6 Weeks After Surgery (Excision and Lipo) I Still Have Puffy Nipples? (photo)

Nipples are very slightly puffy (I'm guessing from residual breast tissue or lack of firmness in skin) and slightly hard (from scar tissue under the incision). 1)Are there any sort of creams I can be using to contract the areola further? 2)Will chest workouts slow recovery time and increase puffiness/swelling? It seems to have increased after one trip to the gym. Thanks!

Doctor Answers 5

Puffiness 6 Weeks After Male Breast Reduction Surgery

Following surgery, your incisions will go through a maturation process. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely. A collection of fluid under the skin occurs occasionally during the postoperative period. Aspiration of the fluid with a needle is frequently helpful. Secondary surgery is rarely necessary. 

Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. 

Usually 1 week after #gynecomastia surgery you can begin taking moderate walks or ride a stationary bike. Strenuous workouts or aerobic #exercise can begin around 4 weeks post-op. Please get approval from your doctor before you begin any workout regimen. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.


Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Using creams

No OTC medicine reduces breast size in Men ! Stay away from supplements that claim that they can do this- it is a scam. If it worked it would have been tested and FDA approved for this usage. The only medicine that might work for Gynecomastia would be for male breast enlargement caused by an endocrine disorder. You would need to see an endocrinologist for a work up if this involves you - tyically this would occur in late childhood/adolescence but could occur later (from a Pituitary tumor producing prolactin - a hormone that makes breasts enlarge for example)

Puffy nipple 6 week post operative

Dear Amoney86,
  there is always swelling following surgery. it takes 6 to 9 months post operative. be patient, wait and watch. you can use pressure garment at night. creams or chest work out will not make any difference in final outcome.

Hope this information will reduce your apprehension

 

Milan Doshi, MCh
India Plastic Surgeon
4.8 out of 5 stars 125 reviews

Swelling after gynecomastia

Swelling is quite normal after surgery. it can take several months for the puffiness or swelling to go down.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

How long for puffiness to resolve after gynecomastia correction

It looks to me like you are on your way to an excellent result.  It takes many months for all swelling to go away after this type of surgery.  If exercise increases the swelling, it is wise to reduce its intensity.  Compression at night might be helpful.  I hope this is helpful.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 12 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.