Nipples Still Puffy After Gynecomastia Surgery?

I had surgery three months ago the nipple reduced in size but the problem is 1 side of my nipple before the surgery was bigger than the other. So after the surgery the right nipple is still bigger than the left nipple. The nipple still hurts like it did before the surgery. The nipple tends to get hard on some areas and when I press my chest flat it seems to feel soft and really hollow.

Doctor Answers 6

What to Expect Post Gynecomastia Surgery

Your #incisions will go through a maturation #process after #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

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. 

Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. 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.

Orange County Plastic Surgeon
5.0 out of 5 stars 110 reviews

Nipples Still Puffy After Gynecomastia Surgery

Hi jayjaylegacy,

Thanks for the post. At three months the reason for the nipple puffiness can be residual gland tissue or scar build up. If the results shortly after the surgery were better than they are now, then it is likely scar tissue. If the results were similar to now, then it is likely residual gland tissue. I recommend re-evaluation by your plastic surgeon.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Puffy Nipples after surgery.

Three month after gynecomastia surgery is quite awhile.  My assumption is that you may have additional tissue.  The sides before and after surgery are, in general, different for many reasons.  Sometimes the scar tissue develops differently.  Steroid injection may help.  Compare the before and after pics.  We sometimes forget what we started with and may add a little clarity. But discuss with your doc as the swelling continues to resolve.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 76 reviews

Nipple asymmetry

Nipple as well as chest asymmetry is normal before as well as after surgery for gynecomastia.  If you have concerns, it is best to speak to your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Gynecomastia and puffy areolas: possible solutions

3 months after surgery the cosmetic result of your gynecomastia correction is still settling; however should the problem persist once the area operated on is no longer sore or tender to touch, contacting your surgeon would be the most appropriate step.

Possible solutions to your problem vary from further tissue reduction to increase the flatness of the chest, to peri-areola reduction to improve the symmetry and tighten the skin. However the second solution would imply a circular scar around the areola.

Patients with hairy chests are usually a good candidate for this surgical solution as the scar is normally minimally visible.

I hope this helps.


Andrea Marando







Andrea Marando, MD
Manchester Plastic Surgeon
5.0 out of 5 stars 124 reviews

Areola Still Puffy after Gynecomastia Surgery

Thank you for your question.

Your surgeon may be the best person to evaluate things since he/she knows your history the best but if you still have puffiness after surgery, you may want to consider more tissue removal to assist with the puffiness.  The areola asymmetry can also be addressed with an areola reduction but that does involve an incision around the areola so you will have to decide if having a scar would be Ok for you.

I will be happy to look at photos and give you my best advice if you would like to send them to me.


Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

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.