Why does it still look like I have gynecomastia? (Photo)

Question

I had a gynocomastia mastectomy with liposuction 6 months ago, currently I have constantly been second guessing whether I still have some tissue, scar tissue or loose skin as whilst I don’t have the best posture due to years of living with gyno, the nipple still protrudes and looks puffy, although when I raise my arms they appear flat

Ajaya Kashyap, MD · Answer

Thank you for your query. It is possible that a part of the gynecomastia, that is glandular was not completely removed. This cannot be removed by liposuction and needs excision. Please discuss your concerns with your surgeon who can examine you and help you . All the best!

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the limited information and pictures provided for a detailed and bespoke plan I would recommend that you consult with your plastic surgeon.
when your surgeon performs gynecomastia surgery they usually leave a small portion of the gland behind the nipple to prevent the caved in or crater look that can happen when the nipple loses support or excessive excision is done and the skin sticks to the underlying muscle. Another possibility is recurrence that is if there a cause for the gynecomastia ( hormonal abnormality) that hasn't been addressed it can recur as some of the gland is left in place and that might grow in size if hormonal stimulation is still existent though given the time frame it's more likely retained gland from the original surgery. If this continues to bother you down the line , a revision surgery can be done though removal of more tissue will carry the risk of potential deformities.I hope this helps , best of luck!

Manuel Diaz, MD · Answer

Hello. It's common for concerns about the final result to remain after gynecomastia surgery with liposuction, especially at 6 months. Protruding nipples can be due to several causes: loose skin that hasn't yet fully retracted, hard scar tissue under the areola, or even remnants of glandular tissue if it wasn't completely removed. The fact that the area appears flatter when raising the arms suggests mild sagging or maturing scar tissue. Additionally, a hunched posture can make the chest appear more prominent. I would also need to see better photos to give you an accurate verdict. A medical evaluation with palpation would also be ideal before considering surgical evaluation. You can contact us at 829-554-6062 for an evaluation.

Why does it still look like I have gynecomastia? (Photo)

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Why does it still look like I have gynecomastia? (Photo)

Answers (3)

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