Gynecomastia post op. Is my doctor going to make me live with these painful lumps? Why do they hurt? Will it get better?

Question

Had Puffy areola/cone shaped appearance in both sides of my chest. Lumps were painfull. Had lipo and exczicion.nearly 3 months post op now and my areolas are back to how they were, AND the lumps hurt even more now!!! saw my doctor and told him this but he was against taking out more of the gland out of fear of a crater deformity. The thing is that everytime i see him my chest is stimulated so he doesnt see what i see everyday. It is so clear that the remaining lumps are causing this cone shaped appearance

Ajaya Kashyap, MD · Answer

Thank you for your question.The lumps that you feel may be residual swelling or blood which will resolve. The puffiness of the nipples, when stimulated is likely because of the nerve and muscle cells in the nipple / areola area. Your surgeon can examine you and tell you about both the issues. In any case, it is too early to think of having more tissue removed at this time.  Please wait for at least 6 months to go by. All The Best !

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It is quite possible that a revision is warranted to improve the nipple's appearance.  If you are not satisfied with your operating surgeon, you may want to seek a second opinion.All the best,Dr. ResultsMiami, FL

Babak Dadvand, MD · Answer

Hi iamkevin,Thanks for the post and photos. This is a common issue on this forum. The puffiness is either due to scar or residual glandular tissue. Refer to the link for more information on how to differentiate. I recommend waiting until you are at least 6 months out from surgery before pursuing revision surgery. If it is scar tissue, then a trial of kenalog injections may help. Sincerely,Dr. Dadvand

Vasdev Rai, MD · Answer

Nobody else can read your doctor's plan about what he/she plans to do next.  More tissue removal is one of the options. Discuss with your surgeon.

Steven Holzman, MD · Answer

From your photos, you do seem to have some extra tissue behind your nipples since your surgery.  This can usually be corrected by removing some more tissue which I usually can do in the office under local anesthesia.  I would wait at least 1-2 more months before I think about having something done.  The pain should resolve by then and perhaps the bumps, which are probably scar tissue, should soften as well.

Gynecomastia post op. Is my doctor going to make me live with these painful lumps? Why do they hurt? Will it get better?

Answers (5)

Answer: It is a decision only your doctor can make

Answer: It is a decision only your doctor can make

Answer: Puffy Nipples after Gynecomastia Correction

Answer: Puffy Nipples after Gynecomastia Correction

Recommended reading

Everything you need to know about Gynecomastia Surgery

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Gynecomastia post op. Is my doctor going to make me live with these painful lumps? Why do they hurt? Will it get better?

Answers (5)

Answer: It is a decision only your doctor can make

Answer: It is a decision only your doctor can make

Answer: Puffy Nipples after Gynecomastia Correction

Answer: Puffy Nipples after Gynecomastia Correction

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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.