FAQ Gynecomastia

FAQ: Gynecomastia

Gynecomastia surgery is to reduce breast tissue and fat on male chest wall and tissue behind nipples.

The surgery will reduce excessive tissue and fat on male chest wall and breast tissue.

The risks and complications are similar to other aesthetic surgery. They include local such as skin ischemia and loss and this is more common in smoker, hematoma, and nerve injury asymmetry. The systemic complications include blood clot and PE and other anesthesia risks. In healthy patients in the hands of board-certified Plastic Surgeons, the complication rates are in fact not very high.

If there is a lot of excessive breast tissue, surgery is the only true option. If the major component is fatty tissue, some non-surgical alternative such as RF may be helpful.

Combination surgery with liposuction and direct surgical excision are usually necessary to clear the tissue on his chest wall.

As long as there is no further weight gain and you do not take any steroid the surgery result should be permanent.

Generally almost all the breast and fatty tissue can be removed by the procedure. The larger the preoperative tissue mass the greater amount of tissue can be removed.

Liposuction of additional areas can be determined and discuss with us prior to the surgery.

The incisions are usually fairly small and they are usually at the lateral inferior portion of the chest wall, possible at the medial portion as well as the inferior portion of the nipples.

The small are usually small and not too visible unless you develop keloid after the procedure.

You can see pre and postoperative result on my website. Additional photos can be reviewed at my office.

This surgery is performed frequently in my office.

You can discuss cost during the initial consultation after the examination to determine the size of gynecomastia and whether there are additional works that need to be done.

The surgery usually take from 1 to 3 hours depend on the size and complexity of the procedure.

You will be given a compression garment after the procedure.

The swelling usually last 2 weeks to 6 months.

 

Immediately after the procedure, the chest wall can feel numb and may have swelling and some lumpiness. The long-term result is usually good but some residual irregularity to the contour is not uncommon.

The pain is usually mild to moderate in the first few days to one to two weeks. Mild narcotic or even plain Tylenol may be enough for average patients.

You will be given mild narcotic during the first few days after surgery follow by extra strength Tylenol after a few days.

I do not usually use drain after the procedure. However, if there may be a lot of drainage after the procedure, a small drain may be placed.

The surgery is usually performed as an outpatient.

You can usually return to work less than a week. If your job is very physical than it may take a little longer.

I usually prefer my clients to wear tight chest compression garment for up to 6 weeks after surgery.

You may drive once you stop taking narcotic pain medication and feel able to drive.

You can usually return to work less than a week. If your job is very physical than it may take a little longer.

I usually like the procedure to be done under general anesthesia.

You will meet with the anesthesiologist prior to the surgery in the preoperative area. You may arrange to speak to an anesthesiologist by telephone prior to your surgery date.

Yes, your medication list will be reviewed during your consultation and your pre-operative appointments. Please notify your surgeon of any changes or new medications at your preoperative appointment.

You should stop taking NSAIDS, phentermine and tamoxifen two weeks prior to surgery and hormones one week prior to surgery. Please discuss tamoxifen, steroids, antimetabolites, and blood thinners with the prescribing doctor prior to scheduling your surgery. Are you able to stop them temporarily? Are you healthy for an elective surgery with general anesthesia? Take your AM blood pressure medications with a sip of water the morning of surgery.

History and physical, EKG, CBC, and metabolic panel for patients over 55 years of age. Thyroid panel for patients with thyroid disorders.

Stop eating and drinking at least 6 hours before the start of your surgery or by midnight the night before surgery.

Arrive one and an half hour before your scheduled surgery.

You can get the information on our website or call my office for direction.

Yes. You will need an adult to drive you home and stay with you 24 hours after surgery.

  • Arrange for someone to take care of responsibilities at home and work
  • Arrange for help driving, heavy lifting, and caring for pets for the first few days.
  • Arrange for someone to take you home from the hospital. You cannot drive yourself home after facelift.
  • Arrange for someone to stay with you the first night after surgery
    You will need an adult to drive you home and stay with you 24 hours after surgery.
  • Call your doctor if you think of other questions
    You can call my office if you have any other questions.
  • Notify your doctor if you get sick within 10 days of your surgery (even minor illnesses like a cold)
  • Stop eating and drinking at least 6 hours before the start of surgery or by midnight the night before surgery.
  • Do not drink alcohol 24 hours prior to surgery. Do not smoke at least 6 weeks prior to surgery.
  • Make sure you have the doctor’s contact information
  • Make sure you have directions to the hospital/office for visitors
    You will receive the surgery location and directions at your preoperative appointment.
  • Wear a button-front shirt and loose clothing to the clinic/hospital. Wear easy to dress clothing such as loose pants with an elastic waistband and a comfortable shirt with a zip up front.

Approximately 1 to 2 hours.

Usually in the recovery room, within an hour of your surgery ending.

Usually in the recovery room, once you are awake.

If you are healthy and has no risk factors, medication to prevent blood clots are usually not necessary.

You will receive IV antibiotic immediately prior to surgery start and additional doses if needed in the recovery room. The antibiotic dosing follows the national surgical site infection protocol.

Yes. Your driver’s license or identity such as OHIP number will need to be verified at your appointment and at the surgery center.

Yes, review the surgery specifics at your preoperative appointment and again the day of surgery.

Yes, you will be marked while you are awake in the preoperative area. Communicate with your surgeon.

Yes. Please also ask any questions if you need them to be clarifying.

Please tell your surgeon if they may discuss your surgery with your ride home or if a significant other needs to be called.

The antibiotics are stopped within 48 hours of surgery.

For the majority of gynecomastia patients, no drains or tubes are necessary.

You may eat and drink after surgery as soon as you feel well and not nauseated. Start with a soft, bland diet.

You need to have instructions reviewed with a responsible adult.

You will receive narcotic pain pill prescription to fill prior to surgery. You may receive IV pain medication if you need.

Tell the doctor or nurse which pharmacy you prefer. Non-narcotic medications such as Compazine may be sent electronically but narcotic pain medications must be printed and hand delivered to the pharmacy.

Yes, you will receive a list of medications to avoid prior to surgery and initially after surgery. Do not take NSAIDS, ibuprofen, or aspirin until your doctor approves.

You may shower after the first postoperative visit. Use a gentle shampoo to wash your hair such as baby shampoo. Pat dry and apply polysporin ointment if you like. Please wash your hand prior to touching your wound.

Yes, the postoperative instructions will be reviewed at your preoperative appointment. After the initial bandage is removed, apply polysporin or vitamin E to your incisions twice daily.

You can take your first shower the day after surgery.

You will follow up a day or two after surgery. Following this weekly appointment until you are fully recovered.

Your bandages will be removed at your first follow-up appointment.

Your sutures will be removed about 7 to 10 days after your surgery.

You should avoid bending over or heavy lifting for two weeks.

For most clients, you may return to work after one week. If you need to do heavy lifting the time requirement may be longer.

You may drive once you stop taking narcotic pain medication and you feel capable of driving.

You may resume sexual activity at two to three weeks.

  • Make sure your care providers wash their hands before and after your care
  • Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy
  • Do not get out of bed without help if you feel weak or dizzy
  • You have a fever higher than 100.4 degrees Fahrenheit
  • You have shortness of breath or chest pain
  • You notice increased redness, swelling, warmth, or pain around your surgical incision
  • You notice that your incision is separating or you have infected discharge from your incision
  • Your dressing is repeatedly soaked with blood
  • You have pain that your existing pain medications cannot control
  • Take pain and other medications as prescribed
  • Do not drive when you are on prescription pain medications. Narcotic pain medications impair your ability to drive.
  • Do not soak in a bath or go swimming for ten days after your surgery
  • Keep your incision clean and dry
  • Wear supportive apparel as long as advised by your doctor
    I usually prefer my clients to wear compression garment for up to six weeks after the procedure.
  • Avoid strenuous exercise and heavy lifting as long as your doctor advises
  • You may resume most daily activities within a week from surgery. You should avoid heavy lifting or things that can elevate your blood pressure.
  • You may resume sexual activity at two to three weeks.

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