Is it normal for scar tissue to have that grainy/inconsistent tiny lump feeling?

Thank you for sharing your excellent question.  Scar tissue can heal in a number of different ways but it takes up to a year or longer to see/feel your long-term results.  If your surgeon feels that the scar tissue is healing poorly he can try dilute steroid injections to help soften it, while if it remains painful and thick a revision procedure to remove it may be required.  Hope this helps.

kangac. I appreciate your concern, and it sounds like you simply have some stubborn scar tissue left over from your surgery. This is often best treated with steroid injections. Follow up with your plastic surgeon to determine the best options for you. Good luck.

It's quite common for scar tissue, especially after surgery, to feel a bit grainy or have small lumps—these are usually fibrous nodules or adhesions forming as part of the healing process. At 6 months post-op, some firmness and irregular texture can still be normal as your body continues remodeling the tissue.
That said, the fact that one side is painful and has distinct nodules while the other is smooth does suggest some differences in healing or possibly minor complications like localized inflammation, small areas of fibrosis, or even trapped nerves.
Here are a few things to consider
• Normal healing: Scar tissue often feels firm or lumpy for many months and can remain somewhat tender.
• Pain: Persistent pain or increasing pain isn't typical and might warrant evaluation.
• Nodules: Small nodules can be from excess collagen or scar contracture but could also be small cysts or granulomas.
• Infection or inflammation: If you have redness, warmth, swelling, or worsening pain, that needs prompt attention.
• Physical therapy or massage: Gentle scar massage can sometimes help soften the tissue and improve mobility.
• Consult your surgeon or a specialist: Since it's painful and uneven, it’s a good idea to get a professional assessment to rule out complications like hypertrophic scarring, keloids, or other issues.
If the pain is worsening or you notice any signs of infection, increased swelling, or changes in the scar, definitely seek medical advice sooner rather than later.

Hi thanks for your question. The key to gynaecomastia surgery is to remove the tissue that makes the chest look female - this is the fat over the chest (most of it is removed via liposuction), and the glandular tissue behind the nipple (often removed via a scar around the nipple). Presumably this is what you have had done. As a PS I take care to leave a disc of glandular tissue behind the nipple around 1cm thick so that the nipple does not invert. This glandular tissue is often hard and I warn patients you may be still be able to feel the hard glandular tissue left behind and this can differ between the two sides. In addition to this there will be scarring from surgery. The latter you will be able to improve with scar massage and perhaps silicone but you wont change the residual glandular tissue left behind for very good reason. Consult with your plastic surgeon but this all sounds normal to me.

 it is normal to have some grainy feelings etc from the scar tissue. it will get softer over the course of an entire year. however, scar tissue will not totally go away since that is how we heal. I am not sure why you are still sore this far out but I am sure that it will get better with time and no treatment is required beyond just massaging the area.david berman md