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I got gynecomastia surgery last October. The results are great but I can feel a lump behind my left nipple whereas the right nipple has no lump and feels flat. It causes my left nipple to protrude ever so slightly. Do you think this is remaining breast gland that is growing or simply scar tissue? Best to see your plastic surgeon and possibly a sonogram will help give an idea of what you are dealing with. Sometimes the gland is adequately removed and then scar tissue develops.
The diagnosis is oftentimes made by the history of the development of the lump that you feel. If scar tissue is suspected, then a very careful and judicious injection of cortisone can reduce the lump.
If indeed it is gland, then it would not respond to cortisone and then further surgery might be indicated. One cannot differentiate between residual gland or scar tissue merely by feel. If there was a period of time following surgery without fullness, and this fullness developed later, then it is likely to be scar tissue.
If the fullness has been present since immediately after surgery, and if the doctor did not do open removal of breast tissue and only performed liposuction, then there is a higher possibility this is residual breast tissue. This is because this breast tissue does not get removed with liposuction. This is something that your surgeon should likely be aware of and should be able to treat now with a secondary procedure.
Please ask your surgeon about his or her experience with this procedure. Thank you for sharing your question. Assuming the lump has not been there previously after surgery, then it is likely scar tissue formation.