Scar Tissue After Gynecomastia Surgery- Do I Need A Revision?

Question

I had my surgery last June with liposuction. I was warned before hand about scar tissue development so I wasnt worried about it when I got the lumps afterwards. However, as time has gone by and plenty of massaging of the area, the scar tissue has not yet broken down and still remains. Its been 14 months, and my doctor has suggested a revision surgery to remove the scar tissue, but this will only increase the chances of it returning! My right side has a huge lump, left is flatter but also has it!

Tim Neavin, MD · Answer

Swelling after male breast reduction can take months to resolve. In addition, it may take months for the skin to tighten.  Scar tissue can be present for up to six months.  It is best to wait until 6 months from surgery before considering a revision.

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.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.In the future, if you are concerned with scars, with your surgeon's approval you may be able to use scar management treatments such as Biocornuem,  Scar Guard, Scar Fade,  IPL Laser,  Yag Laser,  5fu/Kenalog for thick scars, or silicone sheeting.

Michael Constantin Gartner, DO · Answer

You may want to consider revision surgery nonetheless, since the lumps may also be caused by remaining glandular tissue that wasn't removed in the original surgery.

Miguel Delgado, MD · Answer

Liposuction alone will only correct the male chest for one who has "pseudo-gynecomastia", which is caused by fat alone. Male breast tissue is too dense to be removed through a cannula that is used for liposuction. The majority of men have true gynecomastia, which is a combination of fat and breast tissue. You most likely have breast tissue remaining along with scar tissue which can only be removed by surgical excision. Revision surgery is more difficult but can be done with great results. Good Luck!

Ronald Schuster, MD · Answer

If you are not satisfied with the surgery I would let the surgeon perform the revision. It shouldn't be too difficult at all. Be prepared to pay for the facility fee but most surgeons would waive any further professional fee.

Scar Tissue After Gynecomastia Surgery- Do I Need A Revision?

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Answer: Gynecomastia Revision Surgery Needed

Answer: Gynecomastia Revision Surgery Needed

Answer: Revision of gynecomastia surgery

Answer: Revision of gynecomastia surgery

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Scar Tissue After Gynecomastia Surgery- Do I Need A Revision?

Answers (9)

Answer: Gynecomastia Revision Surgery Needed

Answer: Gynecomastia Revision Surgery Needed

Answer: Revision of gynecomastia surgery

Answer: Revision of gynecomastia surgery

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Everything you need to know about Gynecomastia Surgery

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