Questions, please reply

[SomeDude420]

Hello all.  I am now 3 weeks post op and i have a few questions i would like to ask.  The first one is: Is it normal to have a large hematoma that is unable to be drained of one or both breasts for this long after surgery? The second question is: How long does it take approximately for scars to heal, and when they do heal are they very noticeable? i realize it is probably different for the individual, but i would like to know how others have turned out.  Any reply would be greatly appreciated, thank you.

[nonini]

hematoma is internal bleeding so i wouldnt say its normal maybe u just have sweling. if you look at peoples post op pics most scars are unnoticable, put it depends on surgeon and you.

[DrBermant]

Hello all.  I am now 3 weeks post op and i have a few questions i would like to ask.  The first one is: Is it normal to have a large hematoma that is unable to be drained of one or both breasts for this long after surgery? The second question is: How long does it take approximately for scars to heal, and when they do heal are they very noticeable? i realize it is probably different for the individual, but i would like to know how others have turned out.  Any reply would be greatly appreciated, thank you.

A hematoma after gynecomastia surgery is a collection of blood.  Timing for drainage depends on many factors.  Waiting until the blood softens is sometimes the correct treatment.


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.

Scars after surgery depend on the problem to be treated, surgical technique(s), complications, skill of your surgeon, after care, scar care, how you heal, and other factors.

The areola chest skin interface is a great place to hide a scar.  Check out the many before after pictures of this Areola / Nipple Gallery here, here, and here.  These results are typical for my sculpture of my patients.

How tissues move is important.  The human body is beautiful in animation.  That is why I show pictures of the chest with arms up, down, and with muscles tight / relaxed in addition to the results from multiple views.  Limited view demonstrations can pick the best angle to hide deformities and problems.  Such analysis of the results as well as how tissues evolve, the possible need for drains, comfort level after surgery, are important factors in picking your doctor.  It is like an artist selecting a paint brush.  The results are what matters, not with what tool they sculpt.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

[SomeDude420]

thank you very much for replying, your answers have been very helpful and i appreciate it.  However, my swelling or hematoma is much worse than the swelling in these photos, but i suppose i can only hope for the best and prepare for the worst.