How can I tell whether I have scar tissue, residue gland, or that the membrane is bigger on one side?

Asymmetry during the healing process is not at all uncommon after any breast surgery.  But, it is very possible that you are experiencing swelling as you heal. 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.

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. 

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. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

Hi Fitanthony,Thanks for the post. Differentiating scar tissue versus residual glandular tissue is simple. Refer to my blog post below for a more detailed explanation.  In your case it seems as if you are dealing wth scar tissue for two reasons:1) You initially didn't feel the firmness until around 2 months2) The firmness decreased with kenalog injections (breast tissue doesn't respond to kenalog)I recommend you follow up with your plastic surgeon. You may need another kenalog injection.Sincerely,Dr. Dadvand

Thank you for your question. It is often not easy to tell if residual fullness after gynecomastia surgery is scar or glans tissue. However, if your surgeon gave you a kenalog injection and the area improved, that is good evidence that you are dealing with scar. I recommend close follow-up with your surgeon and get kenalog treatments as he/she suggests. Best wishes 

It may be challenging to differentiate scar tissue from residual gland after gynecomastia surgery. Your plastic surgeon will likely be in the best position to help you with this differentiation. Best wishes.

The tissue you are feeling may be scar, glandular tissue, or a combination of the two.  If you noted improvement following the second kenalog injection, another may further help.  If the mass is truly bothersome you could consider a direct surgical resection of the area; however, I would suggest you wait a full year before considering this option.  Best wishes, Dr. Lepore.