your Gynecomastia Surgery
surgeon will give you specific instructions on how to prepare for
including guidelines on eating, drinking, and taking certain vitamins and
Smokers should plan to stop smoking for a minimum of one or two weeks before
surgery and during recovery. Smoking decreases circulation and interferes with
proper healing. Therefore, it is essential to follow all your surgeon's
Where your surgery will be performed
treatment is most often performed as an outpatient procedure,
but in extreme cases, or those where other medical conditions present cause for
concern, an overnight hospital stay may be recommended. The
gynecomastia treatment itself
usually takes about an hour and a half to complete. However, more extensive
procedures may take longer.
Type of anesthesia
Gynecomastia treatment may be performed under general, or in
some cases, under local anesthesia plus sedation. You'll be awake, but very
relaxed and insensitive to pain. More extensive correction may be performed
under general anesthesia, which allows the patient to sleep through the entire
operation. Your surgeon will discuss which option is recommended for you, and
why this is the option of choice.
If excess glandular tissue is the primary cause of the breast enlargement,
it will be excised, or cut out, with a scalpel. The excision may be performed
alone or in conjunction with liposuction. In a typical procedure, an incision is
made in an inconspicuous location--either on the edge of the areola or in the
under arm area. Working through the incision, the surgeon cuts away the excess
glandular tissue, fat and skin from around the areola and from the sides and
bottom of the breast. Major reductions that involve the removal of a significant
amount of tissue and skin may require larger incisions that result in more
conspicuous scars. If liposuction is used to remove excess fat, the cannula is
usually inserted through the existing incisions.
Glandular tissue must be cut out,
usually through a small incision
near the edge of the areola.
gynecomastia consists primarily of excessive fatty tissue, your surgeon will
likely use liposuction to remove the excess fat. A small incision, less than a
half-inch in length, is made around the edge of the areola--the dark skin that
surrounds the nipple. Or, the incision may be placed in the underarm area. A
slim hollow tube called a cannula which is attached to a vacuum pump, is then
inserted into the incision. Using strong, deliberate strokes, the surgeon moves
the cannula through the layers beneath the skin, breaking up the fat and
suctioning it out. Patients may feel a vibration or some friction during the
procedure, but generally no pain.
In extreme cases where large amounts of fat or glandular tissue have been
removed, skin may not adjust well to the new smaller breast contour. In these
cases, excess skin may have to be removed to allow the removing skin to firmly
re-adjust to the new breast contour.
Sometimes, a small drain is inserted through a separate incision to draw off
excess fluids. Once closed, the incisions are usually covered with a dressing.
The chest may be wrapped to keep the skin firmly in place.
Fatty tissue can be removed by
liposuction. A small, hollow tube
is inserted through a tiny incision,
leaving a nearly imperceptible scar.