What are the folds of skin under the nipple? Will they eventually flatten out?

Question

This is 2 weeks post op.I had gland excision and liposuction done.I am aware that it takes a minimum of 6 months to really heal up and make an assessment. I am massaging to soften the scar tissue once a day for a few minutes. Also what is the dark spot on my left nipple? It feels like it may be scabbing? Idk. My left side is also depressed and looks like it could end up being a crater deformity I hope it heals up and evens out...How long does it take the nipples typically to shrink up and even out?

Marc DuPéré, MD · Answer

Thank you for your question and for the
pictures you sent us.

It is too early to fully criticize the
results, yet, it looks like you not only had excess of glandular tissue but
also an excess of skin (there is a variation in severity of gynecomastia).It would also help to see your BEFORE pictures.

Younger tighter skin does have the potential for elasticity and recoil, so best to wait for now... as it may get better over time.  But in my experience, you may require a redraping procedure (and skin
excision) as in a #mastopexy.  You might be a candidate for
the donut (Benelli) procedure (breast lift) so the scar is all around the
areola.  Larger breasts require the
lollipop or anchor-style procedure.

The black part might be a small delay in
healing. Sometimes we see this with the use of electrocautery and even with some types of liposuction.  I would recommend polysporin
ointment daily on it but best would be to visit your surgeon for his/her own
recommendations.

Hope this helps!

All the best,

#DrMarcDuPere, Toronto board-certified
Plastic Surgeon

Vincent N. Zubowicz, MD · Answer

Swelling within the skin can create the contour abnormalities shown in the photographs. These are fairly common two weeks. They should get better with time. If there is surplus skin creating this problem it will need to be excised. You won't  Know this for several months.

Babak Dadvand, MD · Answer

Hi cc179536,First of all, I would preface what I am about to say with the fact that you are only 2 weeks out from surgery. That being said, The folds of skin are due to one of three things:1. Uneven resection (either through liposuction or direct excision, which leaves uneven thickness under the skin)2. Differential skin redraping: This means that the skin has not redraped at the same rate in the lower half of the breast as it did in the upper half.3. Loose skin preoperatively: Men who have not only excess breast tissue but also excess skin or borderline or poor skin tone will not redrape predictably well. If this is the case you will need a secondary procedure to tighten the skin. As for the dark discoloration underneath your left nipple, it is difficult to give you an absolute answer based on the photos. However, in some cases the creasing can lead to increased moisture in the area that can macerate the areola and cause discoloration and even skin breakdown. My best advice is to be in close contact with your plastic surgeon during your healing process.Hope that helps,Dr. Dadvand

Stephen M. Davis, MD, FACS · Answer

This appears to be where the removal of breast tissue was not even ( underneath the skin). There is also a good possibility that the skin is not shrinking uniformly, therefore it is falling and rippling. I would speak with your surgeon about this, it seems the breast skin needs to be lifted up and held in that position while it shrinks in a better position. I would talk to your surgeon about the scab. These observations are only based on photos and not an in person physical examination. Before you do anything speak with your surgeon to ensure you understand hat is happening and how best to manage the issues.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic SurgeryNashville, Tennessee

What are the folds of skin under the nipple? Will they eventually flatten out?

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Answer: What are the folds of skin under the nipple? Will they eventually flatten out?

Answer: What are the folds of skin under the nipple? Will they eventually flatten out?

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What are the folds of skin under the nipple? Will they eventually flatten out?

Answers (4)

Answer: What are the folds of skin under the nipple? Will they eventually flatten out?

Answer: What are the folds of skin under the nipple? Will they eventually flatten out?

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Everything you need to know about Gynecomastia Surgery

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