3 weeks post lypo - firmness in chest. Is this swelling?

Im 3 weeks after male breast reduction . My doc only performed liposuctio based on sevrel tests. After surgery i was very happy the result was great. It looks good now too but i have a real firmness these past 2 days and at least one side looks bigger then it was a week ago. Is this swelling?

Doctor Answers 5

Your Healing Process After Gynecomastia Surgery

Following 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
4.9 out of 5 stars 110 reviews

Early Post Operative Healing

Hi manxo,

Thanks for the post. At 3 weeks you are very early in the healing process. It is not unusual to get firmness beginning at this time. Refer to the link below for more information. Typically, if it wasn't there initially it is likely scar tissue. I recommend that you be evaluated by your plastic surgeon. More than likely, you just need reassurance.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

3 weeks post lypo - firmness in chest. Is this swelling?

Best to follow up with your plastic surgeon will be in the best position, after physical examination, to help you with diagnosis, advice, and/or meaningful reassurance. Best wishes for an outcome that you will be pleased with long-term.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,501 reviews

3 weeks post lypo - firmness in chest. Is this swelling?

Firmness following liposuction is very common.  In the early stages of healing, most plastic surgeons recommend compression garments and massage.  If one side appears to be larger, would recommend contacting your plastic surgeon to make certain that you aren't developing a seroma (fluid collection).   Good luck with your continued recovery. 

R. Stewart Collins, MD
Raleigh-Durham Plastic Surgeon
4.4 out of 5 stars 17 reviews

3 Weeks Post Op

You are in the early healing stage.  Ask your surgeon if he would recommend deep tissue massage at this stage.  Many times this helps result firmness and swelling issues.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

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.