10 Weeks Post Gynocomastia Surgery, Why Are my Nipples Are Hard, Puffy & Slightly Itchy. Gyno Still Noticeable Through T Shirt?

Hi LJ8412,Thanks for the post. There are two possible explanations for your puffy nipples at 10 weeks:1) Residual breast tissue2) Scar tissue formationThe way to differentiate is if the areolae initially appeared flat after surgery then became puffier then it is likely scar tissue formation. If the areolae were puffy right after surgery and have not reduced, then it is likely residual breast tissue. Swelling typically does not feel hard. I recommend following up with your plastic surgeon.Sincerely,Dr. Dadvand

I have performed many of these procedures over the years and found that for some reason even if the gynecomastia tissue is aggressively removed sharply and surgically, there is often residual swelling later. I think this comes from some degree of residual hormonal responsiveness and the tendency for the gland to enlarge. If this occurs, like with you, I treat patients with steroid injection given on three different occasions at least six weeks apart and this cures 95% of patients.