Complications of mastectomy for gynecomastia include the following:
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Hematoma (most common; see images below)
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Breast asymmetry
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Nipple or areola necrosis
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Nipple or areola inversion
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Infection
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Sensory changes
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Painful scar
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Contour deformity
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Conspicuous scar
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Skin redundancy
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Seroma
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Hyperinflamatory pigmentation
A postoperative hematoma is shown below.
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Forty-five-year-old man with adolescent gynecomastia. Courtesy of Miguel Delgado, MD. |
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Postoperative hematoma. The most common complication in the coauthor's practice. Courtesy of Miguel Delgado, MD. |
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Patient seen 2 months after evacuation of hematoma. If the hematoma is treated appropriately (ie, immediately removed), there will be no long-term ill effects. Courtesy of Miguel Delgado, MD. |
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