residual swelling. It is not uncommon for a lot of swelling to still be present at 5 weeks however! Regarding size of the areola, I can't speculate. best to you . sek
Scott E. Kasden, MD
Dallas Plastic Surgeon
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