Little Difference After Gynecomastia Surgery - Is That Normal?

i had gynecomastia and a tummy tuck surgery 3 weeks ago, my doctor said he did liposuction, removed breast tissue and skin from around the nipples. yet i don't see much difference is that normal? or was the operation a flop? and i still have one breast larger than the other,the tummy tuck was acceptable i thought. what would you suggest and thanks in advance for your help

Doctor Answers 12

Gynecomastia Surgery

Three weeks is too soon to judge results after cosmetic surgery. There is often swelling which will take months to resolve. During this time your results will improve gradually. After gynecomastia surgery, you must allow time fro the results to improve. From El Paso.

El Paso Plastic Surgeon
4.9 out of 5 stars 140 reviews

Healing Process

Thank you for your question.

After your #gynecomastia #surgery, #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. The compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will heal.

It will take up to six months to see the final results.

In the meantime, if you have major concerns, please contact your #BoardCertified #PlasticSurgeon for an in-person consultation.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Little Difference After Gynecomastia Surgery


Thanks for the post and photos. At three weeks you are very early in the healing process and can expect some changes in the chest. I recommend waiting at least 6 months before undergoing any revision surgery. Based on the preoperative photo and the early post operative photo there is a good chance that you may need more skin resection. I would stay in close communication with you plastic surgeon during the healing process and evaluate your options she you are closer to 6 months out from surgery.


Dr. Dadvand 

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 44 reviews

Little Difference After Gynecomastia Surgery - Is That Normal?

It is likely too early to tell.  However, judging from your photo, you may need additional skin resection to better contour your chest given the excessive loose skin.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 82 reviews

Be patient

You have one of the most difficult gynecomastia cases. You describe the proper approach for your case. You still have swelling. The photos display a fair amount of tissue still present and your skin before surgery is an issue. Give it more time then discuss your concerns with you plastic surgeon.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 reviews

It is a coplex gynecomastia case

You case is not simple and time is of essence,you should wait longer to make a final decision,however it seems that you will need more glandular excision in the future.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 74 reviews

How fully has the gynecomastia surgery addressed the breast enlargement

There appears to be a significant difference in time between the pre-op photo available versus the immediate post-op ones. Nevertheless, there is a noticeable difference in appearance. Whether or not this will completely treat your gynecomastia is not entirely clear as it is too early yet. At 3 weeks you will still have considerable swelling which may 6 months or more to nearly totally resolve.

Therefore, I would presently discuss your concerns now with your plastic surgeon but wait at least 6 months to a year to determine whether additional surgery would be necessary.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

Results after gynecomastia surgery

It can take up to six months or longer to see your final results after gynecomastia (male breast reduction); especially if liposuction was performed. The skin needs time to shrink and contract and also to allow for the swelling to resolve. You should wear a compressive garment for about four to six weeks right after surgery to help control the skin contour.

Be patient but check in with your plastic surgeon at regular intervals for follow up.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 377 reviews

To soon

with liposuction you will have significant swelling.  be patient.  wear your compression garment.  you will need to weight a good 3 months-6 months before analyzing your results.  You likely still have swelling, and a lot of it will improve.

Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
4.7 out of 5 stars 106 reviews


The preop photo appears to be a younger individual. In any case it is still early,however you may require a glandular excision .

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 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.