Should I have asked for an areola reduction along with my gynecomastia correction or should my surgeon have recommended it?
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Doctor Answers 3
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 of luck.
For more information, please review the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Areola reduction with gynecomastia
Possibly Puffy Nipple Areola Complex
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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.