Once I Take my Gynecomastia Vest Off, My Puffy Nipples Come Back. Reasons?

Doctor Answers 3

The length of time that you need to wear a garment after gynecomastia surgery

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The length of time that you need to wear a garment after gynecomastia surgery depends upon how much work was done and the degree of redundant breast tissue and skin that you have. This is a question best answered by your plastic surgeon.

Remaining breast tissue or glandular tissue may be causing puffy nipples

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This is probably due to breast tissue or glandular tissue that is left behind.  Typically this tissue resides just underneath the nipple.  This may require either aggressive liposuction or a small incision is placed between the areola and the skin and the glandular tissue is directly resected. 

I would also wait for the swelling to go down from your previous gynecomastia surgery and would not consider any revisions until you are at least 3 to 4 months out from your original gynecomastia surgery. 

Congratulations on your surgery and good luck.


Thank you,

J. Timothy Katzen, MD, FACS


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If takes 6-9 months for the swelling to subside, wearing the compression garment helps with that, but when you take it off and returns that is very normal.


Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

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.