hello, sir ive had a gynocomastia surgery done on one side on 2th of july and its now a month and half further and i still dont see any difference, my surgeon told me it could take a few months to see full results but what bothers me is that i feel something hard under the nipple which feels exactly like the breast tissue i had before surgery? is this normal? i would be very pleased if i could get an answer
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.
Welcome to our forum and discussion group. Doesn't it feel good to be on the other side?
Just how tissues evolve and Healing After Gynecomastia
depends on the original problem, what was done, skill of the surgeon, after surgery care, and many other factors.
I preferred techniques where the Surgical Results
were visible right on the operating table. Contour documentation is simple, that is the premise of my Standard Gynecomastia Pictures
. Document the contour before surgery, and see it right after documenting the changes as the tissue was healing. This typically meant the patient and I were reviewing the results the day after surgery or so and at the dressing removal about a week later when possible. Check out our set up for the Male Nipple Exam
and you can see the pictures right up on the wall and the patient reviewing them with me in front of a mirror. Once the dressing was off, I could measure the nipple change and show what had been accomplished by that time of the exam.
Here are typical results with my techniques showing this form of documentation: Bruising Swelling and Healing Gallery After Gynecomastia Surgery
. By showing the transition from before, to after, my patients were more aware of what other patients normally went through after surgery.
The problem is that not all surgeons have the same skills nor use the same methods. Some methods leave the patient so bruised and swollen, that it can take months to a year or more to see the result. So what is "normal" for one surgeon may not be normal for another. That is why it is so critical to see what a surgeon's results are like, not just before and after, but also the transition in between to establish a time frame of what to expect. That is why I wrote How to Evaluate Before and After Pictures
and more specifically for male chest surgery: How to Evaluate Gynecomastia Before and After Pictures
. Complications can change the time factor for healing.
Injured tissues heal starting with firmness just like any cut. Part of the issue is just how much was injured. Just as with cuts, the worse the injury, the longer to heal. I know of no way to measure firmness evolution after surgery other than to show how the tissues move. Scared and badly injured tissues just do not move as well as soft natural tissues. I evolved my methods based on trying to minimize the trauma to my sculpted tissues. Less bruising and swelling meant I was doing better, my patients were healing faster. My Pictures to Evaluate Gynecomastia Scars and Deformity
adds views to show how tissues move, scarring factors and can show swelling issues because of the poorer movement seen in swelling. I developed that series to better evaluate those coming to me for revision surgery.
But pictures do not show how firm something feels. Scar tissue, swelling, and gland can all feel the same.
Questions to consider after surgery include among others: Does the contour look like the pictures of the surgeon's after surgery results? Does the contour look like the early after surgery transition for that surgeon's methods?
You are welcome to post your pictures here in this forum. That is one way so that others can better understand your concerns. As discussed, he Standard After Gynecomastia Set best shows movement issues and scar factors.
Hope this helps,
Michael Bermant, MD
Retired Plastic SurgeonLearn More About Revision Gynecomastia and Chest Surgery