Once I Take my Gynecomastia Vest Off, My Puffy Nipples Come Back. Reasons?
Doctor Answers 3
The length of time that you need to wear a garment after gynecomastia surgery
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Remaining breast tissue or glandular tissue may be causing puffy nipples
This is probably due to breast tissue or glandular tissue that is left behind. Typically this tissue resides just underneath the nipple. This may require either aggressive liposuction or a small incision is placed between the areola and the skin and the glandular tissue is directly resected.
I would also wait for the swelling to go down from your previous gynecomastia surgery and would not consider any revisions until you are at least 3 to 4 months out from your original gynecomastia surgery.
Congratulations on your surgery and good luck.
J. Timothy Katzen, MD, FACS
If takes 6-9 months for the swelling to subside, wearing the compression garment helps with that, but when you take it off and returns that is very normal.