Puffiness in the nipple area 9 weeks post gynecomastia surgery. Why is that?

Question

My nipples are still puffy, but definitely a bit better than before the surgery. My doctor said that during the surgery, he did the liposuction very well, but removed only a very tiny amount of the gland as It is very very small, he claimed. I feel like there is a tissue, not solid, but kind of soft around the nipple, and when the weather is warm, the nipple gets puffed a bit. Is this simply swelling due to the surgery. My doc always says this is a normal situation but how much should I trust that?

Jed H. Horowitz, MD, FACS · Answer

Healing takes months. Burning can last month and normal sensation more than a year to return. Swelling takes weeks and is sometimes an even. I recommend 6 to 12 months of healing before you  evaluate results.  #PuffyNipples #Post–Op

Steven Teitelbaum, MD · Answer

You aren't going to do a revision at nine weeks.  And no one has a crystal ball, and no doubt you have some amount of swelling.  Give it at least six months before rendering a judgement about your result and discussing possibly needing a revision.  You can ask for all the opinions you want, but the fact of the matter is that no one on the planet - including your surgeon - knows how it will turn out.  And even if we somehow knew it wouldn't be good, we still wouldn't consider a revision for at a very minimum six months - and possibly longer.

Babak Dadvand, MD · Answer

Hi arianklea92,Thanks for the post.  At 9 weeks you are still relatively early in the healing process. The healing process can take 6-12 months. The cause of the puffiness can be due to 4 things:1) Swelling2) Residual tissue3) Scar tissue4) Incomplete areolar skin tighteningAt 6 months you, and your PS will have a better idea of the shape and whether any further intervention is necessary. For the time being I would not stress too much about it because even if it were excess tissue or scar tissue, performing a revision at 9 weeks would not be recommended. Sincerely,Dr. Dadvand

Joseph Thomas Cruise, MD · Answer

It can take months for your body to completely heal following surgery. You are just over 2 months post-op so continue following your surgeons instructions and wait until around 6 months post-op to see how things are evolving. If you are still concerned at that time, have another discussion with your PS..

Puffiness in the nipple area 9 weeks post gynecomastia surgery. Why is that?

Answers (4)

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