Painful Lump in Chest After Vaser/Smart Lipo

SmartLipo/Vaser are great methods of treating enlarged male breasts in the proper candidates.

A painful lump which developed several weeks after surgery could be one of several things.

1. residual breast tissue which is irritated and inflamed.

2. a seroma or fluid collection which is consolidating.

3. scar tissue from the incision which is firm, thick and tender.

Follow the advice of your surgeon, and things will likely improve.

Its possible you have some lingering swelling or inflammation that would go away with more time.  I would wait at least 6 months, but if it doesn't go away you probably have some underlying gynecomastia that is more sensitive because the fat was removed around it but the hard glandular tissue was not removed. In my experience the next step would be to have it excised. This is easy to perform in a minimally invasive way.  I would recommend you discuss it with your board certified plastic surgeon.

Sincerely,

Dr Gartner

You should follow the directions of your surgeon that you trusted to schedule the surgery, but if you don't improve in a short while, or if symptoms worsen then you can see a second opinon. Certainly if you want to see someone else now that is ok. Focal tenderness can occur in different areas, but hematomas and cysts and inflammed fatty areas can occur and cause tenderness but if there is a delayed infection/abscess, which is very rare but can occur, then it should be evaluated now.