Is there still gland or it may be scar tissue? (photos)

Question

I had a rare gynecomastia type.i had both gland tissue and liposuction 7months ago.my doctor said he removed all the gland behind the nipple, but i still feeling some mass and as you see the areola is still puffy and in addition,the right nipple has a deformation. Is it possible that this is scar tissue?

Daniel Barrett, MD · Answer

Dear Rational276410,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether there's still a gland or perhaps scar tissue behind the nipple region after gynecomastia surgery which included the removal of the gland and liposuction seven months ago. Your pictures and history suggest you probably have scar tissue in this area. If you are overly concerned, you may consider obtaining an ultrasound or CT scan from this region. If there is further granular or scar tissue, this may be admirable to a reoperation. Caution must be given about having a revision of gynecomastia. If too much tissue is removed, you have an even more difficult problem to solve. If too much tissue is removed, you may require fat transfer to correct the defect or even pectoralis implants.
In conclusion, I think that you have scar tissue. If you are overly concerned, consider a radiographic examination. However, if you are considering revision surgery, please seek multiple opinions. Thank you for your excellent question regarding whether there's still a gland or perhaps scar tissue behind the nipple region after gynecomastia surgery, which included the removing the gland and liposuction seven months ago. 
Sincerely,
Dr. Katzen

Ajaya Kashyap, MD · Answer

Thank you for your query. When a Gynecomastia surgery is done a very small “button” of tissue is usually left right beneath the nipple, so that it does not sink in and produce a deformity. It is possible that a little more tissue than needed was left behind. It is also possible that you have scar tissue, but less likely. Please visit you plastic surgeon, have him examine you and address all your concerns. All the best!

Sean T. Lille, MD · Answer

Dear Rational, It is impossible to answer your questions without a physical exam to feel and assess what is there. Please see your surgeon again to be evaluated.

Connie Hiers, MD, FACS · Answer

Most gynecomastia includes both gland and fat. If liposuction only was done, some gland may still be present.

Is there still gland or it may be scar tissue? (photos)

Answers (6)

Answer: See your surgeon

Answer: See your surgeon

Answer: Gynecomastia

Answer: Gynecomastia

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Is there still gland or it may be scar tissue? (photos)

Answers (6)

Answer: See your surgeon

Answer: See your surgeon

Answer: Gynecomastia

Answer: Gynecomastia

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.