Areolas one month after gynecomastia surgery. Why are they so puffy? Will it get better? (Photo)

It is common for the nipples to start looking a bit puffy after you stop wearing the vest. You need to give it three months before you can tell the final result. Sometimes there can be some scar tissue build up beneatht the nipple. This can be treated with small amounts of steroid injections. Finally sometime the nipple is still too weak to stay flat and tight. The onyl thing you can do with this is to have a periareolar skin reduction which would leave you with a circular scar around the areola. check in with your surgeon. Good luck.

Swelling under
the nipple/areola complex is common after a Gynecomastia surgical
procedure. This will generally dissipate
over the first two to three months of healing.
However, it may take up to a year for the area to completely heal, and
for the swelling to fully resolve. The
amount of puffiness you are experiencing should not be a concern; I would
expect this to steadily improve over the coming months. If you have any questions however, contact
your plastic surgeon’s office.

Congratulations on your surgery.  It looks like you will have a great result.  At one month after surgery, every patient will have swelling.  In your case, it is making your areolas look puffy.  This will likely subside with time, but it may take several months.  Please be patient and wait for your body to recover.  If the area feels firm, it is a sign that there is swelling.  When this firmness resolve, the swelling should resolve as well.  If there is truly some residual glandular tissue that is causing the puffiness, your surgeon could easily remove a little bit more glandular tissue.  Please let him or her decide if this is necessary and when it should be done.