Nipple Appearance After Gynecomastia Surgery

I am an extreme weight loss patient. 2 weeks ago, I underwent a gynocomastia excision procedure along with extended tummy tuck. 200 grams of breast tissue was removed.. and a slight crescent mastopexy was performed, to correct my slightly low nipple position. My chest was a lot bigger before, and it sagged. It no longer does that.. definately it lays a lot flatter. However, my nipple however look wrinkles along the incision, and the contour is cratered on one side. Is it too early to tell or is this normal?

Doctor Answers 12

Nipple Appearance After Gynecomastia Surgery

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The areas after Gynecomastia Surgery may feel “lumpy” or irregular, and should decreases with time. Often massaging these areas will help soften the scar tissue. Also, 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. It's possible that any indentations could be addressed with fat grafting or cosmetic filler(s) if eligible.

Typically, its best to wait at least one year following the initial surgery to consider a revision. It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Nipple Appearance After Gynecomastia Surgery

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Hi 3844anon,

Thank you for the post and photo. At 2 weeks it is too early to tell. Final results are typically measured in months not weeks. I recommend to be patient at this point in time.

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

Wrinkling will go away

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This should resolve as time passes. Let a few months go by before assessing your results. The tissues in the area need to relax and this wrinkling will probably go away.

Nipple Appearance After Gynecomastia Surgery

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I think your surgeon did a really good job.  Give it more time to heal.  The wrinkling will likely resolve over time.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 88 reviews

Wound Healing Following Gynecomastia Surgery

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                  It appears that you have undergone a peri-areolar mastopexy in combination with your gynecomastia surgery. When this type of procedure is performed, gathering of the skin occurs which results in the wrinkling that you describe. This wrinkling tends to resolve with the passage of time.

                  After two weeks this would be an anticipated finding. It’s important to be patient because wound healing can take up to a year following surgery. If a scar revision is necessary it should not be performed for at least a year after the original procedure. If you’re concerned about this issue, then consultation with your surgeon would be appropriate. 

Male Breast Reduction Surgery,early results.future revision?

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 The photos are too early post op.I do understand the position of the patient and his desire to look good instantly. Unfortunately the healing is sometime a slow process and require patience.The time to judge it is 6 months and after. Should this patient be unhappy later on he should contact his surgeon for possible revision.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 89 reviews

Appearance of nipples after gynecomastia surgery

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In massive weight loss patients, the limiting factor for a good result is the quality of your skin. In many massive weight loss patients, their skin has been damaged as well. If your skin does not have good elasticity liposuction alone is not a good option for you. Your plastic surgeon should evaluate the quality of your skin and described the type of partial mastectomies that may be a good option for you. Keep in mind that the scarring after these procedures can be significant. Also discuss with your plastic surgeon the possibility of keeping the nipple attached to the underlying tissue or if it indeed has to be removed and used as a graft. If the nipple is to be removed and grafted, you will lose most sensation from the nipple.

It takes time to heal after gynecomastia surgery

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Your photo shows a very nice result for 2 weeks after surgery.  I would expect wrinkies along your areolar scar this early postop.  This will flatten with time.  If not, a revision is easy.  Try to remember, each breast had its own operation and therefore heals slightly differently from the other side, so for a few months you cannot consider the result final.

Bruce E. Genter, MD, FACS
Abington Plastic Surgeon
4.3 out of 5 stars 17 reviews

Gynecomastia and sagging nipples, loose skin, and craters

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Yes, it is definitely too early. Although the extra skin may persist, it is best to wait and allow for skin heaing and contraction. Wait at least 4-6 months before contemplating any revision procedures.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Good now - better later

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The results look good. Two weeks is extremely early in the recovery process. Wrinkling around a periareolar lift can occur but resolves with time. The contour will improve over time also.

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.