Sunken Chest After Male Breast Reduction

Chest sunk in behind nipple after Gynecomastia surgery 3 weeks ago. Will this improve any with time? Chest has very minimal fat left and sinks in when I flex pec or raise arm.

Doctor Answers 21

Sunken Chest After Male Breast Reduction

Hi weagle,

Thanks for the post. Without a photo it is difficult to give you directed advice. That being said, at 3 weeks you are still very early in the healing phase. Final results can take up to 6 months. I recommend yo keep in close contact with your surgeon.


Dr. Dadvand

Los Angeles Plastic Surgeon
5.0 out of 5 stars 14 reviews

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Be Patient and Give Your Chest a Chance to Heal Before Drawing Conclusions

In general, it is not recommended to draw conclusions about the success of a procedure at 3 weeks post-op, since the healing process can dramatically change the appearance of the body over time. Usually, between 3 and 6 months is needed for the body to pass through all of the stages of healing. Early on following surgery, there is a great deal of inflammation, which is the body’s response to the injury we call “surgery”. Inflammation involves significant swelling which can really distort the results of surgery, and lead one to the wrong conclusion regarding the success of the procedure.

If there is indeed a problem with over-resection of the chest soft tissues, correction with fat transfer may be an option, but this would normally only be done once the tissues have had a chance to softened up and become more supple, which usually occurs at the 6 month mark following surgery.

I hope this answers your question adequately.  Good luck to you!

Sunken Chest After Male Breast Reduction

It is way too early to assess the final result of this surgery.  Give it 6 months and address any concerns with your surgeon.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 25 reviews

Contour Irregularities Following Male Breast Reduction

It’s not unusual to have minor contour irregularities following male breast reduction surgery. These changes are related to post-operative swelling and scarring and tend to improve with time. They often present as lumps, bumps and contour irregularities. Minor deformities of this type, often respond to compression and massage.

                  In some cases these deformities may be severe and require secondary surgical intervention. The majority of these cases require fat grafting and liposuction of the surrounding areas to improve contour.

                  It’s very difficult to know what treatment will be necessary to correct your particular problem. In most patients who are three weeks post-op, wound healing is a very dynamic phenomena and significant improvement can be anticipated.

                  It usually takes six to twelve months before a decision can be made regarding revisional 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. 

Sunken look after gynecomastia surgery

If the skin look caved in and stuck to your muscle, too much tissue may have been removed. Even if this is the case, there's still no need to worry yet. Proper massage should be able to loosen the skin off the muscle. Continue to see your surgeon and follow instructions.

Ronald Schuster, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 35 reviews

Depressions after gynecomastia can be corrected

Three weeks is too early . Wait over 6 weeks for a more realistic result. If you have a depression, correct it with a filler or fat. It is simple and you will like the results

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 5 reviews

Three weeks after male breast reduction (or any operation) is too early to judge results.

At 3 weeks, you have significant swelling after your operation.  The depression can easily be explained by this swelling.  It won't necessarily go away, but probably will as the swelling subsides.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

Sunken breast

I is a bit early to worry.  I would continue compression and massage the area.  If it does not improve then fat grafting may help.

Michael Philbin, MD
Edina Plastic Surgeon
4.5 out of 5 stars 4 reviews

3 weeks is too early to judge the result of gynecomastia procedure

While it sounds like your surgeon may have removed a little too much tissue behind the areola, it is still early in your recovery and difficult to predict what your final outcome will be.  At this  point, mention your concern to your surgeon to get his advice.  If this doesn't improve over the next 6 months, you may need a second procedure to correct what you are seeing.  The treatment of gynecomastia involves removing fat with liposuction and gland tissue via direct excision.  If the two are not balanced, this kind of discrepancy can result.  However, let's hope that you are just seeing a difference due to swelling as you are only 3 weeks out from your gynecomastia correction.  Good luck and be patient for now.

Dr. Parham Ganchi - NJ Plastic Surgeon

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
5.0 out of 5 stars 62 reviews

Gynecomastia correction

During the gynecomastia surgery your surgeon removed some of the breast tissue that sits behind the areola. Now that you are missing some tissue it is not unexpected that you have the depression you are describing. It is unlikely to improve on it's own. In a situation such as yours I would consider fat grafting to prop up the skin and separate it from the underlying muscle. If the wounds are relatively new you can also try vigorous massage to break up the scarring but suspect by now it will not be very effective

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 231 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.