Results from Gynecomastia Surgery After 3.5 Days - Puffy Nipples? (Photo)

hi, i had gynecomastia surgery 3.5 weeks ago now on both sides via lipo & glandular tissue removal,but both areola are still very puffy (especially right one ) , is this normal at 3.5 weeks ? whats causing this? when should i see results if any? Thank You.

Doctor Answers 3

What to Expect 3.5 Weeks After Gynecomastia Surgery

Following #Gynecomastia #surgery, your incisions will go through a maturation #process. 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.

Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely. 

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.

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Recovery after Gynecomastia Correction

After any surgical procedure there is post-procedure swelling.  Often with gynecomastia correction some liposuction is done as part of the procedure.  Liposuction swelling usually takes the longest to go away.  At 3.5 weeks post-procedure there is certainly post-procedure swelling.  By 3 months the swelling from the procedure should be gone.  If there is still puffiness at the areaolas at that time there is likely still a little extra chest tissue.  The good thing is that if that occurs it can be easily corrected in an office as opposed to going to the OR.  It is better to have that problem than to have depressions after your surgery.  Hopefully all will resolve in your favor.

Jason E. Leedy, MD
Cleveland Plastic Surgeon
4.9 out of 5 stars 130 reviews

Puffy Nipples

Unfortunately, the photos are a bit too blurry to get the idea of what might be going on. It would not be unusual to still have swelling at the point in time. Because the areola is erectile tissue which expands readily compared to the surrounding skin, any swelling will be quite noticeable. Allow 3 months or so for this to resolve. 

Thanks and best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

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.