Hello, and thank you for your question and photographs. Post operative swelling continues for up to a year. You are probably about 90% of your result with approximately 10% swelling remaining. You should continue follow up appointments with your surgeon. He/she has your photographs and can evaluate you most accurately. It is not uncommon to occasionally have to do revision surgery on a patient. I tell my patients, that revision surgery is a possibility. It is much easier to remove fat/breast tissue if it was under corrected than it is to replace if it was overcorrected. Your result looks good. Hang in there.
It has been my experience that somewhere between 3-4 months after liposuction of a chest with excision of true gynecomastia, patients tend to get scar tissue immediately below the nipple areola complex. This scar tissue, to some extent, mimics the previous gland. It is often very disconcerting to the patient.If you were my patient and I found that you had apparent scar tissue below the nipple areola complex, I would inject a very small amount of corticosteroid into the center of the scar tissue. This requires one or two injections, and the nipple becomes flat. It is also possible that your areola itself had excess skin, and the gland removal will allow the skin to retract but it can take up to a year or more to get complete contraction. It would be appropriate at this point to get a consultation with your personal plastic surgeon and ask him or her their feelings about what may be going on.
