The day of surgery
Minimal access surgery for gynecomastia removal takes about 2 hours to complete. The surgery is done under general anesthesia. Post surgery recovery is generally pleasant and pain free. The surgery usually involves liposuction of chest ( Chest Lipo) for removal of excess fat and gland removal through tiny cuts in skin. Complete removal of gland tissue is done through small incision. The keyhole incisins are closed with absorbable stitches so there is no need for stitch removal after "Gyno" surgery. You will wake up immediately after anaesthesia is stopped and reversed. Because of pain medications used during surgery, you will be sleepy for a few hours.You can get discharged from the hospital the same evening or stay back for the night depending on your convenience. Pain medications will be prescribed for 3-4 days.
A liquid/ soft diet will be advised only for the day of surgery. Normal diet can be resumed from the next day.
Keyhole male breast reduction is a fast recovery procedure. Normal activities can be resumed the next day. Cardio exercises can be started after 2 weeks. Weight training and full scale gym can be started one month after the surgery. You can start driving and attending office from next day.
Minor discomfort after the surgery can be expected on the chest. Any pain is well controlled with prescribed pain medications.
A pressure garment/ elastic vest is to be worn from the day of surgery to 6-12 weeks there after to reduce the amount of swelling and to make sure that the skin tightens up evenly. The vest is custom made. The fabric is a combination of Lycra and cotton. The vest is not removed for 3-4 days after surgery. There after, it can be taken off twice daily for shower and then worn back. The vest is washable. With regular use of the compression garment, most of the sagging skin(in severe gynecomastia) will contract thereby reducing the need for skin tightening surgery
Post operative swelling on the chest after the Gynecomastia removal subsides over 2-3 weeks. Complete resolution of the tissue edema may take up to 3 months. The result of the surgery will be evident in 3 weeks, although you will be able to appreciate a big change from day 1.
In cases where the male breast is large, there would be some amount of skin looseness, which improves slowly over a few months.
The sensation over the nipple may decrease immediately after surgery. This is a temporary effect in most cases and complete sensory return can be expected in 6-8 weeks.
Complications are rare after male breast surgery. The surgery does not affect the internal organs. The surgery is at skin and fat level and does not affect the health in the long term.
The surgery is performed under general anesthesia. Standards risks of anesthesia do exist, but with modern anesthesia and monitoring, they are rare. Infections, hematoma, improper placement of scar, asymmetry, undercorrection, unevenness, nipple retraction, change in nipple sensation are all reported complications / side effects after surgery. To maintain results, it is recommended that you do not gain a lot of weight after surgery to avoid reaccumulation of fat on the chest. Even though Liposuction removes a lot of fat cells from the chest, significant fat gain later can result is fat deposition in remaining fat cells in the chest.
Fortunately, the complication rate after Keyhole Gynecomastia (man boobs) surgery is very low. The satisfaction rates after this surgery is close to 100%. Gynecomastia correction is one of the most sought after cosmetic surgeries in India.