One Side Bigger then Other - Post Gynecomastia Plastic Surgery?

Question

Hi. my surgery was 10 days ago. all went great. respected all the rules. one side appears bigger then the other. i had this breast unequal in size even before surgery. Is it due to bruising / swelling? I notice the fat on it though. i am confused. will it diminish later? one side is perfect and the other is not, seems it didn't work on it. is it possible? what should i do?

Jed H. Horowitz, MD, FACS · Answer

Asymmetry during the healing process is not at all uncommon after any breast surgery. Also, 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.

Ronald Schuster, MD · Answer

it is far too early to be able to tell how the sides will end up looking. It is not uncommon at all for one side to look a little different. You ned to give at least 3 months. Hang in there.

Tom J. Pousti, MD · Answer

Thank you for your question.

	Since you are only 10 days post op surgery, you really cannot judge your results at this time.  Please continue to follow your surgeon's instructions and wear the compressive garment and allow  your body to heal and swelling to subside.

	If you started off with some asymmetry, some may still persist after surgery but again, allow your body to heal before judging your results.

	Best wishes.

Vincent D. Lepore, MD (retired) · Answer

At just ten days following gynecomastia surgery, it is still very early. You are correct that the asymmetry you are experiencing may be due to post operative swelling and/or bruising. This may well resolve over the next 6 to 12 weeks. Your best option is to continue wearing a compression garment and avoid strenuous activities which could cause further swelling/bruising. Best of luck.

One Side Bigger then Other - Post Gynecomastia Plastic Surgery?

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