Why do I have indents on my chest after gynecomastia surgery? (Photos)

Question

I'm a little over 10 months post-op on my gynecomastia surgery. I had gland removal. For the most part healing has gone fine, but whenever I move certain ways, put my hands behind my back, or flex, you can see these weird indents, almost like bands of tissue all across my pecs. Is this scar tissue? Swelling? Will it go away on its own or will i need another surgery ? My areola looks weird. Please tell me how it looks to you.

Michael J. Denk, MD, FACS · Answer

Yes, at this point you are seeing the effects of scar tissue. Unfortunately, most of the swelling is gone by 10 months post-op, so your indentations and irregularities are permanent. A secondary procedure involving liposuction and fat grafting should be able to produce more favorable results. My advice is to seek consultation with a board certified plastic surgeon who is experienced in treating gynecomastia patients. Before and after photo galleries can be helpful in identifying your choices. Best of luck.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  Unfortunately most of all your swelling is gone.  You may need to have a secondary procedure to help break down the scar tissue.  I would suggest following up with your PS and addressing your concerns.  Best of luck to you.

Ashley Thorburn, MD · Answer

Indentations on the chest following gynecomastia surgery can occur for several reasons:1. Surgical Technique: The surgical technique used during gynecomastia surgery can impact the final appearance of the chest. If too much glandular tissue or fat is removed in certain areas, it can result in indentations or unevenness.2. Swelling and Bruising: In the immediate aftermath of surgery, swelling and bruising are common. This can make the chest appear uneven, but it often resolves as healing progresses.3. Scar Tissue Formation: The development of scar tissue, especially if it contracts unevenly, can create indentations on the chest. 4. Incomplete Healing: It takes time for the body to fully heal after surgery. If the healing process is uneven, it can lead to uneven contours in the chest area.5. Surgeon’s Skill: The skill and experience of the surgeon play a crucial role in achieving a smooth and even result. Choosing a skilled and experienced plastic surgeon is essential to minimize the risk of post-operative indentations.If you’re concerned about indentations following gynecomastia surgery, it’s important to consult with your surgeon. They can assess your specific situation and provide guidance on whether any further intervention or treatments are necessary to address the issue.

Christopher L. Hess, MD · Answer

The creases you have are due to scarring of the underlying tissue.  When just the breast tissue is removed the skin will scar down to the vacant site. In virtually all cases of gynecomastia I feel that it's necessary to do liposuction in addition to the excision of tissue.  This allows for the skin to redrape so that creases are minimized.  Because your skin already has significant memory in the creases it will likely require a combination of procedures to get it right.

Why do I have indents on my chest after gynecomastia surgery? (Photos)

Answers (4)

Answer: Creases After Gynecomastia Surgery

Answer: Creases After Gynecomastia Surgery

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Everything you need to know about Gynecomastia Surgery

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Why do I have indents on my chest after gynecomastia surgery? (Photos)

Answers (4)

Answer: Creases After Gynecomastia Surgery

Answer: Creases After Gynecomastia Surgery

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Recommended reading

Everything you need to know about Gynecomastia Surgery

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