7 weeks post op. After surgery my right side was always a lot more swollen than the left. A couple weeks later the right side started to even out with the left. All of a sudden this morning my right side is larger/ might be swollen. My surgeon said it’s not seroma or hematoma, he said it feels hard inside and could be scar tissue. He said to massage it super firmly to break it down. If it doesn’t subside in 2 weeks he wants to inject a steroid to break it down. What are you thoughts on this
December 1, 2018
Answer: Sudden Swelling after Gynecomastia Good morning, 88Harold88. I am sorry that you are having issues after your surgery. 7 weeks is a difficult time frame: On one hand, it would often be expected to have much more flattening of the breasts by this time that what your pictures are showing, but some patients can take much longer for the swelling to resolve and the skin to begin to remodel and tighten. It is good that you are following up with your surgeon to monitor you and ensure that you didn't develop a seroma or hematoma. I would recommend following your surgeon's massage recommendations closely -- massage is very important after surgery, particularly when there is excess inflammation. I personally am leery of steroids, and very rarely use them to break up scar tissue as there is a moderately high risk of creating contour irregularities and skin/soft tissue thinning. However, many surgeons routinely use steroids for this purpose. I would defer to your surgeon's experience and recommendations. I hope things settle down for you soon! Best of luck, Dr. Ghafoori
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December 1, 2018
Answer: Sudden Swelling after Gynecomastia Good morning, 88Harold88. I am sorry that you are having issues after your surgery. 7 weeks is a difficult time frame: On one hand, it would often be expected to have much more flattening of the breasts by this time that what your pictures are showing, but some patients can take much longer for the swelling to resolve and the skin to begin to remodel and tighten. It is good that you are following up with your surgeon to monitor you and ensure that you didn't develop a seroma or hematoma. I would recommend following your surgeon's massage recommendations closely -- massage is very important after surgery, particularly when there is excess inflammation. I personally am leery of steroids, and very rarely use them to break up scar tissue as there is a moderately high risk of creating contour irregularities and skin/soft tissue thinning. However, many surgeons routinely use steroids for this purpose. I would defer to your surgeon's experience and recommendations. I hope things settle down for you soon! Best of luck, Dr. Ghafoori
Helpful 1 person found this helpful
December 1, 2018
Answer: Uneven gynecomastia uneven breasts at seven weeks all of a sudden is due to either a seroma or hematoma; not enough time for scar tissue to build up; I would try to have it drained and then follow up with compression for one to two weeks. Follow up with your surgeon.
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December 1, 2018
Answer: Uneven gynecomastia uneven breasts at seven weeks all of a sudden is due to either a seroma or hematoma; not enough time for scar tissue to build up; I would try to have it drained and then follow up with compression for one to two weeks. Follow up with your surgeon.
Helpful