Gynecomastia Surgery 1st Week Appearance Good or Bad?

Regardless of the technique some asymmetry of the breast during gynecomastia convalescence is expected. This should improve with time.

You are only one week out of surgery.  All that you describe sounds normal. Your chest contour will improve over the next 2-3 months.  Continue to wear your compression garment because it is helpful to maximize your final result.

Dr. ES

While it is understandable to be overly vigilant post surgery, it is early and you have a healing process that will take months and not weeks. Express your concerns to your surgeon, and he or she will check you as necessary.

At one week it is too early to tell how things will look in a few months. But they will undergo changes as the swelling dissipates.