Skin folds, lumps and uneven result 7 weeks post gynecomastia surgery. Opinion? (photos)

Question

Hello, I am 7 weeks post surgery and have a very uneven result with lumps, skin folds and what looks like scars (even though there were no cuts). Please see the pictures for a better understanding. I decided to have the surgery in order to remove grade 3 gynecomastia and tuberous breast, so a significant amount of fat and glandular tissue was removed by a combination of liposuction and direct excision. Thanks and best regards, Chris

Omar Quaba, MA, FRCS (Plast) · Answer

Hi, I can see the concerns you have at this stage. You might require revision at a later stage but you need to wait at least 6 months to allow everything to settle down. 
You had what sounds like a significant reduction in volume and your skin will take time to retract. You will need to see what degree of retraction you achieve. Unevenness and lumpiness are again very common and to be expected at this stage - these will also take a few months to resolve.
It may be worth an early review with your surgeon to let them know about your concerns.

Lawrence N. Gray, MD (retired) · Answer

It looks as though you have had inadequate tissue removal on the right and too much removed on the left. I would suggest vigorous massage on both sides. When both are soft, a better determination can be made for a revision. At this time it looks like further liposuction on the right would be sufficient. If areas of depression exist on the left, fat injections may prove helpful.

Melih Erogul, MD (retired) · Answer

Hi and welcome to our forum!
Gynecomastia correction takes various forms depending its the extent. It may range from a simple glandular excision to a complete reduction of the skin / soft tissue envelope as well. In your situation, it appears that you underwent a glandular excision at the nipple-areolar complex margin. There appears to be significant residual swelling present with skin surface irregulaity as well. 
After a procedure of this magnitude, swelling and skin irregularity will initially cloud the operative result. After skin and soft tissue remodeling occurs, the tissues should soften and flatten. Some surgeons employ ultrasound or radio frequency generators to hasten resolution of the swelling. After subsidence (6-12 months), one can then determine if skin redraping has been sufficient or if skin excision is necessary.
I recommend that you express your concerns to your plastic surgeon. 
Best wishes...

Skin folds, lumps and uneven result 7 weeks post gynecomastia surgery. Opinion? (photos)

Answers (3)

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Everything you need to know about Gynecomastia Surgery

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Skin folds, lumps and uneven result 7 weeks post gynecomastia surgery. Opinion? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.