Doming Areola After Gynecomastia Surgery

I am a male of 33 years old I have had gynecomastia surgery done 7 months ago I had the gland and the fat removed and the results are brilliant but my left areola is doming slightly and when I am cold the areola gets erect and stick out half an inch and its hurts and it is like hard rock can anyone please tell me why it is doming and what can I have done to stop it sticking out Thank you

Doctor Answers 7

Male breast reduction and residual tissue

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Residual breast tissue directly under the areola is common following male breast reduction for gynecomastia.  Revision can usually be accomplished under local anesthesia in the office. Perhaps you should discuss this with your surgeon.

Prominent Areola After Gynecomastia Surgery

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The fact that your areola swells upward like a dome suggests that its nerve supply was not interrupted by the surgery and that you MAY have enough residual breast gland of fat under the areola to push it forward. I would discuss this with your surgeon. He may be able to correct it with an office procedure.

Dr. Peter A Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Areola reduction

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Yes it is possible to do both procedures at the same time. However, most often I find that the it is best to do it separately. For on reason, sometimes when I anticipate two surgeries - the second one is not needed. When the skin retracts for example after liposuction of the breasts so does the areola (which is a skin appendage) which may satisfy your wishes.
For males with very large breasts staged procedures (more than one procedure) may be required. For example, the first procedure may be liposuction, then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.

Doming Areola After Gynecomastia Surgery

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Hi rodge,

Thanks for the post. You may have residual glandular tissue or excess scar formation. Your plastic surgeon would be best to evaluate this. That being said, if you initially had no firmness under the areola then it developed later, then it is likely scar tissue. If there has always been some firmness under the areola since surgery then it is likely residual breast tissue.


Dr. Dadvand

Many causes.

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It could be due to incomplete excision of the gland, scar tissue build-up, thick areola with a strong internal muscle, swelling  and not quite healed yet.  In any event it is easily correctable.

Revision surgery after gynecomastia

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You may have excess skin underneath the areola.  This can be revised right in the office under local anesthesia.

Painfull and protruding areola

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It may very well be that the excision was not complit  and in addition you may have developed scar tisse under the left may need addional excision and may be Kenalog injections to the breast.t

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.