Normal After Gynocomastia To Have Hardness Under Nipple?

Hello, i had gyno surgery. i'm six weeks post op and on my right nipple there is a hardness directly under it and around it where hte tissue is extremely firm is this normal or should i consult my surgeon?

Doctor Answers 10

Hardness under nipple after gynecomastia surgery

Your instinct is correct. It is always advisable to see your plastic surgeon if you have an postop concerns. You may be feeling residual swelling, scar tissue formation or possibly a seroma collection in this area but only an exam will elucidate whether this is part of the normal healing process or something which requires intervention.

Early Healing After Gynecomastia Surgery

Hi zess21,

Thanks for the post. If the hardness has been there since your surgery then it is likely excess gland tissue that wasn't resected. If it has only developed in the last several weeks then it is likely scar tissue. This may improve with massage techniques and if that does not help, then kenalog injections. I recommend you stay in contact with your plastic surgeon.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 37 reviews

Gynecomastia surgery Results?

Thank you for the question.

At this stage in your your recovery it will not be possible to determine what is firm tissue related to swelling/inflammation, scarring, or residual  breast tissue. I would suggest waiting 3 to 6 months before beginning to evaluate the end results of surgery.

I would also suggest continued patience and follow up with your plastic surgeon.

Best wishes.

Normal Scar Tissue

This represents scar tissue in the area.  It is normal and should become softer  over time.  Some times it represents residual breast gland tissue, but i would not assume this at this time. Remember, the right and left side is always different.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 62 reviews

Scar Tissue

Dear Patient,

The hardness you are feeling may be normal. There is a possibility that it may be scar tissue. Scar tissue is the fibrous connective tissue which forms a scar; it can be found on any tissue on the body. Scar tissue, in general, does NOT go away. Adhesions, which are a form of scar tissue, can usually be broken loose through physical therapy. That can take time. It is best you consult your physician that did your surgery. Regards.


Teanoosh Zadeh, MD, FRCSC
Montreal Plastic Surgeon
5.0 out of 5 stars 4 reviews

Swelling after gynocomastia


Thank you for your question.

 It is normal to have some hardness from swelling but I agree that it would be best to consult with your board certified lastic surgeon to make sure the healing process is going as planned.

Best of luck!

 Dr. Speron

Sam Speron, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 1 review

Hardness beneath the nipple after gynecomastia surgery

It's pretty normal to have an area beneath the nipple get hard, especially at the time you are. For the first 6 weeks, scar tissue forms which gets hard. During the next 6 weeks this generally gets softer and more flat. Continue to massage. Also, check with your surgeon, sometimes a steroid injection can be used.

Nipple Firmness After Gynecomastia Reduction

While firmness underneath the nipple can be a normal part of the early recovery phase, it is important that you go back and be evaluated by your surgeon. This would be particularly important if it is just hard on one side and that breast shows more swelling and fullness compared to the other side.

Gynecomastia surgery

If you have concerns about unusual firmness under the nipple after surgery, then it is probalby a good idea to see your surgeon for evaluation.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Normal After Gynocomastia To Have Hardness Under Nipple?

Firmness under the nipple is very common after gynceomastia surgery.  It 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 66 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.