Left Side Looking Bigger Than Right Side After Gynecomastia Surgery

It's still too early to judge your results. Best to give it a couple of months for the swelling to subside and things to even out.

Asymmetry during the healing process is not at all uncommon after any breast surgery. Also, your incisions will go through a maturation #process following #Gynecomastia #surgery. 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.

Some asymmetry is normal throughout the entire process start to finish.  Breasts start off asymmetrical, liposuction and glandular excision is somewhat different to small degrees, swelling will be asymmetric, healing is different, and the results will necessarily have some asymmetry.  Big asymmetry is uncommon and could be corrected generally in the office after 3 months under local anesthesia.

It is too early to assess the symmetry or outcome of your surgery.  Give it 6-8 weeks and communicate any concerns with your surgeon.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

It’s not unusual for patients to experience asymmetry
following the surgical management of gynecomastia. In the immediate
post-operative period, swelling and scarring may contribute to this asymmetry.
It takes about six to twelve months for swelling to spontaneously resolve. In
the majority of cases, patients are happy with their symmetry, once this
occurs.

                  Unfortunately
in a small number of patients, asymmetry persists after the resolution of
swelling. When this occurs revisional surgery is often necessary.

                  It’s
still very early in the post-operative course and your asymmetry may be related
to swelling. This swelling can be minimized by utilizing compression garments
and massage. Be patient and make sure you discuss your concerns with your
surgeon.