Deformed Chest After Male Breast Reduction?

Swelling persists for months after gynecomastia.  Sometimes I inject a dilute steroid into the edema behind the nipple to expedite the healing.  No need to rush into anything right now.  Asymmetry and firmness are normal at this point.

3.5 weeks after surgery is still early in your recovery. You should wait a few months before you judge your results, as you may be affected by swelling. You can ask your surgeon about whether massage will help the uneven contours.

It is too early to tell whether the contour irregularities are typical swelling after gynecomastia reduction or something that may require further intervention.  I suggest waiting and communicating with your surgeon.  Good luck and be safe.John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

                  It’s
not unusual to have minor contour irregularities following the surgical
management of gynecomastia. These changes are often the result of swelling and
scarring, and tend to improve with the passage of time. They often present as
lumps and bumps and other types of contour irregularities.

                  In
the immediate post-operative period compression and massage can facilitate
remodeling. Surgical revision may rarely be necessary.

                  It
usually takes six to twelve months before a decision can be made regarding
revisonal surgery. It takes at least this long for swelling and scarring to
completely resolve. It’s important to discuss these issues with your surgeon
who can reassure you regarding your clinical course. 

Your body will be going through a healing phase.  Scar tissue is certanly present and requires time to resolve.  The shape sometimes takes four to six weeks to see the outcome.  The swellig needs to come down during this time frame.  The sharp pains will resolve as well.

The pain you are experiencing is a little much but the irregularities are common.  With time, the pain and the contour issues will improve.  I would not even consider any revisional surgery for a year and you probably won't need it.  Hang in there.

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Your results are very normal and I would not at all use a strong word like deformed to describe your outcome. The lumps are extremely common and to be expected. The scar tissue is actively and normally forming at 3 1/2 weeks postoperatively.
Perform scar massage if permitted by your surgeon and give it at least 3-4 months before assessing the results of your surgery.

It is common to feel lumps in areas where you had liposuction. It is true that these are areas of scar tissue and will decrease over time. To speed the resolution of this, you should begin massaging the areas that feel lumpy. This will help break up the scar tissue and smooth things out. While it can take 6-12 months to smooth out, most poeple find that it gets much better after only 2-3 months.
The pain you feel is because your underlying muscle (pectoralis) is bruised and swollen from the procedure. Muscle spasms are common during the first 4-6 weeks - think of it like a muscle pull that takes a while to heal.

Hi Tortuga4,Thanks for the post. The first thing I would say is that at 3.5 weeks you are very early in the healing curve. Around this time it is not unusual to develop some scar tissue which can feel firm and sometimes painful. Certain thngs such as stretching and massage can help with this scar tissue. Time, however, is the best medicine, and typically final results can take up to 6 months.  Be in close communication with your surgeon.Sincerely,Dr. Dadvand

Although it is difficult to view a single image and draw a definite conclusion, in viewing your photo under magnification, I see nothing that looks unusual for your stage of healing following liposuction of gynecomastia.  Assuming that you did your homework and picked a well trained and experienced surgeon, I would suggest that you have that person examine your chest and take their advice regarding your condition.  And lastly, be as patient as possible, since it takes a long time to realize the final result after gynecomastia surgery.I hope that answers your questions.  Good luck!