3 months post op gyno. Still looks swollen and puffy? Advise? (photo)

Question

I had gyno surgery 86 days ago and have just had my last checkup. My doc said everything is good but I still think it looks like gyno. The left side still has puffiness under and slightly around the nipple making a protruding look. Right nipple is less puffy. I can see the puffiness through shirts and makes me worried its permanent. I know theres scar tissue under the nipple but dont see how it would cause the soft and puffy nipple. puffiness seems to be worst the day after massaging the scar

Kenneth Hughes, MD · Answer

Recovery is patient dependent but is also is affected by the surgical technique employed.  You may notice swelling becoming minimal before six months and final results before 12.  Follow your plastic surgeon's post-operative guidelines to ensure the best results possible.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Miguel Delgado, MD · Answer

Swelling at 3 months is normal, it may be another 3 to 6 months before you see your final result. Discuss your concerns with your surgeon. Be sure to follow all post operative instructions, and try to be patient. Good luck.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. If you are unhappy with the results, you need to discuss that with your surgeon. If your surgeon does not share your assessment, then consider a second opinion with a plastic surgeon who is board certified by the American Board of Plastic Surgery.Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Matthew A. DelMauro, MD, FACS · Answer

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) It is still early after your surgery. Swelling often takes 3-6 months to resolve. External and internal scars soften with massage and with time. The puffiness may resolve. Be patient, and follow up with your plastic surgeon. Best of luck!
Matthew A. DelMauro, M.D.

Eric Desman, MD · Answer

Thank you for your question and photos. The final results from this surgery take about 9-12 months because your skin needs to contract after removal of the tissue. The best thing to do is to raise your concerns with your surgeon. I know it is difficult to "just wait", but that is likely the best thing to do at this point. I have seen many people have excellent long term results with exams that look like yours at 3 months. Good luck.

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Answers (9)

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Answer: Gynecomastia surgery 3 months ago. Still looks swollen and puffy. Is this normal?

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