Revision required 3 weeks after Gynecomastia? (photo)

It is too early to make judgements about the results. It is normal for scar tissue to develop. It usually feels tight and a little lumpy for the first six weeks and things get softer over the following six weeks. Hang in there.

BRUISING AND SWELLING: 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. The compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will heal.NUMBNESS: It is normal to experience numbness around the areola and chest. As your body heals, you may notice random bursts of pain in your chest. This is usually a sign that the numbness is subsiding.LUMPINESS: 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.ACTIVITIES: If your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause pain. Wait at least 4 weeks to begin aerobic exercise.As with all operations, pain and discomfort varies greatly from patient to patient. Generally, one should expect that pain medication will be required for the first several days. Continuing discomfort can last varying amounts of time. The best thing to do in order to receive answers for post-operative healing is to visit your surgeon and have the area examined to make sure that everything is progressing as it should or if any corrections or revisions are needed. At three weeks it is not likely that healing has progressed enough for a revision to be completed, but your own surgeon will have the best answers in response to your case. Good luck.

This is way too early to discuss outcomes and certainly scar as you are still healing and scar tissue is only getting started.    Give this about 3 months and bring up concerns during your followups with your surgeon.  Best Wishes!!

One of the hardest things about any kind of cosmetic surgery is waiting for your final results. It takes time for your body to fully heal and for the swelling to subside. I always encourage patients to wait at least 6 months before judging their final results. If, at that point, you still aren't happy then schedule an appointment to speak with your surgeon. Best of luck.

I am sorry to hear about your concerns after gynecomastia surgery. Your surgeon will always be your best resource for accurate diagnosis, advice, and/or meaningful reassurance.   It will be your best interest to allow for at least 3 to 6 months to pass before evaluating the final outcome of the procedure performed.  At that point, it will be possible to determine whether  any residual "mass" is related to residual breast tissue or maturing scar tissue (or residual swelling...).   Treatment of course will vary depending on this diagnosis.  Again, key will be close follow-up with your surgeon and ongoing patience once acute complications have been ruled out. Best wishes.

Thank you for sharing a photo. I'm sure it is frustrating for you to be dealing with you believe to be a less than ideal result after surgery. It is too early to judge the final outcome. You may very well see a significant change over the next weeks. Continue taking weekly photos to see if there is measurable change. Have regular scheduled follow ups with your plastic surgeon. Most plastic surgeons have a 3 month post - op appointment scheduled just to check on progress, with appointments available as needed fr critical issues. Patients who have previously undergone gynecomastia surgery and felt that their results were not ideal, and who are seeking an improvement of their chest area appearance. The most frequently encountered problems are the following:

Liposuction only was performed, leaving behind a mass of breast tissue behind the areola.Over-resection of breast tissue behind the areola resulting in nipple retraction, areolar indentation/depression, or chest area surface irregularities.A deflated appearance from excessive tissue removal.Unfavorable scarring from skin excision procedures.It is obviously a very difficult and frustrating experience for a man to seek surgical improvement of a problem area that keeps them from being comfortable without a shirt on, and to end up with a post-surgical problem that leaves them with the same or a similar situation. The good news is that essentially all unfavorable results from prior gynecomastia surgery can be improved with careful preoperative evaluation and re-operative treatment planning.

The improvement of unfavorable results may require any number of surgical techniques including additional adipose and/or breast tissue removal, replacement of tissue using structural fat grafting and/or dermal-fat grafts, revision of scars, and removal of excess skin. While in some cases there are inherent limitations to the degree of improvement that is possible, most problems can be improved dramatically and some can be completely corrected.At this moment, do your best to be patient, while sharing your concerns with your plastic surgeon. Hopefully you can find comfort in knowing that revision surgery is an option if your situation does not change.Ideally, you will post and update with a new photo that is close to the goal you had in mind when undergoing this surgery.

 you need to be much more patient. you may be very pleasantly surprised how much it improves and equalizes fi you give it a year.it is normal to be anxious early on but try and be patient. david berman md

Relax. Your early results are excellent. It will take months for all of the swelling to resolve and for the scar tissue to soften. Discuss your concerns with your surgeon but try to be patient. Best wishes.