7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision? (photos)

Question

31 years old. Had gyno surgery 7 months ago and not 100% happy with results. My right nipple has a large hard lump still which maybe scar tissue but hasn’t changed. Also feels like fat still under nipple and going to my underarm which is different to the other side. Would like a opinion whether my results are ok or I should ask for a revision. Nipples appear to be puffy again and right side hangs a bit when I bend over.

Kenneth Hughes, MD · Answer

An exam would be necessary to make a determination if additional surgery would be advised. Overall not a bad result, but it can likely be improved.As a bodybuilder and a plastic surgeon, let me say that the result is pretty close, but the right can undergo additional liposuction or resection.  I would try to liposuction that bit out, because the incision used for the gynecomastectomy can cause areolar widening. Your asymmetry is slight and I would leave it.

Joe Gryskiewicz, MD, FACS · Answer

Dear Intuitive,I am sorry you still have some fibrous glandular tissue remaining.  For this, I make a small incision outside the breast or go through the old incision.  Then I use instruments I have designed to remove any remaining gland....exactly what you are pinching.  Please see your surgeon and discuss this exact area of fullness.  All the best, Dr. Joe

Tim Neavin, MD · Answer

Thank you for your question. Based on your photos provided, you would benefit from glandular removal. I would recommend that you follow up with your original surgeon to discuss a possible revision.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Difficult to comment without before images but it does appear that there is room for improvement on both sides of your chest.  The best treatment (liposuction or additional glandular removal) will depend on how the tissues feel.  Hope this helps.

Stanley Okoro, MD · Answer

Thank you for your question and the detailed photos you provided. Without seeing your "before" photos I would say your results are satisfactory and your chest within normal limits. If you wanted more definition and address the fat from your nipple to armpit, you could attempt a session of liposuction and skin tightening with ThermiTight once you are 1 year post op. Good luck.

7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision? (photos)

Answers (9)

Answer: 7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision?

Answer: 7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision?

Answer: Gynecomastia Revision

Answer: Gynecomastia Revision

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7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision? (photos)

Answers (9)

Answer: 7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision?

Answer: 7 mo post gynecomastia surgery. Hard lump under nipple, puffy nipples and fat deposits. Should I get a revision?

Answer: Gynecomastia Revision

Answer: Gynecomastia Revision

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.