4 months post gyno surgery, still having same symptoms/issues prior. Not sure what to do anymore/who to go to. (photos)

Just over 4 months out of gyno surgery and Im still dealing with my nipples being very puffy when they aren't stimulated, but when cold/pinched they look almost fine. Surgeon said he removed a decent sized mass from behind each areola, but I can still feel a solid lump behind both of them. I'm an athlete and in good shape so I don't think it is fat, and the scar tissue of the incision is gone so I don't think its that either. Im tired of never taking my shirt off/being joked about. What can I do

Doctor Answers 1

Healing Process Post Male Breast Reduction

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. 

Usually 1 week after #gynecomastia surgery you can begin taking moderate walks or ride a stationary bike. Strenuous workouts or aerobic #exercise can begin around 4 weeks post-op. I suggest you get approval from your doctor before you begin any physical activity and workout regimens. It important to prevent any damage to the surgical sites as you are healing. This will decrease your chance of requiring #revision procedures in the future. The best advice is to be patient as it is still very early in your post-operative #healing. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

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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.