When is Gynecomastia with Skin Excision Needed?
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.
Gynecomastia 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.
How Long Does the 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.
Will I Have Scarring from Surgery?
There will be scars around the areola and possibly in the infra-mammary fold.
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.
How Can I Prepare for Treatment?
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.