Return of puffy nipples after gynecomastia surgery. (photos)

Thank you for sharing your question and photographs.  Without an in-person examination it is difficult to offer definite advice as feeling of the tissues is key to a successful diagnosis. I would allow your results time to fully mature over 6 months and then reassess your results.  If you continue to have excess skin or fullness consistent with glandular breast tissue a revision surgery would be needed.  Hope this helps.

Thanks for your questions and photos.  Unfortunately, it looks as though all of the gland was not removed and that you were potentially over suctioned/emptied out.  This is a difficult problem to correct and a revision will likely be required, though I would not recommend any further procedure until at least 6 months after your original procedure.I would encourage you to discuss with your surgeon or to seek consultation with another ABPS-board certified plastic surgeon that has extensive gynecomastia experience and multiple before and after photos of results that you like.  Best wishes!

Schedule an appointment to see your surgeon to have him examine you in person. If you need need a revision, it is generally smart to wait until at least 6 months most op. Best of luck.