Left Side Looking Bigger Than Right Side After Gynecomastia Surgery

Hi I have had a gynecomastia surgery to both sides of my chest, but after a week the left side looked the same prior to the surgery. It has been 3 1/2 weeks now and the left side is still looking the same while the right side has decreased. What should I do?

Doctor Answers 15

Asymmetry After Gynecomastia Surgery

Hi Manchester9828,

Thanks for the post. It would be helpful if you could provide a photo. At 3-4 weeks you are still early in your healing and there is still settling that will occur. Whether you will need a revision is too soon to tell. I recommend that you keep in communication with your surgeon. I would wait at least 6 months prior to doing any further surgery if it comes to that.


SIncerely,
Dr. Dadvand


Los Angeles Plastic Surgeon
4.9 out of 5 stars 39 reviews

Will Gynecomastia asymmetry subside?-yes or no

 In general men and women have asymmetric breast to a certain degree, some people more then others. At this stage of the post operative period it is not uncommon to have swelling that is more pronounced in one breast.This may be due to different reasons including seromas, hematomas, bruising etc. If the asymmetry will last for more then 6-12 months and did not exist pre operativly then there may be a need to re operate.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 54 reviews

Left Side Looking Bigger Than Right Side After Gynecomastia Surgery

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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Asymmetry

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.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews

Too early to tell

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.

Left Side Looking Bigger Than Right Side After Gynecomastia Surgery

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, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 71 reviews

In the Immediate PostOp Period, Swelling Contributes to Asymmetry Following Male Breast Reduction

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.

Be Patient

 I understand your concern.  Was the procedure liposuction only?  Was your chest asymetrical before surgery.  Sometimes more work is done on one side causing more swelling.  I would give it 6 weeks wear your compression garment and then discuss your issues with the surgeon.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 68 reviews

Asymmetry after gynecomastia

Frequently, the sides of the chest are asymmetrical to begin with and, if so, this may account for the variation. It would not be uncommon for patients to have more bruising or swelling on one side of the chest than in the other. I would recommend that you wait for three months, at minimum, after surgery and, if the condition does not improve, discuss it and proposed ways to correct the asymmetry with your plastic surgeon.

3 weeks post op

Discuss everything with your surgeon and find out exactly what was done during the surgery. It is easier to suggest potential treatment options with a more complete clinical history.

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.