Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed.
Permanent reduction of unwanted volume and improvement in the contour and appearance of the male chest.
There are varying degrees of gynecomastia ranging from puffy nipple to severe breast enlargement and/or breast sag. The severity of the gynecomastia will determine which treatment option is necessary. In most cases, men suffer from standard gynecomastia, which can be surgically treated as an in-office procedure under local anesthesia. For more severe cases, it may be recommended that you have your procedure under general anesthesia at an outpatient surgery center. Your consultation will determine which option is best suited for treating your gynecomastia.
Possible complications resulting from gynecomastia surgery:
COMPRESSION GARMENT: You will be required to wear a compression garment after surgery for the next few weeks. The extra pressure this garment provides helps reduce swelling and discomfort. You should not remove this garment at all until the second or third day after surgery. After that, feel free to remove the garment temporarily for showering or laundering. We want you to have circumferential pressure for 4-6 weeks, but you may switch to an exercise compression garment when advised.
SHOWERING: You may shower three days after surgery.
TAPING: The doctor may decide to cover your incisions with elastic tape or adhesive foam. On the third or fourth day after surgery, you may peel these off in the shower or bath. This is easier than taking them off “dry.”
POSTOPERATIVE VISITS: Your first visit post-op visit will be 3 or 4 days after surgery, once the tape or foam has been removed.
EXPOSURE TO SUNLIGHT: It is very important to protect your incisions from the sun. Keep your chest completely covered until your incisions have closed (approx. 2 weeks). After that time, you must wear a high grade sunscreen on your incisions for a minimum of 12 weeks to ensure optimal healing of the scars.
ACTIVITY: You should start moving around once you up to it. Moderate walking around will help promote healing. Listen to your body, it will tell you if you are doing too much too soon. Do not return to strenuous activities or aerobic exercise for 4-6 weeks. If you want to know what activities are acceptable at any time during the healing process, please call our office.
BRUISING AND SWELLING: Bruising and swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However it may take 6-9 weeks to disappear completely. The compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will heal.
NUMBNESS: It is normal to experience numbness around the areola and chest. As your body heals, you may notice random bursts of pain in your chest. This is usually a sign that the numbness is subsiding.
LUMPINESS: As you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue.
ACTIVITIES: If your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause pain. Wait at least 4 weeks to begin aerobic exercise.
As with all operations, pain and discomfort varies greatly from patient to patient. Generally, one should expect that pain medication will be required for the first several days. Continuing discomfort can last varying amounts of time.
Additional procedures that often enhance gynecomastia results are liposuction of the abdomen and flanks.
Are bandages applied? As discussed earlier, a compression garment is worn after surgery to assist in the retraction of the skin and to prevent swelling. Your doctor may also place tape or foam over the incisions, which can be removed on day 3 or 4, before your first post-op appointment.
When can I return to work? In general 3-5 days after the operation for office work and 7-14 days for jobs requiring physical activity. Please discuss this with your doctor should you have specific concerns or questions.
When can I exercise? Usually 1 week after surgery you can begin taking moderate walks or ride a stationary bike. Strenuous work-outs or aerobic exercise can begin around 4 weeks post-op. Please get approval from your doctor before you begin any work-out regimen.
Should I follow a special diet? In order to have the best results, it is good to have a well-balanced diet, including carbohydrates, fruits, vegetables, and proteins. You should be careful not to overeat. Increasing your Vitamin C intake will help promote healing.
When can I go in the sun? When the incisions have fully closed. This takes about 2-3 weeks. After this time, it is important to apply a minimum SPF 30 sunscreen over your incisions. Re-apply often. Not following these instructions could result in less than desirable scarring.
Are the results permanent? Yes, gynecomastia surgery is permanent.
What will the scars look like? Following surgery, your incisions will go through a maturation process. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.
Why is it important to have pre-operative pictures taken? Pictures help in the analysis of the problem in pre-operative planning, as a guide during surgery, and in evaluating results. Consequently, they are necessary prior to all plastic surgery procedures.