On the surgery date, you will go to a surgery center or hospital, provide identification, register, and be admitted to the facility. Next, you will get changed into an appropriate gown for surgery and be evaluated by the surgical staff for any health issues prior to surgery. An anesthesia interview may take place. Anesthesia may be administered either by the surgeon or by a trained provider, such as a Certified-Registered-Nurse-Anesthetists (CRNA) or an anesthesiologist.
The surgical treatment of gynecomastia consists of (1) removing the breast glandular tissue through skin incisions on or around the breast’s area, (2) with or without liposuction, (3) with or without skin resection, or (4) any combination thereof. It is the general consensus that gynecomastia liposuction alone may not remove the breast glandular tissue adequately, so glandular tissue is surgically removed.
Breast glandular tissue removal is performed through incisions on the breast area. There are several techniques used for this procedure. The breast incisions for removal of the breast glandular tissue may be single or multiple, and are usually created in the following areas:
Your gynecomastia surgeon will be using one or more of the above incisions during your surgery. You may or may not need a drain placed in the operative site.
After you recover from the surgery and anesthesia, you will be sent home, if it is an outpatient procedure, or you may have to be hospitalized overnight. Most gynecomastia surgeries are outpatient in the U.S., and you leave the surgery center the same day. Analgesics for pain control will be prescribed to help alleviate the discomfort. If you have a drain, your surgeon will advise you about its care.
If the procedure was performed under local tumescent anesthesia only, without oral or intramuscular or intravenous sedation, you may drive the same day.
If the procedure was performed under sedation, intramuscular or intravenous, or under general anesthesia, you should not drive or operate machinery for 24-hours after surgery. A responsible adult, or companion, should be with you to provide assistance in getting home and for 24-hours after your gynecomastia surgery. Transportation after surgery must be secured before surgery takes place. It may not be safe for a surgical patient to ride home after surgery unaccompanied in a taxi, Uber, or other commercial vehicle.