Male Breast Reduction Care

Gynecomastia Treatment Care Instructions
from Our Baltimore, Maryland Area Center

Gynecomastia treatment patients at our Baltimore, Maryland area practice should follow a number of pre- and post-operative care instructions to maximize their surgical results.

TWO WEEKS BEFORE GYNECOMASTIA TREATMENT/MALE BREAST REDUCTION SURGERY:

  1. Stop taking aspirin and products containing aspirin.
  2. Confirm your “pre-op history and physical” appointment with your family doctor/internist.
  3. If you develop a cold or illness prior to surgery for the treatment of gynecomastia, please notify the staff at our Baltimore, Maryland area office.
  4. Vitamins are important in healing. Begin taking multi-vitamins with C, minerals and iron.
  5. NO SMOKING
  6. Make certain arrangements have been made to have someone pick you up after surgery and to stay with you for the first 24 hours.
  7. Stop all herbal and phentermine-type medications as well as supplemental Vitamin E. The small amounts of vitamin E found routinely in standard multivitamins is fine.

TWO DAYS BEFORE GYNECOMASTIA TREATMENT:

  1. Go to the drug store and fill all prescriptions.
  2. Go to the grocery store to buy “light foods” such as juices, tea, soup, toast, crackers, bagels, jelly, etc.
  3. Buy Betadine™ Scrub liquid soap.
  4. You may want to purchase a stool softener, such as Colace, as pain medication may cause constipation.

EVENING BEFORE GYNECOMASTIA SURGERY:

  1. Shower with Betadine™ soap for three full minutes. Avoid contact of jewelry with Betadine™; it stains.
  2. Eat lightly – avoid heavy or gassy foods.
  3. Get a good night’s rest.
  4. Do not eat or drink anything after 12:00 midnight the night prior to your gynecomastia surgery.

DAY OF GYNECOMASTIA SURGERY:

  1. Do not eat or drink anything prior to gynecomastia surgery. DO NOT SMOKE.
  2. Shower with Betadine™ for three full minutes. Do not put on any make-up or deodorant after washing.
  3. Do not wear wigs, hairpins, hairpieces, or jewelry. Dress in loose comfortable clothes. Do not wear pullover tops.
  4. Have someone drive you to your surgery and make certain a responsible adult will be available to take you home and stay with you for 24 hours after gynecomastia treatment.

AT HOME AFTER GYNECOMASTIA SURGERY:

  1. After any breast-related surgery, it is important for you to rest but not to stay in bed. You may lie on your sides or back. While in bed, move your legs and feet to increase the circulation in your legs.
  2. A small amount of bloody drainage through the bandage is normal.
  3. For the first 48 hours, keep your arm movements to a minimum. You may brush your hair and teeth. Do not use your arms to support yourself or lift anything heavy. Afterwards, you may begin to increase your arm movement gradually.
  4. A liquid diet is best for the day of surgery. Begin by taking liquids slowly and progress to a light diet as tolerated. You can start with a regular diet the next day.
  5. Any discomfort should be relieved by the pain medication. Take extra-strength Tylenol™ or Ibuprofen (Motrin™/Advil™) regularly to help with general discomfort. You may then take the additional prescribed pain medication as needed.
  6. It is normal to have pain and swelling after any breast surgery, including gynecomastia treatment. However call our Baltimore, Maryland area office immediately if the breast swelling feels hard or appears much larger on one side than the other.

OTHER POST-OPERATIVE GYNECOMASTIA SURGERY INSTRUCTIONS:

  1. Bruising and swelling is expected. This will disappear with time. Be patient. It takes three months for breasts to regain their natural appearance after gynecomastia surgery.
  2. Spotty areas of numbness are common and may last six weeks to six months.
  3. Feelings of sharpness, burning and other sensations are common during the healing process.
  4. You may drive after one week, provided you are comfortable enough to stop in an emergency.

For more information on gynecomastia treatment options, please contact Baltimore, Maryland plastic surgeon Ronald Schuster, MD to schedule a consultation.