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

Question

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?

Ronald Schuster, MD · Answer

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.

Jed H. Horowitz, MD, FACS · Answer

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.

John Nguyen, MD, FACS · Answer

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, FICSDouble Board
Certified Plastic Surgeon

Miguel Delgado, MD · Answer

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.

Babak Dadvand, MD · Answer

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. Sincerely,Dr. Dadvand

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

Answers (10)