Will skin tighten more over time after gynecomastia surgery?

Question

I am about 2 1/2 months post op...I had breast tissue removal..liposuction and skin tightening because I had severe gynecomastia..my right side has scar tissue and stuff but its lookin good..my left is more saggy and has less scar tissue underneath so I was wondering if the skin naturally still tightens overtime because I had skin tightening already..also what's the usual time you see final results for severe gynecomastia cases....thanks

Jed H. Horowitz, MD, FACS · Answer

Following 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.

Paul W. Papillion, MD · Answer

Hello, you are still relatively early in the overall process. You should continue to have skin tightening for at least 6-9 months after surgery. After this time period has elapsed, you will be close to your final result. You should be able to tell by 6 months if obvious revisions are needed.Hope this helps.

Richard Silverman, MD · Answer

Following surgery to correct gynecomastia that includes liposuction, the skin will tighten for months and months, and this process starts after the first month or so, and it continues up to a year after surgery. That's why we often defer secondary procedures to allow for this to occur.

Hisham Seify, MD, PhD, FACS · Answer

It takes 3-6 months to get final result following gynecomastia surgery. Best is to continue to follow up with your surgeon.

J. Garrett Harper, MD · Answer

A lot of the swelling is probably gone but your skin and tissues are still remodeling and can take up to one year to be done "tightening" and healing.  Keep supporting those tissues by wearing a compression garment and massaging the areas.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question but without an examination or preoperative and postoperative photos it is impossible to give an intelligent answer so go back to your surgeon and get his opinion.

Dr. Corbin

Robert E. Zaworski, MD (retired) · Answer

It can take months for the skin to settle and swelling to subside.  Wearing your compression garment will help. Follow up with your surgeon to confirm that you are healing as you should.  Best wishes!

Will skin tighten more over time after gynecomastia surgery?

Answers (7)

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