Still Have Puffy Nipples After @ Male Breast Reduction Surgeries, Could This be Excess Gland? (photo)

Question

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.

Jed H. Horowitz, MD, FACS · Answer

Your incisions will go through a maturation #process following #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

Vincent N. Zubowicz, MD · Answer

Some glandular tissue behind the areola might persist after liposuction. When swelling is totally resolve this can be easily reduced under local anesthesia.

Kenneth Hughes, MD · Answer

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

Ron Hazani, MD, FACS · Answer

You are likely experiencing residual tissue under the nipples. Seek a plastic surgeon with specialty training in #gynecomastia surgery, has great photos, and is an expert in male breast reduction.

Barry L. Eppley, MD, DMD · Answer

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.

Still Have Puffy Nipples After @ Male Breast Reduction Surgeries, Could This be Excess Gland? (photo)

Answers (7)