Remaining puffiness after gyno-surgery. Could this be due to something other than the gland? (Photo)

Question

Had my surgery for a grade 1 type of gyno the 6th of September last year. Now, 8 months later I still experience a bit of puffiness which is seen through shirts. Did a revisit with the doctor and with another doctor and both said that "all" gland was removed after they examined it and "they didnt" know why the puffiness remained. I can still see a white surrounding around each nipple, could this be due to something else than gland? I have many questions and now turn to you

Tim Neavin, MD · Answer

Sometimes, scar tissue developed under the gland.  This can often be massaged and softened.  Other times, the tissue may need injections of steroids.  It is difficult to know exactly why there is still puffiness without an examination.  But be sure to follow-up with your physician and continue massaging the area aggressively.

Daniel Barrett, MD · Answer

Dear Formers,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Andrew M. Ress, MD · Answer

At first observation, it appears that the glandular tissue was resected directly but the surrounding fatty breast tissue left alone. Liposuction will remove the fatty tissue and allow the skin to contract down better and look less puffy.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment on the outcome of a procedure we really need to see standard before and after pictures.

Knowing your age would also have a big impact on what someone should expect.

It’s normal for everyone’s areola to have some puffiness or fullness and this can change based on temperature arousal or other variables.

To me it looks like the glandular tissue was sufficiently removed but the overall contour of the tissue around the areola is slightly uneven.

Getting that area to be as thin as possible for the perfectly smooth contour is technically very very difficult and whenever someone tries to get a homerun result there’s always an increased risk of having some contour irregularties.

You can continue having Second opinion consultations or accept  the results the way they are.

Whether it’s worth having another procedure is some thing you need to discuss with your provider whether it be the primary doctor or a doctor during a second opinion consultation.

Based on when I see I would say leave good enough alone and be done with it.

Best,

Mats Hagstrom MD

David E. Berman, MD (retired) · Answer

i am not sure what you are exactly bothered by. the white you have at the scar is scar tissue. it is extremely small and we always heal any cut or incision with scar tissue. If it were large, then it may make sense to cut it out and resuture it. however, it is very small and does not require any treatment.

if your nipple areolar complex is "puffy", it is possible to elevate it from the base and remove some tissue beneath this and this will usually flatten it down further. I have done this operation many times. It can be done in the office under local anesthetic.

david berman md, frcsc

Remaining puffiness after gyno-surgery. Could this be due to something other than the gland? (Photo)

Answers (5)

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