Why do I have breast pain 4 years post Gynecomastia surgery and still have a lump?

As with all operations, pain and discomfort varies greatly from
patient to patient. Generally, one should expect that pain medication will be
required for the first several days. Continuing discomfort can last varying
amounts of time.

Now, since it has been such a long period of time it would be a good idea to either visit your same plastic surgeon for a review or a new surgeon if you are looking to have the issue re-evaluated. Good luck to you.