I had bilateral gynecomastia lipo, gland excision, and minor crescent lift (incisions above the areolas) in August 2014

The pictures taken 10 months after my surgery. Issues on both breast, more on the right side: 1. Areolas: Large & low areola positions 3. Raised, firm, & wide keloid scar above the right areola 4. Horizontal excess skins (below and on the sides of the areolas, a lot more on the right breast). Questions: 1. My options? 2. Donut lift? What if not? 3. Would I need dissolvable; very long-lasting dissolvable; or permanent suture(I had "spitting suture" issue on the right incision)? Thank you

Doctor Answers 2


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Thank you for your question but the photos did not come through but even if they did an examination is really needed so see some experts in your area

Dr Corbin

Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

Revision after Bilateral Gynecomastia Lipo, Gland Excision and Minor Crecent Lift

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It's difficult to determine without photographs. But, 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. Typically, its best to wait at least one year following the initial surgery to consider a revision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

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.