Nipple problems after gynecomastia surgery? (Photo)

Hi there. 4 weeks ago i had gyno surgery in both sides. A few days after i noticed that half of my left nipple turned Black, and half of the skin came off. Doc says it happens sometimes and not to worry. Now 4 weeks after the lower half is pink and the nipple is flat, not "pointy" in the middle and the scar is big compared to the right. Will the color return? Will the center of the nipple be "pointy" and normal again? Can i do anything to minimize/soften the scar or heal the damaged nipple?

Doctor Answers 7

Nipple healing issues

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Thank you for the photos.  At this point, you should let the tissues heal.  This often improves over time.  If there remains and color irregularities, this is easily correctible.  Scars that are wide can be excised.  Not to worry.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 53 reviews

Male breast reduction

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Hang in there, it will get better. The color will return but that can take months. As far as the nipple projection you may need to have something else done, But I would wait at least eight weeks before thinking about that. I will talk to your surgeon and I'm sure they will be able to help you get a better shape.Good luck!

Mark T. Boschert, MD
Saint Louis Plastic Surgeon
4.9 out of 5 stars 37 reviews

Nipple problems

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It looks like you had a little delayed healing. When this happens to the nipple, the nipple will turn pink like it did. Then it takes about 3 months for the color to return. Hang in there.

Wound healing problem after gynecomastia surgery

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Not much you can do at this point as it appears that you had a wound healing problem.  After the area has healed completely a revision may be in order. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Nipple problems after gynecomastia surgery

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Hi Danedelle,
Thanks for the post and the photos. At this time there is nothing that needs to be done. The color may return but really need to wait until you are at least 6 months out before deciding if anything else needs to be done.

Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

Nipple problems after gynecomastia surgery?

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At this point in healing process allow it to proceed fir next 3 months. Than determine if re=vision surgery can improve the appearances.....

Swelling, Scars & Nipple Concerns Following Surgery

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Your incisions will go through a maturation #process following #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.
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. 

In the future, if you are concerned with scars, with your surgeon's approval you may be able to use scar management treatments such as Biocornuem,  Scar Guard, Scar Fade,  IPL Laser,  Yag Laser,   5fu/Kenalog for thick scars, or silicone sheeting. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.