Gynecomastia - Asymmetric Chest Post-Op? (photo)

Hi :) I underwent a pseudo-Gyno operation 5 months ago. (Only Lypo.) 2 months post-op, it felt like there was some residual tissue under my left nipple area, compared to my my right one. 5 months post-op, it's still "there". 1. I know it's hard to be impressed with pictures, but do you see what I'm talking about? What could it be? 2. I feel the nipples are not placed symmetrically. I also wish they would be just a little bit higher and inner on the chest. What can be done? Thank you :)

Doctor Answers 6

Healing & Assymetry After Gynecomastia Surgery

Asymmetry during the healing process is not at all uncommon after any breast surgery.
Also, 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. 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 94 reviews

Areola Asymmetry and Tissue Discrepancy after Male Breast Reduction

   As a bodybuilder and a plastic surgeon, let me say that the result is pretty close, but the left can undergo additional liposuction or resection.  I would try to liposuction that bit out, because the incision used for the gynecomastectomy can cause areolar widening.  With regard to moving the areolae, I would not do this, because the size and shape will be somewhat unpredictable and areolae can widen.  Your asymmetry is slight and I would leave it.  Kenneth Hughes, MD male breast reduction Los Angeles, CA


Yes it seems that you have an asymmetry probably due to gland or fibrous tissue under the left nipple, which probably would need another operation to correct. It is better not to do any extra operation to relocate the nipple. This will be quite symmetric after removing the excess of the gland.

Jesus Benito-Ruiz, MD
Spain Plastic Surgeon
3.0 out of 5 stars 3 reviews

Excess tissue under one nipple

It does look like you have some tissue under the left nipple. This may due to under resection from liposuction or could be glandular tissue that would require direct excision. Best to be seen in person.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Liposuction only

You probably have gland tissue or gland fibrous tissue on the left side. I well need to be excised.The surgery does not relocate the nipple, this is done but cutting and relocating the nipple which  would not advise due to the extra scarring.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 63 reviews


From the pictures posted, you have significant asymmetry in both breasts after liposuction. You do have residual breast tissue and asymmetry in the liposuction.

Consult a Board Certified Plastic Surgeon for discussing the options you have

Samir Shureih, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 6 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.