Puffy nipples after 6 weeks of gynecomastia surgery ( only gland removal without lipo). Any suggestions? (photo)

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.

Patients with questions and concern about their gynecomastia excision without liposuction surgery  should contact the plastic surgeon that performed the procedure to address these concerns and determine if there is need any need of management

In order to achieve sculpting of the chest where the skin is flush with the pec surface, a very thin layer of skin should remain after the gland excision. If your result persists 3-6 months after surgery consider removal of the remaining gland. Seek a plastic surgeon with specialty training in gynecomastia surgery, has great photos, and is an expert in male breast reduction.

Thank you for the question.  The more time the patient waits after surgery the more likely they are to see the final outcome of the procedure performed. Patients undergoing gynecomastia surgery should keep in mind that some "puffiness" may persist after surgery; as you described, this may change with temperature change.









 Patient should also remember that removal of too much tissue at the time of corrective gynecomastia surgery may result in problems ( deformities) that are challenging to correct.  Surgeons must balance their desire to achieve the patient's goals (usually as flat a chest contour as possible) with efforts to avoid over resection and contour deformity.In the longer term, if you continue to have the same concerns, additional tissue resection and/or areola reduction surgery may be necessary to achieve an outcome you will be happier with.







Continue to follow up with your plastic surgeon who will always be your best resource when it comes to accurate assessment and advice. Best wishes.