Ask a doctor

I still have puffy nipples 4 months after Gynecomastia surgery. Should I go back to the doctor? (photos)

To resume it: 1.- I had a gynecomstia surgery 4 months ago. 2.- When it happened, the doctor said "I left a little of gland under the área to avoide the nipple depression". And it was, when I'm touching myself, I feel the gland. Smaller that the first surgery, but they still there. 3.- The pictures talk for  themselves. 4.- Should I talk to my surgeon and say I want to remove all of the gland?

Doctor Answers 3

I still have puffy nipples 4 months after Gynecomastia surgery. Should I go back to the doctor?

January 29th, 2014
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question.

Sometimes the residual “puffiness” is related to residual breast and/or adipose tissue present.  It will be in your best interests  to be examined by your plastic surgeon  for accurate diagnosis and treatment recommendations. You should be aware that too much excision will leave you with a contour deformity and a “surgical look” that is aesthetically displeasing. I hope this helps.

Web reference: http://www.poustiplasticsurgery.com/Procedures/Procedure_gynecomastia.htm

Tom J. Pousti, MD, FACS


San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Post Op Gynecomastia Surgery Puffiness

January 8th, 2014
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes, consult with your surgeon. If a surgeon over-resects the tissue under the areola, the surgeon may cause a depression. The small amount of puffiness still may get better with time. In some cases, the surgeon may inject a local steroid into this tissue to remove inflammation and create subcutaneous atrophy.

Best wishes
George C. Peck, Jr, MD

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 22 reviews

What to Expect after Gynecomastia Surgery

November 22nd, 2016
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Web reference: http://www.pacificcenterplasticsurgery.com/for-men-procedures-newport-beach/gynecomastia/

Jed H. Horowitz, MD, FACS

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 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.