I got a gyno surgery and was told I did not have any breast gland problem, just exess fat.They did a lipo and removed 250cc and 200 from each.After 3 month nipple area is still large and I tell the doc there is breast gland under.He tells me theres no way to know what it is and only option is surgery again after 3 month.Now its been 3 month since last surgery and still puffy nipples and feel small soft balls under.Could he have not removed all the gland? feels like before he removed but smaller.
Still Have Puffy Nipples After @ Male Breast Reduction Surgeries, Could This be Excess Gland? (photo)
Doctor Answers 5
Sub glandular tissue may persist after liposuction of gynecomastia that would require excision.
Some glandular tissue behind the areola might persist after liposuction. When swelling is totally resolve this can be easily reduced under local anesthesia.
Residual Breast Tissue after Liposuction for Gynecomastia
Often times liposuction alone for gynecomastia unmasks a residual mass of tissue right under the nipple after the swelling subsides. This becomes the so-called puffy nipple problem. This hard glandular tissue can not be removed by liposuction and will require a secondary open areolar excision to create a complete flattening effect.
Residual breast tissue after liposuction for gynecomastia
I usually use a two pronged approach to gynecomastia. First liposuction followed by an open subcutaneous mastectomy. There usually is a small amount of firm breast tissue just under the areola that can not be liposuctioned. It is possible that your plastic surgeon felt that he sufficiently reduced your breast without having to make an incision. This, of course, would be an ideal case scenario. If there is residual breast tissue then an open revision would be necessary. Give it at least 6 months to be able to differentiate between scar tissue and breast tissue.
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Still Have Puffy Nipples After @ Male Breast Reduction Surgeries, Could This be Excess Gland?
You could have residual swelling, scar, or residual gland. I would give yourself another 3 months before making any decisions about this. I would also say that you appear to have a flat chest and a good result. Removing all of the tissue under the areolae can cause depressions.
Kenneth Hughes, MD Los Angeles, CA
Possible that there is residual gland
While you have not provided preoperative photographs with which to compare, your post operative photos demonstrate a reasonable result following liposuction. However, persisting subareolar fullness is frequent as liposuction cannot remove the glandular tissue. A revision to directly excise the subaerolar gland will likely address your concerns.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.