6.5 months post op Gynecomastia surgery, I had indentation after steroid injection. Will it resolve themselves? (photo)

Question

I had gyne surgery 6.5 months ago with a top gyne surgeon. I developed hypertrophic scars. I received steroid injections my doctor said he was conservative with the amount given. After 2 months I noticed a small indentation. Only visible when flexing or raising arms. Also skin thinning on chest contour. In time I was told I could get Fat injections. Will indentations resolve themselves? Will having another procedure be the only option? Can saline injections or fillers help release the skin?

Jed H. Horowitz, MD, FACS · Answer

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. 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. It's possible the indentations can be addressed with cosmetic filler(s) if eligible.

Scott W. Vann, MD, FACS · Answer

Your result is very nice, but you do have a small dent. The y are probably not going to improve by themselves. Saline and fillers would help,but are temporary. Fat graft is more permanent if felt needed.

Darryl J. Blinski, MD · Answer

First, There are NO only gynecomastia surgeons that ONLY do just that operation. We preform all types of cosmetic surgery. Second, why inject so early in healing phase. This initiated a response of the healing tissue to thin and spread and dissolve. I wait at least 6 months before using steroids. Now only fat grafts will correct in my over the internet opinion...

Russell Ashinoff, MD, FACS · Answer

Your concern about the indentation will probably not resolve on its own.  In my opinion, I think you have an excellent result. There are options for you if you continue to be concerned regarding fillers. You should discuss such options with your surgeon.

6.5 months post op Gynecomastia surgery, I had indentation after steroid injection. Will it resolve themselves? (photo)

Answers (4)

Answer: Indentations after steroid injection for scarring

Answer: Indentations after steroid injection for scarring

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Everything you need to know about Gynecomastia Surgery

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6.5 months post op Gynecomastia surgery, I had indentation after steroid injection. Will it resolve themselves? (photo)

Answers (4)

Answer: Indentations after steroid injection for scarring

Answer: Indentations after steroid injection for scarring

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.