I'm a little over 3 months postop on my gynecomastia surgery. I had gland removal and lipo. 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 ? Ive been massaging daily since about 3 weeks post up and wearing a compression stage 2 vest. surgeon is in another city
Why Do I Have Indents on Chest After Gynecomastia Surgery?
Doctor Answers 9
3 Months after Gynecomastia Surgery and Indentations
You appear to still be swollen. However, getting the skin in this area to retract perfectly after liposuction if the preoperative breast is large is quite a task. Sometimes, the area can be improved with additional intervention, but I would wait at least 6 months. Kenneth Hughes, MD Los Angeles, CA
Post op swelling is normal
Swelling can take months to completely disappear. Follow your surgeon's instructions for post operative care. He may want you to continue the massages, and wear your garment on occasion until completely healed.
Post-op swelling can be irregular
Hang in there-- the swelling can take months.
If it remains irregular, a small touch up can be done, usually in the office.
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Indentation Concern Following Gynocomastia Surgery
Indents on Chest After Gynecomastia Surgery
Thanks for the post and the photo. At 3 months you are still in the recovery phase. It could be swelling, scar tissue, or over-resection or liposuction in certain areas. It is not unusual to still see the skin redraping. I recommend waiting at least 6 months before deciding on whether a revision will be necessary.
Irregularities following Gynecomastia Procedures
It is not have uncommon to have some irregularities shortly after gynecomastia breast reduction procedures. Often this is due to swelling that takes many months to resolve. If the irregularities persist nearly a year or more following surgery there are methods to improve the contour.
Contour irregularity after gynecomastia surgery
Depending on how extensive your resection was, it is common to have swelling and mild contour irregularities post-operatively. These improve over time, and I'm a fan of massage, which it sounds like you're doing. You should massage vigorously enough to break up any underlying scar tissue, which might cause tethering of the skin to the underlying chest wall. You should see improvement over time, and you shouldn't consider any sort of revision before 9 months to a year.
Gynecomastia surgery 3 months post-op
At three months post-op there could be a lot of swelling. There is a very fine line to adequate resection and slight overresection.
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