Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Gynecomastia Forum and Chat

Gynecomastia - Complications of Surgery

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Explore what others have asked Dr. Bermant about their surgery with other doctors for Male Breast Surgery (gynecomastia).

Michael Bermant, MD
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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
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  • How did others react to your surgery?
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  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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After Gynecomastia Surgery Hematoma (Surgeon Not Dr. Bermant)

Dr. Bermant,

I recently had gynecomastia surgery done to remove a small amount of breast tissue. I am 21 y/o male who had puffy nipples that embarrassed me to death. I am worried because my left side has swelled very large after surgery. It feels like theres a knot there. It has been almost 2 weeks after surgery and it hasn't gone down. The surrounding skin has turned yellow and the area around the aerila (sp) has bruised up pretty bad. Is this something i should be concerned with or will it go away?

I will send you some photos. I hope you can help.


picture of hematoma from gynecomastia surgery - not a patient of Dr. Bermant.Possible Hematoma: Note bruising, and swelling of the left breast - This is not a patient of Dr. Bermant

Possible Hematoma - This is not a patient of Dr. Bermant


photograph of hematoma from gynecomastia surgery - not a patient of Dr. Bermant.

Dr. Bermant responds:

Significant bruising and swelling are possible signs of a hematoma or collection of blood in the operated tissues. There are other conditions that can look like this. Some hematoma or blood clots need to be drained, others can be left alone to disperse on their own. With my surgical sculpture techniques, it has been many years since I have seen a significant hematoma on one of my patients.

Such issue are better discussed with your surgeon. Have you brought this to the attention of your doctor?

Hope this helps,

Michael Bermant, MD

After Gynecomastia Surgery Defect and Deformity (Surgeon Not Dr. Bermant)

I had gynecomastia. A subcutaneous Mascectomy to get rid of fibrous tissues. This has resulted in a defect, with the operated area around the areola depressed and sunken in, as well as misshaped nipples .

Can microlipoinjection restore this? What would be the procedure and approximate pice and time needed.


Dr. Bermant responds:

It is easier to remove tissue than replace it. Fat injections do best when there is a very good blood supply. Fat injections tend to be firmer than natural fat and the overlying tissue just does not seem to move as naturally. I prefer to use adjacent fat flap sculpture when such tissue is available. We are glad to help you explore such concerns during a consultation or preliminary remote package.

Hope this helps,

Michael Bermant, MD

After Gynecomastia Surgery Residual Tissue / Recurrence (Surgeon Not Dr. Bermant)

Hello doctor. I have 2 Questions regarding gynecomastia and male nipple reconstruction. I have had unilateral gynecomastia since I was 16 and I am now 27. At the age of 24 I had excision with a general surgeon on the left side. It was flatter for about 3 weeks and then grew back to the way it  was before  and I was left with a very noticable scar. Of greater concern is my nipple on the left side which changed shape when I first got the gyno at age 16 . Foolishly I squeezed my nipple very hard and had a slight discharge and when I woke up the next day it had a split in it which never healed. It looks like the letter c when hard and like a closed letter u when flat. I've seen many doctors in the 11 years  since and they have all said not to worry about it that many men have different looking nipples. But it used to look normal. One doctor even told me it might be necrotic. But would'nt it have turned black and fallen off if it was? I am of muscular build and still look okay but am still not satisfied. I have 2 daughters and my hormones are fine. I guess my 2 questions are 1) Why would my gyno come back if my hormones are fine and 2) Are there any procedures to repair a "damaged" nipple to return it to it's normal shape and the cost? Both of these problems exist on my left side as my right side is normal.. I am going back to my endoctrine doc next week and will seek plastic surgery  after that. Any help or advice you could offer would be great especially about male nipple reconstruiction. Thanks a bunch, doc........ Look forward to your reply.. 

Dr. Bermant responds:

Secondary gynecomastia surgery can often help when excessive tissue remains after surgery. There are many possible causes for male breast growth, hormones are only one series of factors. Nipple scar revision may help, it depends on the deformity, how you heal, and other factors. Such issues are best explored during a consultation after an evaluation.

Hope this helps,

Michael Bermant, MD

After Gynecomastia Surgery Bleeding - Hematoma (Surgeon Not Dr. Bermant)

Hi Dr Bermant,

I am a 32 yr old male that had gynecomastia surgery with Dr xxx of xxx, about two months ago. There was quite a bit of tissue bleeding on the right side. Dr xxx drained a lot of blood right after the surgery. The left side looks fine but the right side looks like there is still some glandular tissue left. Dr xxx assures me that the swelling is due to blood trapped in my body and it should heal within the next month. I've been massaging my chest quite regularly, but dont see much improvement. How long does it take for the trapped blood to get absorbed into the tissue? Also, is it possible that there might have been some gland still left unexcised? How can I tell? Also, what are my options at this point?

Thanks a lot.

Dr. Bermant responds:

Sharp cannula liposuction can result in problems with bleeding / bruising. This is one of the reasons I prefer different techniques for my surgical sculpture. It can be difficult to tell the difference between residual gland, resolving hematoma, and healing tissues. Time may help. Treatment options can vary. If the problem is one of excess tissue or remaining gland, secondary gynecomastia surgery can sometimes help. Such issues are best discussed with your doctor or someone who can evaluate the problem. We help patients explore such issues during a second opinion consultation.

Hope this helps,

Michael Bermant, MD

After Gynecomastia Surgery by a Non-Plastic Surgeon


My name is -.

I recently, 1week and 5 days ago, had gynecomastia surgery. It was performed by a specialist surgeon, not a plastic surgeon.

He removed, according to him, a lot of breast tissue, no fat.  the day there after I had a hermetoma in the left breast and returned to hospital for the insertion of a drain.  I had lot of swelling and brusing. 

It is still swollen today, and the left breast nipple is competely indented, and acording to the surgeon it is because fluid went into the surrounding tissue, and that I should not be concerned, as the nipple will normalise as the swelling decreases. 

I saw the surgeon last week and must see him again next week, for a final checkup. I just need a second opinion. How long does the swelling take to subside?

Sorry I have no photos to send.

Yours faithfully


Dr. Bermant responds:

Picking your surgeon for your gynecomastia sculpture can be important. Hematoma or blood collections are a risk of almost any operation. I prefer techniques that minimize the chance of such problems.

At 12 days after surgery, it is too early to tell what may happen. If there are deformity problems, it may take months until revision surgery may be an option. We are glad to help you explore your concerns during a consultation or preliminary remote package.

Hope this helps,

Michael Bermant, MD

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