4 weeks post op, my nipple is folding. Does such nipple crease actually go away with time? (photo)
Doctor Answers 4
Healing & Assymetry After Gynecomastia Surgery
Asymmetry during the healing process is not at all uncommon after any breast surgery. Also, your incisions will go through a maturation #process following #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.
Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely.
Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. 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.
Folded nipple after gynecomastia surgery.
At this point in time, only your surgeon knows just how much or how little tissue remains, and this is such a common issue that only time will tell. Patients want "as much as possible" of their abnormal gynecomastia tissue removed, and (how do I put this delicately?) plastic surgeons who don't do this operation frequently are often quite eager to "get it all!" when in fact, a disc of tissue MUST be retained beneath the nipple/areola skin in order to prevent abnormal adherence to the underlying pec muscles. Your surgeon may have done everything perfectly, and this will gradually settle and be fine.
It's hard to tell from one photo if you have that concern or not, but for now, there's nothing to do but wait and see anyway. I would recommend massage to help soften and stretch any scar tissue you do have present, but you should wait at least 6-12 months before considering revisionary surgery (fat grafting). Best wishes! Dr. Tholen
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