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8 months post op - nipple change

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8 months post op - nipple change
« on: July 17, 2019, 04:06:34 PM »

I'm 8 months post op, had both lipo and gland excision.

Results were awesome but over the last 2 weeks I've felt tenderness on both sides and noticed a slight change in my nipples

I've attached a photo, they have slightly 'puffed' up in the centres only having been previously completely flat since surgery.

Is this anything to cause concern? Could it be returning? Is there a reason this is happening?

Any thoughts or reassurance much appreciated

Linkback: https://www.gynecomastia.org/smf/index.php?topic=35381.0

Re: 8 months post op - nipple change
« Reply #1 on: July 22, 2019, 07:29:01 PM »
It could be that you are developing some scar tissue.  Would strongly suggest you return to your surgeon, who knows exactly what was done during your surgery.  If he knows that all or virtually all of the underlying breast tisue was removed, then it is more likely scar tissue, which can be treated with a cortisone injection.  If he deliberately left some breast tissue, then that may be becoming more apparent as the swelling from your surgery diminishes.  Re-growth of breast tissue is extra-ordinarily rare.

Good luck.

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
815 Park Avenue
New York, New York 10021
Telephone:  (212) 570-6080
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi

Re: 8 months post op - nipple change
« Reply #2 on: July 24, 2019, 04:57:29 PM »
Thanks Dr Jacobs

I can't feel anything lumpy or solid behind either nipple.

My surgeon has previously told me that he removed nearly all the gland, leaving only a tiny part behind to prevent crater.  Just seems weird that it was completely flat for so long now all of a sudden a change?

Almost feels "flabby" not puffy again.

Re: 8 months post op - nipple change
« Reply #3 on: July 26, 2019, 10:01:36 AM »
In cases like this I always recommend checking in with you surgeon. If you cannot feel anything that is encouraging. Sometimes acases like this can be improved with some kenalog injections. 
Jay M. Pensler,M.D.
680 North Lake Shore Drive
suite 1125
Chicago,Illinois 60611
(312) 642-7777

Re: 8 months post op - nipple change
« Reply #4 on: August 14, 2019, 08:39:06 PM »
I agree with Dr. Jacobs
Dr. Schuster
Chief, Division of Plastic Surgery Northwest Hospital
Private practice in Baltimore, Maryland
10807 Falls Road
Lutherville, Maryland 21093
email: info@drschuster.com
website: www.CosmeticSurgeryBaltimore.com


Offline Litlriki

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Re: 8 months post op - nipple change
« Reply #5 on: September 04, 2019, 03:21:53 PM »
Not sure if this has been cleared up for you, but I've had a few patients present with some late "puffiness" that resolved with treatment using Kenalog (corticosteroid).  Usually, there's some firm tissue in the area, and I inject into that tissue.  As noted--check with your original surgeon, who will know best what he or she did and how to address it now. 

Rick Silverman
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458

Certified by the American Board of Plastic Surgery

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