GYNECOMASTIA Posted in: Most Frequent Procedures

It is very convenient to read and re-read these brief instructions, and you’ll find answers to many of the doubts and questions that are often made on this type of reconstructive esthetic plastic surgery.

Gynecomastia. From greek word Ginekós: woman and a mastos: breast. Literally means “Breast resembling woman´s” (in males). This condition does not necessarily imply a hormonal problem, but it is advisable to consult a family doctor or an internist to rule out this possible cause.

A common cause of gynecomastia is only a more than usual growth of the male mammary gland, which although very small in men, is always present, and another, coupled with that growth, an accumulation of fat in the pectoral region. Generally the more fat you accumulate in your body, the more fat in you accumulate in your male breasts and it is understandably inherited). Sometimes young guys can develop serious emotional complexes with this deformity. However it is well noted, for example in some beaches, that there are boys with enlarged breasts who are playing happily with no worries.

 If you have seriously thought about this surgery and are already scheduled or planning to do it, you should observe the following guidelines for before and after your operation:


Do not take aspirin, or aspirin derivatives for 2 to 3 weeks before. Click Non-Recommended Medicines for more information. You may bleed or get some bruises so it is better not taking it. The same goes for vitamin E. We will gladly explain to you if a medicine you’re taking is inconvenient or not for your surgery. Wash your chest, both front and back, three nights in a row before surgery with Isodine foam shampoo (US: Betadine, Lever 2000, Dial or Safeguard). Order your support garment I will indicate. You should wear it for 10 days after the operation. In the office we will give you more info on how to select a good one. Carry this chest support garment to the hospital when you check in. Bring comfortable clothes with zipper or buttons, and not pullover, for your comfort.

Proceed in the morning to the clinic and the nurse will apply you an IV into the vein. The anesthesiologist usually will order medicines to prepare for anesthesia and once in the operating room you must be quiet, and sure to have satisfied in advance all your doubts before this procedure. It is advisable that you’re worry-free at this point.

You should be fasting at least for 8 hours before surgery, and I cannot overemphasize this. It is very important not to take anything by mouth, even water, before surgery.


Go straight home and stay in your bedroom for 24 to 48 hours; you are allowed to go to the toilet and the three meals with assistance. The first night you may drink fluids sips and gradually increase until soft diet. If you don’t have nausea, you can eat normally.

You should be resting with pillows under your knees and the back somewhat elevated.

It is very important to keep bed rest the first 48 hours. Try to avoid sudden movements and raise your arms. You are allowed only to brush your teeth, eating and combing. This will prevent the formation of a hematoma. You should not take off your support vest, except for bathing, which will be allowed until the fourth day of your operation, when I will see you in consultation. On this visit, I will remove all drains. This does not hurt, and the consultation lasts only a few minutes.

It is important to stress that you should not have sexual intercourse or lifting heavy objects, rise too high to grasp stuff for at least two weeks or until instructed to do so, as this would result in serious problems of scarring, inflammation, bleeding or losing some stitches.

Yourself or your partner must not manipulate your breasts during the first 3 to 4 weeks to prevent internal bleeding and infection.

You can drive your car from day 10 onwards, if your recovery is adequate, but for small periods. You can return to sports after 45 days, and generally, all kinds of physical activities.

After your operation, you need to rest. You will not have pain. In part because the entire surgical site is numb and numb because of the operation and partly because of pain medication that was administer in the clinic.

You should maintain a posture of lying on your back, be careful not to lift your arms since these movements may produce you pain in the armpits, chest or neck. Once having permission to get up, you should not do it without help and support in your arms for the same reasons. Contracting your pectoral muscles can cause you pain, so I will ask you to avoid many movements in the upper half of your body.

You will be discharged the following morning but that does not mean that you can resume your usual activities at home. On the contrary, to avoid serious problems such as bleeding, hematoma (accumulation of blood within the surgery) and especially more serious pain or bruising, you should be in your bedroom with loose clothing, pajamas or robe, and you can go to the bathroom and three meals only, remaining seated or lying or recumbent the rest of time for the first three days.

After the first shower, you can repeat daily every other day until they reach 10 days, when we will remove the dressings, which also do not hurt. Using a form of compression vest for three weeks to help the skin to recover its original strain and have no wrinkles or creases will be recommended. (Click for details).

About medicines and food, I suggest you follow the directions concerning antibiotics and painkillers that I prescribe, and only eat foods that you know beforehand that you tolerate well and causes no heartburn, stomach upset or indigestion. If any food or drink that does not tolerate it, please avoid it. You must stop smoking and drinking if they get used to these habits. Usually eating fruits and vegetables and fresh water is healthy for the first 7 days.

Participating in sports again and generally, all kinds of physical activities may take 60 days. At three weeks you can go without your vest.

To view some photos of this surgery, click Photo Gallery.

Any doubts about this surgery, please call the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976. We wish you a speedy recovery and an excellent experience with your esthetic gynecomastia surgery, send an email or click Contact us for more information