Thank you for your clinical post. After gynecomastia surgery typically
liposuction or energy-assisted liposuction such as SmartLipo and BodyTite with
or without glandular excision there is a period of swelling and edema. The swollen tissues will make the areolar and
nipple complex look larger. Over time
the swelling will resolve and soft tissues will contract and you may find that
you end up with appropriate size nipple areolar complex. The scars when you have an areolar reduction
or nipple reduction could be significant, not to mention sensory abnormalities. So, if in the opinion of your surgeon you
didn't require a nipple areolar reduction it is best to confer with your
operating surgeon to follow the post-operative course and allow the soft tissue
of your chest region to settle. Over
time you may find that the balance and proportion of the nipple areolar complex
to your new chest wall is appropriate and you will have avoided further surgery
or scar tissue and numbness.
Visit with your operative surgeon and seek out their counsel
and advice as they are in the best position to provide expert opinion as they
performed the surgery.
I hope this information has been of some assistance and best
For more information, please review the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Areola reduction with gynecomastia
Thank you for your question. With most gynecomastia procedures, after the swelling goes down the skin contracts. This skin contraction includes the areola and they get smaller. This process can take a few months, I would discuss your concerns with your Plastic Surgeon and continue to follow-up with him/her until the healing process is complete. Small touch-ups are always possible but usually not necessary. Wishing you the best.
Possibly Puffy Nipple Areola Complex
"Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped.This form of #Gynecomastia can be found in all age groups but is more common in young adults.As each case is different, it is vital that you consult with a board certified plastic surgeon who is experienced in male breast surgery. The surgeon should determine if you are a suitable candidate for male breast reduction by liposuction or glandular excision. It is also crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.
Also, men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.