Gynecomastia (male breast reduction)

  • Gynecomastia is a benign enlargement of the male breast and affects an estimated 40-60 percent of men. There is no real known cause in most cases, although certain drugs and medical issues have been known to be linked with male breast overdevelopment.

    Surgery to remove fat and/or glandular tissue will result in a flatter, firmer, and more contoured chest.e.

  • The surgery is for anyone who wishes to change the appearance of their breasts, whether that be size, shape, symmetry, post-mastectomy, or all of the above. Women often report an increase in confidence and self-esteem following an augmentation.

  • Your surgeon will examine the breast tissue and take photographs for your medical record. He will consider the quality of your skin and elasticity for reshaping to match your body’s new contours.

    During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, history, and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit. Your surgeon may, in some cases, recommend a mammogram, or x-ray, to rule out other causes.

    If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He may recommend that you stabilize your weight prior to undergoing surgery. If you are smoking, your surgeon will not perform this surgery. Smoking cessation is necessary for 3 weeks prior to surgery, as well as three weeks following surgery.

  • Your gynecomastia surgery will be performed at one of the many outpatient facilities in Lincoln Prior to the procedure, the surgeon will meet with you briefly to discuss the surgery and answer any additional questions you may have as well as mark you for surgery. Following that, a general anesthetic is administered; this type of anesthetic ensures you are asleep throughout the procedure. This procedure may also be performed using a local anesthesia and intravenous sedation.

    Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored. Your chest will be wrapped in gauze dressings, or an elastic bandage. In some instances, small drain tubes will be placed to avoid the accumulation of fluids. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

  • Following the procedure, you may have some swelling. You may be instructed to wear an elastic pressure garment for a few weeks. The majority of the swelling should dissipate in the first few weeks, however, it may be three months or longer, before the final results of your surgery are apparent. Should you experience fluid collections, or seromas, aspirations may be required.

    It is common to have minor complications associated with your incisions. Usually this is due to tension on the skin or the internal sutures working up to the top of the skin. They are easily treated with washing with soap and water daily, applying antibiotic ointment, and covering with a clean dressing.

    Smoking delays healing and increases the risk of complications. We ask that you delay smoking for at least three weeks prior and three weeks after surgery.

    Infections are uncommon, but can occur. If you are experiencing high fevers, excessive drainage from the incisions, redness, or swelling, you should contact our office at 402-483-2572.

  • Unless you gain or lose a significant amount of weight, the results of your surgery will be long lasting. Gravity and the effects of aging may cause some changes in your outcome.

  • TO PRINT THESE INSTRUCTIONS CLICK HERE

    WHAT YOU CAN EXPECT:

    Moderate discomfort-use pain medication as needed or Ibuprofen / Tylenol as directed.

    Moderate swelling.

    Drainage around the drain catheters, if in place.

    Pain / irritation around drain tube area.

    Black and blue discoloration.

    Discomfort or difficulty standing erect.

    PAIN CONTROL:

    Take your pain medication, as instructed, until your pain lessens.

    Always take your medication with food in your stomach.

    Do not drive or operate equipment while on your pain medication.

    Someone needs to stay with you the first night home after surgery.

    No hot or warm compresses. The skin doesn’t have normal sensation and you can burn yourself without knowing it.

    Narcotic pain medication can cause significant issues with constipation. Please start using a stool softener the day before surgery and daily there after until normal bowel function returns.

    DRESSING CARE:

    The day following your surgery, you may remove all dressings and shower, being careful not to remove the drainage tubes.

    Place clean dressing over incision and put binder on.

    Binder should be tight, but not so tight as to limit breathing.

    Leave any Steri-strips placed over your incision on or until removed by your physician or instructed by your physician to remove.

    DRAIN CARE:

    Keep track of drain output per drain for 24 hour timeframes.

    Empty the drains as needed to keep the bulbs compressed.

    Keep the drain tubing from kinking to allow continuous drainage.

    Contact the office when the drain outputs are less that 30 ml for 24 hours for potential removal.

    CONTACT YOUR PHYSICIAN (402.483.2572) IF ANY OF THE FOLLOWING OCCUR:

    A temperature greater than 101 degrees F.

    Redness, swelling around the incision site.

    Severe pain not responding to pain medications.

    Persistent, profuse bleeding or drainage.

    When drain output is 30cc or less (per each tube) for a 24 hour period.

    If any other question or problem arise.

    ACTIVITY:

    Arrange to have someone spend the first 24 hours with you.

    Bedrest for 24 hours.

    Avoid smoking for at least 3 weeks before and after surgery. Nicotine constricts the small blood vessels needed to heal your wound and could lead to infection and skin loss.

    No alcohol for 5 days after surgery or while on narcotic pain medication.

    You may drive a car with power steering after two (2) weeks if you are off narcotic pain medication and you can stomp on the brake and crank the steering wheel without pain.

    Avoid sports and strenuous activities for 4 weeks at least.

    During the first week following surgery, restrict walking to a minimum, no lifting over 10 pounds and wear a compression garment as instructed.

    Several times an hour take several deep breaths to open your lungs.

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