Is it possible to diet/exercise away fat after gynecomastia surgery? Will pigmentation come back? (Photo)

You are only 5 weeks post op so  you may have some swelling yet to go away.. Also the pigmentation usually takes several weeks to come back, so hopefully that will improve with time. It is hard to tell for sure with photos but I would have probably recommended lipo to get rid of the rest of your volume. You nipple is much flatter but if the rest of the volume remains after all swelling is gone, then you might want to reconsider liposuction. Good luck.

Dear Bossbrah,

Thank you for posting your early
postoperative photos. At five weeks
postoperatively, it is very common to have swelling and edema and some
asymmetry. At this point, I still
recommend the use of external compression garmenting plus perhaps the edition
of some foam on the more swollen side.
The incision is often quite discoloured at this point
and there can be some loss of
pigmentation in the skin surrounding.

I allow patients generally to begin
light exercise of the pectoralis major and the abdominal and upper chest
muscles at six weeks. It is possible
that there may be some reduction of chest glandular fat with diet and exercise
and there may still be some swelling that accounts for the asymmetry.

At this point, I would seek the
advice of your operative surgeon for reassurance to make sure there is no
under-the-skin fluid collections and reinstitute your physical exercise
routines and programs.

There is always a risk of some
enhancement advanced liposuction techniques being required, but you never visit
this option until you were nine to twelve months postoperatively.

I trust this information has been
of some help and best of luck.

Sincerely,

R. Stephen Mulholland, MD

Certified Plastic Surgeon

Yorkville, Toronto