First 5 photos preop. Other photos are 6 weeks postop. I had huge areolas and was very self conscious when they become hard. The surgeon did a periareolar nipple reduction on me and removed glandular tissues. I got hematoma on both sides the first day of surgery, however, the surgeon refused to drain it and we let it heal with time. 6 weeks later, I think nothing changed woth the left side, except for smaller areola. However, the right side is worse than preop.
Answer: Hematoma after gynecomastia reduction Hematoma is not that rare after gland excision; for that reason we always place small soft drain or, in larger reduction, a suction drain. However, if that happens, even very small one should be drained asap. Considering that this was not done in your case you should patiently wait until blood cloth is replaced with scar which is going to make current deformity smaller. Injection of corticosteroid may help further. Excision of mass in local anesthesia can be done at any time, however. Second opinion consult may be considered?
Helpful
Answer: Hematoma after gynecomastia reduction Hematoma is not that rare after gland excision; for that reason we always place small soft drain or, in larger reduction, a suction drain. However, if that happens, even very small one should be drained asap. Considering that this was not done in your case you should patiently wait until blood cloth is replaced with scar which is going to make current deformity smaller. Injection of corticosteroid may help further. Excision of mass in local anesthesia can be done at any time, however. Second opinion consult may be considered?
Helpful
September 4, 2023
Answer: Gynecomastia surgery Understanding, gynecomastia surgery, including what the procedure can achieve it what it cannot is a bit tricky. This is especially true when a lift or areola reduction is involved. Doing an areola reduction requires a circumferencial skin, excision, which inherently limits blood supply to the nipple and areola from any of the surrounding skin. This leaves on the deep blood supply that goes through the breast, tissue itself through perforator vessels from the pectoralis muscle and chest wall. In order to minimize the chance of tissue necrosis breast, parenchyma reduction needs to be kept at a minimum when making an incision all the way around the areola.
Helpful
September 4, 2023
Answer: Gynecomastia surgery Understanding, gynecomastia surgery, including what the procedure can achieve it what it cannot is a bit tricky. This is especially true when a lift or areola reduction is involved. Doing an areola reduction requires a circumferencial skin, excision, which inherently limits blood supply to the nipple and areola from any of the surrounding skin. This leaves on the deep blood supply that goes through the breast, tissue itself through perforator vessels from the pectoralis muscle and chest wall. In order to minimize the chance of tissue necrosis breast, parenchyma reduction needs to be kept at a minimum when making an incision all the way around the areola.
Helpful
