Swelling and Fluid Accumulation After Male Breast Reduction

Sounds like you may have a seroma, which is a fluid accumulation within a "space" under the skin.  Sometimes this resolves on its own.  Other times it needs to be drained in the office. You should follow up with your doc for sure.  Seromas can harden or get infected.

Thank you for your question.After #gynecomastia #surgery, #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. The compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will heal.If you are concerned, please contact your #BoardCertified #PlasticSurgeon for an in-person consultation.

I suggest you see your surgeon for an assessment. Swelling does generally resolve on its own but you may have a seroma, which may need to be drained by your surgeon.

You may have a seroma or hematoma that can sometimes occur after gynecomastia reduction surgery.  You may need percutaneous drainage of the fluid.  Contact your surgeon.  Good luck and be safe.John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

It’s unusual for patients to develop fluid collections
following liposuction for gynecomastia. Although swelling following this
procedure is common, the development of seromas is rare.

                  When
diffuse swelling occurs after surgery the best treatment is the use of a
compression garment. When an obvious fluid collection occurs, removal of the
fluid is necessary to avoid secondary complications. Fluid can be aspirated
with a needle and syringe with good results. If the fluid reaccumulates after
multiple aspirations, then insertion of a drain should be considered.

                  In
the majority of cases conservative management is appropriate. Patients who are
suffering from significant post-operative swelling should consult their
surgeon. 

I can not view the pics, but if fluid is present it should be removed. If not removed the fluid can lead to a list of potential problems. Your plastic surgeon will know how to deal with this issue.

Seroma after gynecomastia occurs relatively frequently but is usually easily treated with repeated aspiration over a 2-3 week period. Occasionally it may persist and require drain placement but that is highly unusual. I have never observed a permanent seroma in my experience.

Dear Bogdan 111
If you had fluid in the area then you need to have this drained as soon as possible.  This most likely would require the insertion of drains since it is 3 weeks + post surgery.
With Warm Regards,
Trevor M Born MD

Usually you should expect 2 weeks of swelling. If it's swishy and moves around it is likely a seroma which can be easily drained in clinic by your surgeon using a painless needle. This is a procedure known as an aspiration. An ultrasound can diagnose it for sure but it is rarely required to make the diagnosis.

Thank you for your post. Based on your description it sounds like you may have a seroma, or fluid accumulation. I would recommend that you be seen by your surgeon because if you do have a seroma, it will likely need serial aspiration. Seromas are one of the risks of this surgery, usually due to the space created once the tissue has been removed. For this reason, in my practice I more often than not, choose to leave drainage tubes which are removed several days after the procedure. Sincerely,Dr. Dadvand