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Patient Details
This is a 27 year old male who is 5’7″ and 141 pounds who complained of gynecomastia or puffy nipples. On a scale of 1-10 in terms of severity, he rated it as a “10/10”. He is seen here about five months after gynecomastia surgery with the cartilage shaver alone. He developed a small right chest hematoma two days after surgery which was treated by removing the blood with a needle and syringe. He required a steroid injection into some scar tissue that he had under his nipple areolas on both sides. His result is as you can see. The most noticeable photo is the side view (as always).
Lessons to learn:
- Puffy nipples are treated by removing the tissue beneath the nipple-areola complex. If you don’t removed it, or try to treat it with liposuction alone, there is a good chance it will be back.
- Hematoma (collection of blood in the area of surgery) happens. It’s a random event. Drains don’t prevent hematoma. Your surgeon didn’t “make a mistake”. It simply happens. You can minimize the potential for this to happen by making sure you are not on blood thinners, baby aspirin or taking herbal chemicals that thin the blood.
- Scar tissue can develop under the chest area after surgery. This usually goes away with massage and time but may need an injection of a steroid to make it smaller and softer. It will generally resolve after six months or so. On rare occasion, I need to go back and remove scar tissue surgically.
- I can clearly see in this patients body language that he is very pleased with his result. It has changed his life for the better. This is why I do this procedure.
