I Still Have Puffy Nipples Even After Having Ultrasonic-Assisted Liposuction

asked 1 year ago by MR. MIKE in Opa Locka, FL
Latest answer by Tom J. Pousti, MD
Question viewed 1,468 times
Tags: nipples, puffiness, ultrasonic

It's been about 3 months since my surgery and my surgeon is warning me against gland extraction due to possible nipple cave-in. I was wondering if I got nipples rings would that solve my puffy nipple issue which is alot less than before surgery but still a problem. Surgeon wants $2000 for revision I figure piercings would be about $250 with less risk than revision. Doctors please guide me. I'm in S. Florida any good Gyno docs from S. FL on this site if so step to the plate, I need help.

7 answers to I Still Have Puffy Nipples Even After Having Ultrasonic-Assisted Liposuction

Residual glandular tissue

Residual glandular tissue is most often the cause of puffy nipple post liposuction surgery.You should see a experienced gynecomastia surgeon for consistent results with no recurrence. see video

Mordcai Blau, MD
New York Plastic Surgeon

www.cosmetic-md.com

Male breast gland excision is an important part of gynecomastia surgery

Removal of the breast gland is a very importnat part of gynecomastia surgery. I usually both excise breast gland tissue, as well as perform liposuction of the entire chest. otherwise, it is possible to have a puffy nipple as you are experiencing.

S. Sean Younai, MD
Beverly Hills Plastic Surgeon

Puffy Nipples after Liposuction

Thank you for the question. The most common reason for having continued “puffy nipples” after liposuction surgery is the presence of breast tissue (gynecomastia). I have found that gynecomastia is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice. I would... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Puffiness under areola s/p gynecomastia reduction with ultrasonic liposuction

If there is persistent puffiness after liposuction of the chest, then there is almost certainly fibrous glandular tissue remaining. That tissue can be removed very accurately and there should be no caving in of the areola. If there is a depression that can be filled in later with fat.

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Male nipple swelling after liposuction

If you have persistent swelling in the nipple area following liposuction, there is a good chance that you have some remaining glandular tissue there. The best way to remove this would be direct excision which when done correctly can be performed with minimal risk to depression or cave in and within a very small incision.

Jeffrey Kenkel, MD
Dallas Plastic Surgeon

The Puffy Nipple After Gynecomastia Liposuction Requires An Open Approach To Solve

Your residual puffy nipples at this point after surgery is residual gland tissue. While liposuction can reduce the soft fat around gynecomastia, it just can't get rid of the hard nodular tissue right under the nipple. Most of the time, the postop puffy nipple results when liposuction is done alone. Nipple rings are not going to get rid of this residual tissue. What you need is a secondary procedure through an open approach with a lower areolar incision. Given the fairly limited size... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Gynecomastia treated with ultrasonic liposuction.

I find that the gynecomastia in body builders is mostly parenchymal(glandular) and in others to be of dual origin fat and gland. From your picture you do not appear to be a body builder therefore your breasts should have been approached with Lipo and excision of the gland .The latter require leaving a small disc of breast tissue behind the nipple-areola to avoid the saucerized look. You now need some parenchymal excision behind the nipple areolar complex.

Erel Laufer, M.D.
Tampa Plastic Surgeon

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