How long does scar tissue persist after gynecomastia gland excision? Can this cause puffiness? How long does scar tissue heal?

Doctor Answers 8

Puffiness and Scars After Male Breast Reduction Surgery

Following #Gynecomastia #surgery, your incisions will go through a maturation #process. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

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.

In the future, if you are concerned with scars, with your surgeon's approval you may be able to use scar management treatments such as Biocornuem,  Scar Guard, Scar Fade,  IPL Laser,  Yag Laser,   5fu/Kenalog for thick scars, or silicone sheeting.

Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.


Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Scarring

Thank you for your question and it takes a year for scars to fully mature but they never "disappear" but should also hardly be noticeable if placed along the areola border

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 60 reviews

Scar tissue after gynecomastia

Dear foreveryoung908,

Thank you for your clinical post and common question. Scar tissue for procedures including the perioareolar region for gynecomastia can persist for many months. Scar tissue is the body’s normal way of healing and some patients have excessive wound healing and scar healing responses and this can lead to a hypertrophic scar. A hypertrophic scar is red and raised and itchy and generally responds to non-surgical treatments. Many scars do not heal with a hypertrophic scar responds and are flat on the surface, but there can be thick and irregular tissue underneath. This is again a normal process of wound healing and it tends to soften or remodel over many months. The perioareolar area has many ducts and glands, which may lead to increased inflammation and subclinical infection, which can delay wound healing.

You can expect to find a result in 9-12 months following the surgery. There are many treatments that can help accelerate these topical laser treatments on discolouration of the scar and then bulk heating radio frequency treatments to facilitate softening of the glandular area and common devices include the Venus Freeze, the Forma Plus and Exilis. These bulk heating radio frequency devices help remove the swelling and edema which contribute to firmness of the scar tissue as well as enhance tightness and contour.

I think you have a high probability of ending up with an excellent result and it’s very important to follow-up with your operative plastic surgeon as they are in the best position for recommendations for post-operative care.
I hope this information is of some assistance and best of luck.

To find out more, please visit the link below. Also visit the areas on the website about lasers and various lasers that might be able to help you in your unique perioareolar scar environment.

R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 82 reviews

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Incision line for gynecomastia

Incision line used for gynecomastia is located under the areola and should heal very well. Please see appearance of gynecomastia results.

Arian Mowlavi, MD
Orange County Plastic Surgeon
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Scar tissue after Surgery

Following surgery, your incisions will go through a maturation process. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

#gynecomastiaremoval
#malebreastreduction
#gynecomastiaremovalpostop

How long does scar tissue persist after gynecomastia gland excision? Can this cause puffiness? How long does scar tissue heal?

Thank you for your question.  After gynecomastia surgery there will always be some amount of scar present that will remodel and soften for 12 months or more after your procedure.  This is clinically seen by the flattening and fading of scars with time.  Scar tissue usually does not cause puffiness like glandular tissue, but surgical swelling may cause the illusion of puffiness.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

Gynecomastia

Scar tissue develops over time and often settles.  The swelling will persist for several months but everyone heals differently.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Gynecomastia recovery

Swelling after gynecomastia surgery may take several months to resolve.  Factors that contribute to the healing would include the type of surgical procedure, ie. liposuction, ultrasonic or laser assisted liposuction, or direct removal alone or in combination.  Typically scar tissue will take up to 6 - 12 months to totally soften and resolve.  If you have any concerns about the healing following your surgery, I would recommend returning to your Plastic Surgeon for an assessment.

Samuel Shatkin, Jr., MD
Buffalo Plastic Surgeon
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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.