My chest is more swollen on the right than the left after gynecomastia. This this normal? (Photo)

Question

its 4 months now , i had gynecomastia+lipo for my chest, i'm almost happy with my result execpt that my left chest looks more swollen and bigger than my right one which totally flat , is that normal ? is that fluid or what exactly ? thank you very much ( i added 2 photos)

Jed H. Horowitz, MD, FACS · Answer

Thank you for your question.After #gynecomastia #surgery it typically takes up to six months to see final results.  I would wait a few more months to see how you continue to #heal and how #swelling is reduced.If the #asymmetry persists six months post-op, please contact your #BoardCertified #PlasticSurgeon to make an in-person consultation to determine the best plan of action at that time.

Martin Jugenburg, MD · Answer

From your photos I can see some asymmetry in your chest.  It can be some residual fluid, blood collection, scar, or residual fat tissue.  It is best to be seen in person by your plastic surgeon who can examine you and discuss options of how to improve your symmetry.

Jerome Edelstein, MD · Answer

Hello,Some time between 4-6 months you can expect to see your final result so you may wish to wait a little longer. The slight difference you see from one side to the other could be caused by a few things including, potentially a chest wall difference which is more visible now. I recommend having this assessed by your Plastic Surgeon and once your swelling has completely resolved, you can discuss potential causes and treatments if applicable.All the best

Babak Dadvand, MD · Answer

Hi ozanyulmaz,Thanks for the post. The fullness that you see can be from several things. it can be due to scar tissue formation, residual tissue that was not removed, or lack of skin tightening. You would need to be evaluated by your surgeon to determine which one it is in your case. Fluid collection at 4 months is highly unlikely.Sincerely,Dr. Dadvand

Robert D. Wilcox, MD · Answer

Dear ozanyulmaz,

We do a tremendous amount of gynecomastia
surgery in my practice, and at four months time if your left chest felt
symmetric early on but now looks swollen and bigger, you may benefit by a
steroid injection into the left tissue. Often times this area will provoke
vigorous inflammatory response that responds nicely to an injection. Discuss
this with your surgeon.

I hope this has been helpful to you.

Robert D. Wilcox, MD

Ven Erella, MD · Answer

Thank you for your question. It could be scarring. I would recommend wait for 3 more months and reevaluate, If needed adjustments can be done.

Vasdev Rai, MD · Answer

This could be scar tissue or some left over fat.  Wait another 3-4 months. If it stil persists at that time discuss your options with your surgeon.l

J. Howell Tiller, MD · Answer

Your photos, unfortunately, aren't a great deal of assistance to me.  I think, perhaps, I can see some welling on the left toward the center of the chest that isn't on the right.  At four months I think your swelling should have largely subsided so what you are seeing is your final result.  Certainly, there could be some swelling that is taking it's time to resolve but that area could represent residual fat tissue that has been left behind.  You may just need a minor procedure to remove that excess fat.  I would recommend that you try to forget about it for a few months longer and then step back and take a look again and see if the asymmetry is still present then you and your surgeon can make plans on what to do about it.

Tom J. Pousti, MD · Answer

Hard to know, without physical examination, what the asymmetry is related to. Often, some degree of asymmetry is seen after this type of surgery;  most often, it is related to more adipose tissue and/or breast tissue being present on one side compared to the other. Hopefully, the asymmetry will improve as time goes on; if not (and if the asymmetry is of concern), then additional treatment may be necessary.  Best to continue to follow your plastic surgeon who will always be your best resource when it comes to accurate diagnosis and treatment recommendations. Best wishes.

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