Why both my nipples started to get pointy and puffy 2 months after liposuction-only gynecomastia surgery? (photo)

Question

The surgeon promised me the flat chest i always wanted. He didn't make any incisions around the areola, just two small incisions under the chest area for the cannula, he prescribed Ambezim-G and Aldactone 25 mg for the swelling, which i still take on a daily basis since the operation, i started to feel lumps right under the areola two weeks ago and its getting worse , plus the whole chest area look weird when i slightly flex my chest!! what went wrong?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Though you may have residual swelling that is masking your long-term results, if you feel firm tissue behind your nipple and areola this is most likely residual gland that will need to be surgically excised in order to achieve a flat appearance.  Only through an in-person examination can this be determined.  Voice your concerns to your surgeon, they should be able to offer you the best advice.

Robert Caridi, MD · Answer

The vast majority of gynecomastia patients need the benefit of tissue removal through a tiny incision about the areola. There really isn't any justification for not removing the tissue beneath the areola that is the cause of the puffiness. I can see that you have residual tissue behind your areolas.

Sean Doherty, MD, FACS · Answer

It can take anywhere from 3-6 months for the swelling to fully resolve so this is, hopefully, swelling. I would suggest that you wait until you are 6 months post op. If the issue hasn't resolved then it is glandular tissue that will need to be surgically excised. Best of luck.

Why both my nipples started to get pointy and puffy 2 months after liposuction-only gynecomastia surgery? (photo)

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Everything you need to know about Gynecomastia Surgery

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Why both my nipples started to get pointy and puffy 2 months after liposuction-only gynecomastia surgery? (photo)

Answers (3)

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Everything you need to know about Gynecomastia Surgery

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