Three Weeks Post Gynecomastia Smart Lipo, When Will I Start Seeing Results?

This is my third week post gynecomastia smart lipo, I don't see much difference yet, can swelling last for three weeks? how can I tell it's not fat? should I keep wearing the compression garment?

Doctor Answers 10

Results of gynecomastia surgery after Smart Lipo

I'm not a big fan of Smart Lipo so perhaps I'm a bit biased. I would think that you should be able to see a difference by now. Smart Lipo alone will not be able to remove the thicker fibrous breast tissue which usually has to be directly excise in some fashion or another.

Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

You may need excision

After laser assisted liposuction of the chest, I would expect to see some difference at three weeks, although you are still swollen. The more important question is whether you have a collection of blood or fluid, or need the residual breast tissue excised. Your surgeon should be able to answer these questions. Good Luck!

Brian Klink, MD
Vacaville Plastic Surgeon
5.0 out of 5 stars 94 reviews

Three Weeks Post Gynecomastia Smart Lipo, When Will I Start Seeing Results?

In my hands using the correct Smart lipo unit I see results in a few days not weeks. I'm concerned that you may need re evaluation. Swelling can last upto 3 months. Request lymphatic massage and external ultrasound therapy. Best 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Results of Gynecomastia

Thank you for your question.

After #gynecomastia #surgery, #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.

If may take up to six months to see final results.

If you are concerned, please contact your #BoardCertified #PlasticSurgeon for an in-person consultation.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Three Weeks Post Gynecomastia Smart Lipo

Hi Mike528,

Thanks for the post. Although you won't see final results at 3 weeks, you should notice a difference from the pre surgery photos at 3 weeks. It is unusual to have so much swelling at 3 weeks that there is no visible improvement in the chest. This could be either due to a fluid collection, called a seroma, or glandular tissue that would not have been removed with the smart lipo technique. I recommend that you see your surgeon to evaluate for a seroma, which if present would need to be drained. 


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 45 reviews

Three Weeks Post Gynecomastia Smart Lipo, When Will I Start Seeing Results?

Three weeks post op is too early to assess the outcome.  Give it at least 6-8 weeks.  Communicate with your surgeon.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 82 reviews

Gynecomastia surgery and results

Discuss your concerns with your plastic surgeon. Results do take time, but ideally patients are well prepared for what to expect pre-operatively

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Gynecomastia Surgery Results?

Thank you for the question.  You should  continue to see decreased swelling and improvement in your results for the 1st 2 to 3 months after surgery. if at that point there continues to be too much prominence of the chest wall area then excision may be necessary.

Gynecomastia comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males.  The diagnosis can be made by physical examination where relatively firm tissue  (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue).
Breast prominence due to excessive adipose tissue is called pseudo-gynecomastia or lipomastia.  The differentiation of true  gynecomastia  from adipose tissue is important because the surgical treatment may differ. Usually  physical examination by a well experienced board-certified plastic surgeon is sufficient to make the diagnosis  and to determine the best course of treatment.
I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.
I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Smart Lipo Will not Treat True Gynecomastia

Sorry, but if you truly have gynecomastia with breast gland tissue then the smart lipo will not remove this.  However, if you have psedogynecomastia which is composed of fat tissue only this is adequate treatment.  In my practice over 30% of my gynecomastia practice is revision surgery.  The most common reason is treatment with liposuction only.  Sorry but by 3 weeks you should be happy with how things are progressing.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 reviews

Should see marked improvement three weeks after gynecomastia correction.


Go back to your surgeon right away. Of course there is still some swelling at three weeks, but you still should see most of the result.

You might have a seroma (fluid collection).  Or perhaps the hard breast tissue under the nipple (which cannot be removed with liposuction) was not dealt with.  In any case, there is a problem

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

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.