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Old/thick/hard/large scar tissue build up revealed after gynecomastia revision surgery causing protrusion. Advice? (Photo)

Boylegend99Jun 21, 2017
1st gynecomastia surgery April 2015 lipo and excision. Left crater in left, protrusion still on right side. 14days post revision op, crater on lift fixed. 100ml of fat removed from right, surgeon said he found thick hard scar tissue that he couldn't remove with cannula. Swelling has pretty much gone, leaving my nipple sticking out the same way as before with just less fat around it. The scar is very thick, hard and wide. What are my options? Injections? More surgery? I massage and wear garment.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Ali A. Qureshi, MD
Board Certified Plastic Surgeon
Answered on Jun 3, 2019
Answer
1 person found this helpful
Dr. William H. Huffaker, MD (retired)
Board Certified Plastic Surgeon
Answered on Jun 7, 2019
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Robert Caridi, MD

The vast majority of gynecomastia patients need the benefit of tissue removal through a tiny incision about the areola. There really isn't any justification for not removing the tissue beneath the areola that is the cause of the puffiness. I can see that you have residual tissue behind your areolas.

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J. Michael Morrissey, MD (in memoriam)

Thank you for your question. Flattening of puffy nipples  requires thinning of the subareolar tissue (glandular tissue) Liposuction alone will not adequately remove the glandular tissue. The thinner the tissue behind the areola, the more the areola will shrink. (The reason is that the thinner t...

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Kara K. Criswell, MD, FACS

It is important to let your surgeon know about your inability to urinate.  This could be related to the medications given during surgery, swelling after surgery, or irritation from having a catheter placed during your procedure.  Any time a patient has a surgical procedure under...

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