I am extremely conservative with my recommendations regarding postop gynecomastia or female breast surgery. My patients will need to avoid exercise, heavy lifting, stretching above the head, or contact sports for 6 weeks, during which time I also require the use of a compression shirt. Stretching at 18 days is a no-no for me. You may sheared an area of scar tissue underneath your breast skin where the gland and fat were removed. If this is also accompanied by significant swelling, then you can be experiencing a hematoma (blood collection) that may need to be drained. Hopefully, what you experienced was a minor symptom and it will not affect your results. :)