Is Massage Recommended For Lumpy Feeling After Gynecomastia Surgery?

Question

Hello, I had lipo/gland excision done to correct gynecomastia 2 weeks ago and things seem to be progressing nicely. I have some hard lumps underneath my nipples, presumably scar tissue and I have read that massaging is a good way to break up the tissue and soften things up. How should massaging be done. Should it hurt, i.e. pain ok or should it be done gently. ALso what type of lotion should be used. Just looking for any suggestions. Can't get in touch with my doctor as of now. Thanks

Jed H. Horowitz, MD, FACS · Answer

Massaging the areas will help soften the scar tissue which feel "lumpy” and irregular areas. This hardening or tight feeling will decreases with time and massaging can help it.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. 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.

Mathew C. Mosher, MD · Answer

What you are feeling is very common early after surgery. Follow your surgeons recommendations for when and how to assist these areas to heal. We encourage massage for small nodules persisting after a few weeks and use proactive strategies for improving the final scar appearance.

Jeff Angobaldo, MD · Answer

Thank ypu for submitting your question.  Massage will help firm areas after lipsocution.  Your very early in ypur recovery from gynecomastia surgery.  Final results take 6-9 months. Discuss ypur concerns with your surgeon and follow his recommendations.

Tim Neavin, MD · Answer

What you feel is scar tissue forming in the background of edema.  Massaging does help soften the tissue but ultimately time is the ultimate fix.  Some doctors will inject dilute steroids into the hard areas so soften them.  But it will soften.  They all do.

Sam Speron, MD, FACS · Answer

Hi!

	Thank you for your question.

	After your incisions have healed, I do recommend massaging the scar
	tissue. It will help loosen and break up the developing scar tissue
	from the surgery.

	Good luck!

	Dr. Sam Speron

James Knoetgen, III, MD · Answer

Massage can be beneficial for addressing a lumpy feeling after gynecomastia surgery, but it's essential to approach it with caution and under the guidance of your plastic surgeon. Here are some considerations:
1.	Scar Tissue and Swelling: After gynecomastia surgery, it's common to experience some degree of swelling and the formation of scar tissue, which can contribute to a lumpy or uneven appearance. Massage techniques can help break up scar tissue and reduce swelling, potentially improving the overall contour and texture of the chest.
2.	Timing: It's important to wait until your plastic surgeon gives you the green light before starting any massage therapy. Typically, plastic surgeons provide specific post-operative instructions regarding when it's safe to begin massage and how to perform it properly to avoid causing harm or disrupting the healing process.
3.	Gentle Approach: When performing massage on the chest area after gynecomastia surgery, it's crucial to use a gentle touch. Avoid applying excessive pressure or aggressive manipulation, as this can exacerbate swelling, cause discomfort, or even damage the healing tissues.
4.	Technique: Your plastic surgeon may recommend specific massage techniques or provide guidance on how to perform massage safely and effectively. This might include using gentle circular motions or light pressure to gradually work on areas of concern.
5.	Consistency: Consistency is key when it comes to massage therapy after gynecomastia surgery. Follow your plastic surgeon's recommendations regarding the frequency and duration of massage sessions to achieve the best results. Be patient, as it may take time for the benefits of massage to become apparent.
6.	Monitoring Progress: Pay attention to any changes in the appearance or feel of your chest during and after massage therapy. If you experience increased pain, swelling, or other concerning symptoms, stop the massage and consult your plastic surgeon for further guidance.
7.	Other Interventions: In addition to massage therapy, your plastic surgeon may recommend other interventions to address lumpy or uneven areas after gynecomastia surgery. This could include additional treatments such as lymphatic drainage massage, steroid injections, or revision surgery, depending on the specific circumstances.
In summary, massage can be a helpful adjunct therapy for addressing lumpy feeling after gynecomastia surgery, but it should be approached with caution and under the guidance of your surgeon. Follow their instructions closely and communicate any concerns or questions you may have during the healing process.

Karan Chopra, MD · Answer

It's too early to tell at 2 weeks. These lumps could even out. Ask your surgeon when it's ok to start massage. Wait until 3 months before doing anything else surgically.

Babak Dadvand, MD · Answer

Hi ike88,Thanks for your post. It is not unusual to develop some firm lumps during the healing process. This is likely scar tissue that is forming. In certain cases, gentle massage is helpful to breakdown the scar tissue. However, over massage can also stimulate more inflammation. What type of lotion is up to you. If you choose to use lotion, a simple moisturizer such as eucerin or oil of olay would suffice. I recommend that you communicate these concerns with your doctor when you are able.Sincerely,Dr. Dadvand

Tom J. Pousti, MD · Answer

Congratulations on having undergone surgery for gynecomastia correction. Gentle massage of the areas treated can be helpful. There is no specific &ldquo;right way&rdquo; to massage the area; I would suggest using a lotion that you know you are not allergic to and using a circular motion with 2 fingers over the treated areas. Confirm with your plastic surgeon that there are no contraindications to this maneuver.

	Best wishes.

Tal T. Roudner, MD, FACS · Answer

The answer is yes massage helps the smoothness of the skin and break up the scar tissue. It should be done after the incisions have healed to prevent the wound from opening. Lymphatic massage helps reduce the edema. It would be wise for you to see a physical therapist to learn the proper techniques before doing it on your own.

	 

	Best of luck

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