Post-Surgery Concerns for Male Gynecomastia: Uneven Fat Recovery - Breast and Thyroid

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Please provide your questions regarding male gynecomastia surgery?


Hello Dr.
Wu,
I would like to ask you a question.
Recently, I underwent gynecomastia surgery at Taipei City United Hospital.
According to my doctor, the glandular tissue was close to a D cup, which is quite large.
It has been two months since the surgery, and my doctor advised me to wear a compression garment, which I have been doing.
However, I have recently noticed uneven fat restoration on both sides of my chest, and I have also discovered that there are hard lumps forming in the fatty tissue.
The doctor mentioned that this is a common occurrence as the fat undergoes necrosis and advised me to apply heat to the area to help soften the fat.
However, it doesn't seem to be very effective.
Are there any other methods I could try?

Mao Mao, 30~39 year old female. Ask Date: 2010/09/30

Dr. Wu Jingtang reply Breast and Thyroid


Dear Mr.
Mao Mao,
Based on your description, wearing a sculpting bra and applying heat to the breasts after surgery can help alleviate your condition.
However, this may take some time (3 to 6 months), so it is important to approach it with patience! If necessary, you may consult a plastic surgeon.
Wishing you safety and health,
Dr.
Wu Ching-Tang
Attending Surgeon, Department of Surgery
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2010/09/30

More Info


Post-surgery concerns, especially after a procedure like gynecomastia surgery, can be quite common and understandably distressing. It's important to address your concerns regarding uneven fat recovery and the formation of hard lumps in the breast area after surgery.

Firstly, it’s not uncommon for patients to experience uneven fat distribution following gynecomastia surgery. The surgical procedure typically involves the removal of glandular tissue and excess fat, but the healing process can lead to variations in how the body redistributes fat in the chest area. Factors such as individual healing responses, the extent of tissue removed, and even the body’s natural fat distribution can contribute to this unevenness.

The hard lumps you are feeling are likely a result of the healing process. After surgery, the body undergoes a series of changes as it heals, which can include the formation of scar tissue and fat necrosis (where fat cells die and form lumps). This is a normal part of recovery, but it can be concerning when you notice these changes.

Your doctor’s recommendation to use heat therapy is a common approach to help soften the hardened areas. Heat can increase blood flow to the area, which may help in the healing process and reduce the hardness over time. However, if you find that heat therapy is not yielding the desired results, there are other methods you might consider:
1. Massage Therapy: Gentle massage of the affected area can help break down the hard lumps and promote better circulation. It’s crucial to consult with your surgeon or a physical therapist who specializes in post-surgical recovery to ensure that you are using the correct techniques and not applying too much pressure.

2. Compression Garments: Continuing to wear a compression garment as advised by your surgeon can help in shaping the chest and may assist in reducing swelling and unevenness. Ensure that the garment fits well and is worn as directed.

3. Follow-Up Consultations: Regular follow-ups with your surgeon are essential. They can assess the healing process and determine if the uneven fat distribution is a concern that needs further intervention. Sometimes, additional treatments such as liposuction may be recommended to correct uneven areas.

4. Physical Activity: Engaging in light physical activity, as permitted by your doctor, can help improve circulation and may assist in the healing process. However, avoid any strenuous activities that could strain the chest area until you receive clearance from your surgeon.

5. Patience: Healing from surgery can take time, and the body may continue to change for several months post-operation. It’s essential to be patient and give your body the time it needs to heal properly.

In summary, while uneven fat recovery and the formation of hard lumps can be concerning after gynecomastia surgery, they are often part of the healing process. Utilizing heat therapy, gentle massage, and maintaining regular communication with your healthcare provider can help manage these issues. If the situation does not improve or worsens, do not hesitate to reach out to your surgeon for further evaluation and potential treatment options. Your health and comfort are paramount, and your medical team is there to support you through your recovery journey.

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