Recovery After Fibroadenoma and Gynecomastia Surgery - Breast and Thyroid

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Benign breast fibroadenoma and gynecomastia excision?


Hello Doctor, I would like to ask about my surgery on May 6th, where I had a left breast fibroadenoma and gynecomastia excised.
The drainage tube was removed on May 12th.
The doctor mentioned that the drainage site would heal in a day or two, but as of May 16th, there is still a hole.
Is it normal for the drainage site to take longer to heal? Additionally, since I had breast tissue removed, the incision was made below the areola, and while the incision site does not hurt, I have lost sensation in the nipple.
Is this normal? Furthermore, the area around the incision is slightly swollen and painful when pressed, but the pain subsides after a few minutes, and the swelling decreases, only to return after a while.
Is this also normal? I hope the doctor can provide me with some answers.
Thank you.

Gao, 20~29 year old female. Ask Date: 2014/05/16

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello,
1.
The wound from the drainage tube typically heals slowly, but if it continues to remain unhealed, it is important to check for any fluid accumulation beneath the wound.

2.
In gynecomastia surgery, part of the adipose tissue may sometimes be removed, particularly around the nipple area.
Occasionally, a small amount of ductal tissue may be left behind, and there may be some impact on the nerves, which should be monitored for recovery.
3.
If there is any hematoma or seroma at the site of the original gynecomastia, please return for a follow-up appointment so that the physician can perform an ultrasound examination to confirm.
Wishing you safety and health,
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare
Zhou Jiazhen

Reply Date: 2014/05/16

More Info


After undergoing surgery for fibroadenoma and gynecomastia, it is essential to understand the recovery process and what symptoms may be considered normal. Based on your description, it seems you have several concerns regarding your healing process, particularly with the drainage site, sensation in the nipple area, and localized swelling.

Firstly, regarding the drainage site, it is not uncommon for the wound where the drain was placed to take longer to heal than other surgical incisions. While your doctor indicated that the wound would heal within a couple of days, individual healing times can vary significantly based on factors such as your overall health, the extent of the surgery, and how well you follow post-operative care instructions. If you still have an open area at the drainage site as of May 16, it is advisable to monitor it closely for signs of infection, such as increased redness, warmth, swelling, or discharge. If you notice any of these symptoms, or if the wound does not appear to be healing, you should contact your healthcare provider for further evaluation.

Regarding the lack of sensation in the nipple area, this can occur after breast surgery due to nerve damage or disruption during the procedure. It is not uncommon for patients to experience temporary or, in some cases, permanent changes in sensation following breast surgery. The nerves may take time to heal, and some patients report gradual improvement over time. However, if you have concerns about persistent numbness or changes in sensation, it is essential to discuss this with your surgeon, who can provide more personalized insights based on your specific case.

As for the localized swelling and tenderness you are experiencing, this can also be a normal part of the healing process after surgery. Swelling is a common response to surgical trauma, and it may fluctuate as your body continues to heal. The fact that the swelling decreases with pressure but returns after some time is typical, as the body may still be processing fluid and inflammation in the area. However, if the swelling is significant, persistent, or accompanied by severe pain, it could indicate complications such as seroma (a pocket of clear fluid) or hematoma (a collection of blood), and you should seek medical advice.

In terms of general recovery after fibroadenoma and gynecomastia surgery, it is crucial to follow your surgeon's post-operative instructions carefully. This may include avoiding strenuous activities, wearing a supportive garment, and attending follow-up appointments to monitor your healing progress. Typically, full recovery can take several weeks to a few months, depending on the individual and the specifics of the surgery performed.

In summary, while some of the symptoms you are experiencing may be normal parts of the healing process, it is always best to err on the side of caution. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. They can provide you with the most accurate information tailored to your situation and ensure that your recovery proceeds smoothly.

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