3 months post op not happy

[Lmart457]

I had gyno surgery 3 months ago, and at first I was very happy with my results. Then around 3 week mark, I noticed lumps coming back in. I went back to the doctor and she told me that it was just swelling. It has been 3 months now and I am convinced that it is not swelling. It feels just like it does before, only it is very tender to touch now. It is much bigger on my left side than my right. The surgeon told my my gyno was very tough to remove and they had to clip it out and use lypo instead of cauterizing it. I'm just wondering if it will ever go away? It's very embarrassing and I'm more ashamed now than I was before.

[Dr. Schuster]

Small lump are normal after gynecomastia surgery but generally smooth out by 3-6 months. If they are still there and visible you might need additional surgery. Check with an experienced gynecomastia surgeon for another opinion. 

[Dr. Cruise]

Swelling, lumps, and asymmetry are all part of the healing process following gynecomastia surgery. It can take anywhere from 3 to 6 months to heal completely. I'm not sure if you were instructed to wear a compression garment following your surgery, but this is very helpful with the issues mentioned above. You may want to try massaging the area on a regular basis to see if you can get some improvement of the symptoms. If the issues persist in another 2-3 months you may want to seek out a second opinion. Please be sure you see a board-certified plastic surgeon who is a true specialist in male breast reduction surgery. 

[DrPensler]

I would recommend some photos because it is difficult to accurately assess your situation without them. Having said what I just mentioned the most common cause for your present description would be inadequate excision at the time of surgery.The correction for inadequate excision is to unfortunately go back in and adequately excised the residual tissue.

[Lmart457]

Here is a picture of it, like I said before, they are very tender to touch, but have gotten slightly softer over the past month. My left one is much bigger than my right one, my doctor told me that she had to be much more aggressive on my left side.however, on both sides, the tissue was tough and she couldn't cauterize it, so she had to cut it with surgical scissors. Summer is coming up soon and I just want to know if I'll have that beach body I was hoping for. I had my surgery on December 21st of 2016. Thank you all

[DrPensler]

I would say one side looks good.The issue is the larger size.It is still early and if the larger side is becoming softer and smaller it is worth giving it more time to see how everything resolves. I realize you want to have everything good by the summer but unfortunately that may or may not be the case for you. If the one side is still larger in  8 weeks you may benefit from additional excision.

[Litlriki]

The larger side is certainly not acceptable, and whether that's due to scar tissue build-up or residual gland can't be determined from the photos.  It's possible that if it's scar tissue, a Kenalog injection could settle that some, and the fact that it's tender might suggest that it's related to scar tissue.  If it's not resolving, though, further excision might be needed. It sounds like your surgeon may not treat gynecomastia frequently, but she might have the best sense if what you're seeing is scar or gland--and she could try the Kenalog if she thinks it's scar tissue.