Scar Tissue Release in Revision Gynecomastia Surgery? (photo)

I had revision gynecomastia surgery 8 weeks ago. As part of the surgery, the surgeon released the scar tissue on the left chest that was very hard prior to surgery. Post surgery, the tissue becomes soft and the left chest is totally flat whenever I wear the compression vest. However, when I remove the vest, after about 30 mins, the tissue becomes somewhat hard again. Why does this happen and what can I do to keep the tissue soft and flat permanently? Thx -Sean

Doctor Answers 5

Scar Tissue Release in Revision Gynecomastia Surgery

Hi Sean,

Thanks for the post and photo. Revision gynecomastia surgery can take even longer to settle. At 8 weeks you are still on the earlier side of the healing curve. I suspect that you are experiencing transient swelling once the compression vest is off. This should improve as time goes by because the swelling should decrease. You are also probably experiencing scar formation which is normal at this time in your recovery. Stretching exercises and massage may help with this. I would follow your plastic surgeons recommendations regarding this.


Dr. Dadvand 

Los Angeles Plastic Surgeon
5.0 out of 5 stars 32 reviews

Gynecomastia Surgery - several months needed to see final outcome

It is too early to tell your final outcome. Local Massage and waiting is probably most indicated at this point. In 2-3 months you will have a better idea of your outcome.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 103 reviews

Scar Tissue Release in Revision Gynecomastia Surgery? (photo)

I believe you are still early in your recovery process.  Some surgeons do recommend massaging the scar at this point.  I think you need more time to heal.  I would reevaluate in 6 months.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 62 reviews

Scar after revision liposuction

Dear Sean,

this is an unfortunate problem you are going thru.

yes, the body may take longer to heal after a revision surgery such as the one you had.

what I would suggest you is to start massage the scarred area either with a mechanical hand-held massage device ( Homedic for ex at any Wallgreen ) or buy one of those hand-held Ultrasound device on Amazon, plus the 4 $ gel that goes with it. the Ultrasound devices are used by physical therapists, but you can do it to yourself in the comfort of your home twice a day to help soften out the scar tissue and massage it.

your surgeon probably explained you it may take up to 2 years for the scar tissue to settle down.

good luck

Florence Mussat, MD

Florence Mussat, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 39 reviews

Gynecomastia and skin

Without an evaluation, it is difficult to say. But it could represent swelling that should subside with time.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 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.