Gynecomatia surgery is one of the most common procedures we do at our clinic. In most cases, the chest is soft and smooth after the surgery. However, it is certainly not uncommon to have some lumpiness under the skin, especially around the nipple area after surgery. In almost every case, this represents some swelling and some bruising of the remaining fat. In almost every case it will resolve over the following couple of weeks. We recommend lymphatic drainage massage to the area starting within the first few days after surgery. That makes the recovery process much faster. In rare instances, it's possible that some of the glandular breast issue under the nipple area still remains after the surgery. If that's the case, it's usually a very simple procedure to go back and get the rest of it. While possible, that is an un common occurrence. When you go back to see your plastic surgeon, he or she will no doubt know exactly what to do. Be patient. All will be well! I hope this helps! Dr. Robert Shenker MD FRCSC Medical Director, The Cosmetic Surgery Clinic