Gynecomastia Post Surgery Question. Can Massaging Ruin My Results?

Question

I recently had gynecomastia surgery and i misread the doctors post-op instructions. I was in pain so I rubbed underneath the nipple on the hard areas and it ended up giving me some relief. I did not know this was not permitted for quite some time after the surgery. I am almost 2 weeks post-op and have been gently massaging my chest under the nipple for about 5 days for maybe 4mins a day. Can this ruin the work he has done? Will this affect the final outcome? Hardness is less is this good or bad?

Jed H. Horowitz, MD, FACS · Answer

Massaging the areas will help soften the scar tissue which feel "lumpy” and irregular areas. This hardening or tight feeling will decreases with time and massaging can help it.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. 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.

Larry S. Nichter, MD, MS, FACS · Answer

I allow my patients to wear a loose bra after the surgery. The bra holds the breasts symmetrically during initial healing. Please see the below instructional video that our office has prepared for patients following breast augmentation and below link to post op instructions

Tim Neavin, MD · Answer

Every doc has there own post op protocols.  I keep patients wrapped for a few weeks which would make massaging difficult.  However, some docs think massaging helps edema subside.  I'd stick with the instructions you were provided.

Michael Constantin Gartner, DO · Answer

You should ask your surgeon about this, since they'll probably want to see you in person. In the meantime, please follow your surgeon's post-surgery care instructions.

Babak Dadvand, MD · Answer

Hi,Thanks for the post.  If your chest doesn't look like it has worsened as a result of the massage then you should likely be okay.  I typically do not have patients massage unless it is for a specific purpose (i.e. dissipation of scar tissue). At this point I recommend following up with your plastic surgeon for further recommendations. Sincerely,Dr. Dadvand

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