Gynecomastia with Skin Excision

Why Would I Need Gynecomastia with Skin Excision Surgery?

In some patients who present with gynecomastia, there will be an excess of skin in addition to the excess fat and “glandular” tissue of the breast. This is typical after weight loss and in some patients who have very significant breast development.

How Do I Prepare for My Breast Reduction With Skin Removal Surgery?

As with all surgery, avoidance of NSAIDS and other items that can cause bleeding for 7 to 10 days pre-op is necessary. We have our patients wash with a surgical soap on the day and morning prior to the surgery. Nothing to eat or drink after midnight the night before the surgery.

What Can I Expect During the Gynecomastia Procedure?

You’ll be asleep through the surgery. But you’ll get an IV prior to the operation and you may have a little bit of a sore throat afterwards due to the breathing device that’s used during the surgery.

Gynecomastia with Skin Excision Before And After

 

How Long Does the Gynecomastia with Skin Removal Procedure Take?

If just peri-areolar skin removal is needed, the procedure takes about 2 to 2.5 hours. If larger flap procedures are needed, the procedure takes 2.5 to 3 hours.

Breast Reduction with Skin Excision Recovery

The recovery phase after surgery is typically considered over a six week period. When skin excision is required, depending on which technique is used, the major difference comes in the early period, when consideration must be given to extensive dead space under flaps (if a flap technique is used) or if less dissection was involved, there are still more skin incisions to tend to in the first weeks. After getting through the initial healing and once it’s clear that no fluid collections (seromas) have developed or bleeding has occurred, the subsequent management is the same as in those patients without skin removal.

Will I Have Scarring from My Gynecomastia With Excision Surgery?

There will be scars around the areola and possibly in the infra-mammary fold.

Schedule a Consultation

If you would like to learn more about Gynecomastia with skin excision, call (617) 965-9500 to schedule a consultation with Boston Plastic Surgeon Dr. Rick Silverman.