6 Possible Complications of Gynecomastia Surgery—And How Expert Care Can Prevent Them

  • Posted by: Dr. Milan Doshi
  • Category: Gynecomastia Surgery
6 Possible Complications of Gynecomastia Surgery—And How Expert Care Can Prevent Them

Is Gynecomastia Surgery Safe?

Gynecomastia surgery is considered one of the safest cosmetic procedures with a high success rate and low Gynecomastia Surgery risks—when performed by an expert. At Allure Medspa, we follow international safety standards, and our complication rate is less than 1% in over 1,500+ procedures.

But like any surgery, there are potential risks. Let’s explore them—and how to prevent them proactively.

Top 6 Gynecomastia Surgery Risks (And How We Prevent Them)

i. Seroma (Fluid Collection Under Skin)

  • What it is: A pocket of clear fluid that collects under the chest skin.
  • Prevention:
    – No-drain technique with tissue adherence
    – Proper compression garment usage
  • Treatment: Usually resolves on its own or with aspiration.

ii. Hematoma (Internal Bleeding or Large Bruise)

  • What it is: A buildup of blood causing swelling, pain, and discoloration.
  • Prevention:
    – Avoid blood-thinners pre-op
    – Meticulous bleeding control during surgery
  • Treatment: May require minor drainage if large.

iii. Crater Deformity (Overcorrection or Tissue Deficit)

  • What it is: A sunken or hollowed appearance beneath the areola due to over-removal of gland or fat.
  • Prevention:
    – Layered sculpting technique—not flat removal
    – Preservation of natural fat under nipple when needed
    – Performed only by experienced gynecomastia surgeons
  • Correction (if needed):
    – Fat grafting or minor revision surgery after 6 months

Crater deformity is the most avoidable yet most common aesthetic issue when surgery is done by inexperienced or non-specialist hands.

iv. Nipple Sensation Changes

  • What it is: Temporary numbness, tingling, or hypersensitivity in the areola.
  • Prevention:
    – Nerve-sparing technique around the nipple
    – Avoiding aggressive cautery use
  • Treatment: Typically resolves in 3–6 months.

v. Chest Asymmetry or Uneven Contour

  • What it is: One side appearing flatter or bulkier than the other.
  • Prevention:
    – Symmetrical tissue removal with real-time measurements
    – Dual correction: liposuction + gland removal
  • Treatment: Minor revision if asymmetry persists after full healing.

vi. Thick, Pigmented or Raised Scars

  • What it is: Hypertrophic scarring or dark lines around the areola.
  • Prevention:
    – Hidden periareolar incision placement
    – Scar-minimizing sutures and post-op silicone therapy
  • Treatment: Laser, steroid injection, or scar revision if needed.

How Dr. Milan Doshi Prevents These Complications

  • 1,500+ gynecomastia surgeries with <1% complication rate
  • Advanced techniques: HD lipo + gland removal, no-drain method
  • Expert anatomical judgment to avoid crater deformity
  • Customized post-op care: compression, scar care, follow-ups
  • NABH-accredited facility with international hygiene standards

Learn more: Post-Operative Care for Gynecomastia »

FAQs – Gynecomastia Surgery Safety & Risk

Ans. Crater deformity and asymmetry are the most frequent—but highly preventable with expert care.

Ans. Rarely. Complete gland removal and stable hormone levels ensure permanent results.

Ans. No. You’ll feel tightness, not sharp pain. Oral meds manage discomfort effectively.

Ans. Swelling, mild firmness, and bruising are normal. Your surgeon will confirm during follow-ups.

Ans. Usually after 4–5 weeks, based on healing and your surgeon’s clearance.

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Author: Dr. Milan Doshi