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Managing Gyno Scars After Male Chest Surgery

Introduction

Cosmetic surgery may help address physical concerns related to appearance or comfort. One important aspect following surgery is scar management, as appropriate scar care can influence how scars settle over time.

Dr Mark Kohout, a plastic surgeon based in Australia with extensive experience in a range of surgical techniques. This blog is intended to provide general information about scar management after gynaecomastia surgery, helping patients understand what to expect and how to support their recovery.

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Understanding Scars After Gynaecomastia Surgery

About Scars

Scars are a natural part of the body’s healing process. They form when the skin repairs itself after an incision or injury, involving the production of collagen. Scars can appear in different forms:

Hypertrophic scars: Raised but confined to the incision area.
Keloid scars: Raised and extending beyond the original wound.
Atrophic scars: Sunken or depressed due to insufficient collagen production.

Gynaecomastia Surgery Scars: What to Expect

Gynaecomastia surgery involves precise incisions, often around the areola or in natural chest creases. This strategic placement helps manage visible scarring. Initial scars may appear red or pink and gradually fade over time, especially with proper care.

Healing Stages of a Scar

Inflammation Phase (First few days): The body responds to the incision with swelling, redness, and repair signals.
Proliferation Phase (Weeks after surgery): Collagen is produced, and the wound closes.
Maturation Phase (Months to years): Scar tissue remodels, becoming flatter and lighter in colour.

Key Factors Influencing Scar Development

Genetics
Some individuals are predisposed to developing more noticeable scars, including keloids. It is important to discuss this with Dr Kohout as he may be able to address some of these predispositions during surgery.
Skin Type and Tone
Skin pigmentation influences scarring. For instance, darker skin tones may experience pigmentation changes, while lighter skin may show redness for a longer duration.
Surgical Technique
Dr Kohout uses precise techniques to minimise tissue trauma, leading to smaller, less prominent scars.
Post-Operative Care
Strict adherence to aftercare instructions, such as keeping the area clean and avoiding strain, is critical for optimal healing.

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Best Practices for Managing Scars After Gynaecomastia Surgery

General Care Guidelines

Keep the incision site clean and dry.
Follow all post-operative instructions provided by Dr Kohout.

Specific Recommendations

Hygiene: Clean the scar area gently to prevent infection.
Restrict Large Movements: Avoid activities that strain the chest to reduce tension on scars.
Moisturisation: Use surgeon-recommended creams to keep the area hydrated.
Scar Massage: Massage the scar regularly (as advised by Dr Kohout) to improve tissue pliability and circulation.
Silicone Products: Apply silicone gels or sheets to reduce redness and flatten the scar.
Sun Protection: Cover scars or use high-SPF sunscreen to prevent darkening.
Compression Garments: Wearing prescribed garments can help reduce swelling and improve healing.

Things to Avoid

Smoking: Smoking delays healing and worsens scarring.
Sunlight: Direct sunlight can darken scars, making them more noticeable.

Further Gynaecomastia Scar Treatment Options

Laser Therapy
Laser treatments can help reduce scar redness and improve texture. Types include fractional lasers and pulsed dye lasers.
Steroid Injections
These are used for raised scars, such as hypertrophic or keloid scars, to flatten and soften the tissue.
Microneedling
A technique that stimulates collagen production, effective for depressed (atrophic) scars.
Scar Revision Surgery
Surgical options are available for individuals with prominent scars, offering a chance to refine their appearance.

Managing Expectations with Gynaecomastia Scars

Realistic Healing Timelines
Scars evolve over time. While they may appear prominent initially, they typically improve over 12–18 months.
Accepting Natural Outcomes
Even with the best care, scars may not disappear entirely. Dr Kohout encourages patients to have realistic expectations for their recovery and outcomes.
Psychological Aspect
It’s normal to take time to adjust to changes in appearance. Discussing any concerns with Dr Kohout or a counsellor can be beneficial.

FAQ Section

How long does it take for gynaecomastia scars to heal?

Scars typically take 12–18 months to fully mature, though this varies by individual.

Can I reduce scar visibility?

Using silicone gels, scar massage, and following aftercare advice can help reduce their appearance.

Are scars permanent?

While scars improve over time, they are permanent. However, treatments can significantly reduce their visibility.

When can I resume exercise after surgery?

Avoid strenuous activities for at least 4–6 weeks or as advised by your surgeon.

Can I undergo additional scar treatments?

Yes, treatments like laser therapy or steroid injections can be considered if scars remain prominent after a year.

Does sun exposure worsen scars?

Yes, sunlight can darken scars, making sun protection essential during the healing process.

What if my scars are painful or raised?

Contact your surgeon, as this could indicate hypertrophic scarring or other issues.

Do darker skin tones heal differently?

Yes, darker skin tones may be prone to keloid or hyperpigmented scars.

Are there risks with scar treatments?

While most treatments are safe, consult your surgeon to assess suitability and potential risks.

What products are best for scar care?

Silicone sheets or gels are widely recommended for their proven effectiveness.

For personalised advice and consultation, visit www.drmarkkohout.com.au.

Medical References

American Society of Plastic Surgeons (ASPS) – Scar Management
- Overview of scar management techniques and treatments.
- ASPS Scar Management
Mayo Clinic – Scar Treatment
- Provides insights into various treatments available for scars, including silicone gels and laser therapy.
- Mayo Clinic Scar Treatment
Cleveland Clinic – Gynaecomastia
- Information on gynaecomastia, including surgical options and post-operative care.
- Cleveland Clinic Gynaecomastia
Journal of Plastic, Reconstructive & Aesthetic Surgery
- A peer-reviewed journal that includes studies on scar management and treatment outcomes.
- Journal of PRAS
PubMed Central – Scar Management Techniques
1. A collection of research articles discussing various methods for managing scars effectively.
2. PubMed Central Scar Management
American Academy of Dermatology (AAD) – Scars
- Offers guidelines on scar prevention and treatment options.
- AAD Scars

Specialist Plastic Surgeon

Dr. Mark Kohout

Dr. Mark Kohout is a highly qualified specialist plastic and reconstructive surgeon with over 25 years of experience, based in central Sydney.

Trained in Great Britain, Australia, and the U.S., he co-founded Australia Plastic Surgery. Specializing in breast, genital, and male breast surgeries, he is a certified member of the Australian Society of Plastic Surgeons (ASPS) and the Royal Australian College of Surgeons (RACS).

Dr. Kohout has appeared in media like The Biggest Loser and has published several articles in his field.