swelling

[Quest1]

I had surgrey yesterday and they put the draining tubes in. last night my right side was swollen more than the left. This morning the tube came out. I must have pulled it last night. Do I go the the emergency room? I spoke with the surgeon and he said that I should watch it and if it swells more, I should go to the emergency room, but he also seemed unsure, as if this were the first time this kind of thing had happened. Does the tude ever come out and if it does, what to do?

[mumoft]

Don't spend a lot of time panicing. Call your doctor again, and get the clarification you need. Ask him what you should look for--how much swelling is too much, draining you should worry about, etc, or when do you know if he thinks you should go to the emergency room.  Doctors get paid to have patients call when things like this happen.  If it helps to write your questions down before you call him then do that, and write your answers down.

[DrBermant]

I had surgrey yesterday and they put the draining tubes in. last night my right side was swollen more than the left. This morning the tube came out. I must have pulled it last night. Do I go the the emergency room? I spoke with the surgeon and he said that I should watch it and if it swells more, I should go to the emergency room, but he also seemed unsure, as if this were the first time this kind of thing had happened. Does the tude ever come out and if it does, what to do?

1 day after surgery can be very eary in tissue evolution with some techniques. 

Posting Standardized Before and After Pictures can help others better understand your concerns.

One sided swelling may have many causes such as one sided surgery, one side more difficult than the other, techniques used, problem treated, and hematoma or blood collection after surgery.

How tissues evolve after surgery depends on the problem treated, surgical technique, skill of the surgeon, after care, scar care, and how a patient heals.  I prefer my Dynamic Technique in which there is minimal bruising and swelling.  The biggest change happens on the operating table.  That is how I am able to post images the day after surgery.  However, further refinement happens over time as sculpted tissues evolves as they soften with scar care, compression, and healing.  As with any cut, tissues need to heal and soften.

You can see other examples of early resuts:

in this competition body builder here.

This one sided (unilateral) gynecomastia shows the swelling after surgery typical swelling after my gynecomastia surgery compaired to the side that had No Surgery. 

Here is another example of early healing after unilateral surgery typically seen with my techniques. 

Here is another example of typical minimal swelling and bruising in a 14 year old patient with more images images of tissue evolution and swelling here.. 

You can find many more examples on my website of primary gynecomastia tissue evoluation.

I perform many Revision Gynecomastia Male Chest Sculpture Operations on patients done by other doctors around the world. Each patient has told me how different their tissues were after my Dynamic Technique compaired to their previous surgery.  They all have commented how the swelling was much less, comfort better, and their expectation met, even at their first view of the tissues after surgery.  You can see typical tissue evolution after Revision Gynecomastia Surgery here.

However, even with these techniques, the tissue continue to evolve over time.  Here is another example of a patient revised after initial surgery done in Australia, early and 2 years after his operation.

This is real surgery and tissues do need to heal just like any other cut or injury.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture