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

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.

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

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.

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

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