Is There Swelling Behind the Nipple Post Gyncomastia Surgery That I Cant See? (photo)

I went to a board certified plastic surgeon who has been doing breast surgeries for over 31 years. I had very minor gynocomastia and decided to have it removed. After surgery it has now been 17 days and I do not see much difference. He told me it will take months for it to be flat. When honestly I think it looks the same. I feel great and have no pain. I dont see how it can get much better?

Doctor Answers 5

17 Days Post Gynecomastia - There Is Still Swelling

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You are right where you belong.  At about 3 weeks after gynecomastia surgery, all patients want the area flattened perfectly already.  In my practice, I have my patients wear a tight vest with foam rubber inside the vest and an ace wrap for one month.  At about 4-6 weeks, I usually inject a little corticosteroid just under the nipple.  I do this 2 or 3 times at 3 week intervals.  After each injection, I do a 3 minute therapeutic ultrasound (the kind the physical therapist uses for sore muscles).  This evenly distributes the steroid and helps bring blood supply to the area to take away the organized sub-nipple swelling. 


Obviously, your plastic surgeon with 31 years of experience has his or her own techniques.  He or she would obviously be the best judge of what to do. 

Is There Swelling Behind the Nipple Post Gyncomastia Surgery That I Cant See?

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For very mild gyneco. you get mild results as shown from your posted photos. I see a difference even on the poorly exposed photos. Thus you might obtain a little more flattening but I doubt it. But still there is a result that is easily noticed. 

Gynecomastia Surgery Results?

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Thank you for the question and pictures.

At this stage in your recovery, it is too early to evaluate the end results of surgery. It will take several months for swelling to fully resolve and for skin to  ‚Äúredrape". In the meantime,  I would suggest that you continue to be patient and follow up with your plastic surgeon for evaluation/guidance.

Best wishes.

Swelling Post Gynecomastia Surgery

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Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely. The compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. But if this causes concern, its best to ask questions of your surgeon or their nursing staff.

Too early

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It's too early to judge  the result. It will take few mints to see the final shape .i advice to continue on pressure garment for 4 wks

Nawarah Alarfaj, MD
Saudi Arabia Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.