Puffy nipples after 2.5 years of gynecomastia surgery. Is this normal? (Photo)

had gynecomastia surgery 2.5 years ago and the results were fantastic. But, still sometime both my nipples get puffy and when I pinch them then they return back to normal just like when I had gynecomastia. So is this normal and I do not need to worry about gynecomastia recurring?

Doctor Answers 6

Nipple Puffiness After Male Breast Reduction Surgery

Following #Gynecomastia #surgery, your incisions will go through a maturation #process. 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.

Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Puffy nipples

You will need an in person evaluation. However, judging from these limited it appears you may need additional resection of residual glandular tissue or maybe recontouring with liposuction.  

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 16 reviews

Swollen nipples

Thank you for the photos and question and it is very unusual for there to be recurrence it the gland was fully excised at the time of your surgery.  So see your surgeon or another expert in the area and be evaluated

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 58 reviews

Puffy nipples after 2.5 years of gynecomastia surgery. Is this normal?

Thank you for your questions and photographs.  It is difficult to determine if you have any residual glandular tissue after surgery, or if you have any current risk factors (supplement or medicine use) that may be exacerbating any residual breast tissue, but the puffiness in your nipple sounds to be normal.  If it is something different for you, then see your surgeon for an in-person evaluation and discussion.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Puffy Nipples After Gynecomastia Surgery

Hi manufan7,
Thanks for the post and photos.  It would be unusual for the gynecomastia to recur unless you were taking any medications or supplements that could stimulate any residual breast tissue. The puffiness you are describing is simply the areola relaxing when warm and tightening when cold or stimulated. This is a normal phenomenon.

Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 39 reviews

Results after gynecomastia surgery

True glandular gynecomastia does not return after surgery. You can certainly gain weight from fat increase. More likely than not you are describing just the relaxation of the areola when you are relaxed or warm. When you pinch the skin the areola conracts and flattens the tissue beneath the nipple.

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.