Hello, I had Gynecomastia surgery 2 years ago. It did not heal right and now looks worse than pre-surgery. I can feel keloid inside with mild pain when I apply pressure. It's way bigger than the other side of my chest. The outside keloid doesn't hurt at all. Is there a way to fix it? Will I ever get my chest back? ( I've seen some seen some before and after Gynecomastia surgery pictures with no scar at all).
February 18, 2017
Answer: Hypertrophic scars The wound healing process can be a very frustrating portion of the surgery. At two years, however, I would say that the scars that you have are fully matured, and if they are hypertrophic, or thickened and raised, then it is time to do something about it. The degree of thickening and elevation of your scars looks more like a hypertrophic scar than a keloid. (thank you for posting pictures!) Nonetheless, the treatment is similar. At first, a course of steroid injections can help to soften the scar and, in combination with massage, they may flatten and the tenderness you are experiencing may subside. In a worst case scenario, where steroids fail, surgical revision may be necessary. Knowing that you have formed hypertrophic scars, you can pre-emptively attempt to keep future scar hypertrophy at bay with other methods such as silicone sheeting, while you heal after a revision. I would recommend seeing your surgeon, or any other surgeon certified by the American Board of Plastic Surgery about your current situation. Best of luck!
Helpful
February 18, 2017
Answer: Hypertrophic scars The wound healing process can be a very frustrating portion of the surgery. At two years, however, I would say that the scars that you have are fully matured, and if they are hypertrophic, or thickened and raised, then it is time to do something about it. The degree of thickening and elevation of your scars looks more like a hypertrophic scar than a keloid. (thank you for posting pictures!) Nonetheless, the treatment is similar. At first, a course of steroid injections can help to soften the scar and, in combination with massage, they may flatten and the tenderness you are experiencing may subside. In a worst case scenario, where steroids fail, surgical revision may be necessary. Knowing that you have formed hypertrophic scars, you can pre-emptively attempt to keep future scar hypertrophy at bay with other methods such as silicone sheeting, while you heal after a revision. I would recommend seeing your surgeon, or any other surgeon certified by the American Board of Plastic Surgery about your current situation. Best of luck!
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February 8, 2017
Answer: Keloid scars after gynecomastia treatment Keloids are very aggressive scars that can develop after any surgery. They are more commonly seen in people who are dark skinned and have a history of bad scars. Your scars look more like the hypertrophic variety. I would suggest that you consider steroid injections into the scars and see how well this works to flatten them. Steroids can be injected every 8 weeks until the result is improved. Compression also helps this area as well as finger massage (deep tissue).
Helpful
February 8, 2017
Answer: Keloid scars after gynecomastia treatment Keloids are very aggressive scars that can develop after any surgery. They are more commonly seen in people who are dark skinned and have a history of bad scars. Your scars look more like the hypertrophic variety. I would suggest that you consider steroid injections into the scars and see how well this works to flatten them. Steroids can be injected every 8 weeks until the result is improved. Compression also helps this area as well as finger massage (deep tissue).
Helpful
