I'm 3 months post gynecomastia surgery (liposuction only) and still have puffy nipples. Will it get flatter still? (photo)

The left side is a little puffy but the right side is more puffy. With it being 3 months post operation will it get flatter? Or is it possibly scar tissue under there and still needs more time? Thank you

Doctor Answers 5

Post Gynecomastia Surgery Healing and Expectations

The #recurrence of breast enlargement is uncommon following #gynecomastia surgery. However, it can occur. If this happens, you may require further surgery in the future. Each patient is unique and previous #results are not a guarantee for individual outcomes. Following surgery, your incisions will go through a maturation process. 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. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Areola swelling after gynecomastia treatment with liposuction

Three months after surgery you should have close to permanent result regarding nipple/areola size. However, it is not unusual to see redundant breast tissue underneath areola after liposuction only. Regardless how aggressive liposuction is performed in that area, a small amount of hard gland may still be present after procedure. Direct excision in local anesthesia will address this residual deformity. You may discuss this option with your surgeon. Good luck.

Zoran Potparic, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 17 reviews


Hi Matt. Congratulations on the very nice post-op result. The puffiness is now permanent and is completely within the norm. Next tome you see your surgeon give him a big hug for a job well done. 

Max Gouverne, MD
Corpus Christi Plastic Surgeon
4.6 out of 5 stars 31 reviews

Puffy nipples

Thank you for your question and photos. There can still be some scar tissue that feels firm under the nipple after gynecomastia resection if your surgeon used a small incision there. If it was done by liposuction alone, it might be some swelling or some gynecomastia glandular tissue that is still there. either way, I recommend close follow-up with your Plastic Surgeon until you have the results you desire. 

Steven L. Robinson, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 11 reviews

Puffy nipples

Thanks for your question.  You overall appear to have a good result. At three months, you will likely not change much more.  Although liposuction is a good tool, I find that it is many times difficult to fully address gynecomastia with liposuction alone.  Breast tissue is extremely dense and may require direct excison with an incision around the areola.  Discuss this with your surgeon.  That being said, I think that you have a very natural and excellent result. Best Regards.

Anthony Deboni, MD
Syracuse Plastic Surgeon
4.9 out of 5 stars 32 reviews

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.