After the many gynecomastia surgeries I have completed at the Austin Gynecomastia Center, I want to offer
gynecomastia surgery recovery tips that will answer many of the common questions that I am asked. Once I
refined the art of gynecomastia treatment, my focus shifted to the care of patients AFTER gynecomastia surgery. I have experienced the benefits of aftercare with all my wonderful Austin gynecomastia surgery patients, and I am grateful to them all. Let me share a bit of my
knowledge so you will know what to expect from gynecomastia surgery in Austin.
I have come to the conclusion that the actual gynecomastia surgery is the easy part in overcoming this
embarrassing condition. I have control over the operation, and I feel very comfortable and confident
with my ability to contour the male chest expertly time after time. What I can’t control to the
same extent is what the patient does during the recovery period. I have learned over the years that this
time period is very important when it comes to obtaining the best result possible. Each person is unique
in terms of the severity and presentation of gynecomastia, as well as how he heals.
The good news is that gynecomastia treatment isn’t as painful as it may appear in the gynecomastia
videos or the before and after gynecomastia surgery
photos. Gynecomastia surgery recovery essentially takes two days. There will be some discomfort
for weeks afterwards, but this can easily be managed and patients can generally resume life activities
after two days. This may be hard to believe that something that has caused so much angst in your life
has such a short recovery time but, yes, it’s true. That doesn’t mean your
responsibilities are done after two days however, as to get the best results during your gynecomastia
surgery recovery time there are things you can do to assist.
I stress to every one of my patients the need to comply with my post-surgery recommendations, which
The above list may seem like it’s a list of chores that I have crafted just to torture patients
gynecomastia surgery recovery, but honestly it is not! How well you follow this
list will give you the best chance at having the best results following your surgery.
Most healing occurs in the first 5 weeks after surgery and this is why it is so important to focus on
your recovery after
gynecomastia surgery. You’ve waited long enough to be free from
gynecomastia, so what is a few weeks of discipline to help make the most of it? Do know that it can take
up to one and a half years for all the healing to be complete, so making a routine of it isn’t a
Compression garments should be worn for 4 weeks to control swelling, provide support and facilitate skin
retraction. I encourage all my patients to massage the treated area with their hands or a roller device
to soften the scar tissue and help the skin lay out nicely. This should be done several times a day for
20 minutes or more starting 3 weeks after your procedure and working it for 8 weeks or more if needed.
Every patient has his own healing process, and we will work with you to get the best results.
Most patients take a day or two off before returning to work and other normal daily
activities. There should be no strenuous activity (anything that increases your blood pressure) for
2 weeks. Increased cardio and lower body activity can resume after these 2 weeks. Most importantly,
upper body or chest workouts may resume incrementally after 4 weeks unless otherwise instructed. Mild
tightness and discomfort will persist for up to 4 weeks.
Most patients can get back to the gym
10 days after gynecomastia surgery while staying away from chest work for 2 to 4 weeks.
Depending on the extent of your gynecomastia and any additional procedures that I have included during
the time of treatment (like my Internal Flap), I may advise you to NOT work your chest for a few weeks
to avoid damaging some of the internal sutures. Listen to your body. If it hurts, don’t do it.
Gradually increase your exercise resistance and time on exercise. Be patient and don’t destroy
the work I have done. I know it’s tempting to rock your new chest, but patience is a virtue. You
will enjoy your new chest for the rest of your life!
Please note, the above gynecomastia surgery recovery information and timeline are general
recommendations and may not apply to every patient. Modifications to the recovery timeline will
be discussed with the individual patient at the time of treatment at the AGC.
There are two aspects to gynecomastia surgery recovery. The first is the physical — the initial
discomfort that lasts a day or two at most, followed by some more time as the skin begins to retract and
the swelling begins to subside. The second – and arguably more important aspect of recovery
– is mental. I do my best to educate patients, so I always send them home with a
“playbook” of actions that they need to take on a daily basis until they are mentally
healed. One of the most important actions is to assume the correct posture – it’s time to
lose the “Gynecomastia Hunch” that many men adopt to hide their gynecomastia before
What goes on in the mind is not something we can see, but we can identify poor posture immediately.
It’s easy to look at yourself in the mirror and tell when you are not upright with your shoulders
back, tall, and strong. There isn’t always a mirror around though, so make sure your friends and
family help you with this goal. Good posture is critical both mentally and physically—physically
because shoulders back maximally tighten the chest skin and mentally because proper “tall and
proud” posture will help with the mental recovery from gynecomastia. It’s a win-win
If, like many patients, you adopted a hunch to hide your chest, then resuming a strong posture will
restore your confidence in yourself. You’ll become that guy who has nothing to hide from the rest
of the world. No more humiliation, embarrassment or frustration. No more double shirts, big shirts or
sweaters. You’ll be able to go to the pool or beach and finally feel comfortable and
confident taking your shirt off!
Two issues that we want to avoid after gynecomastia treatment are those of seroma and hematoma formation.
Seroma is the accumulation of clear fluid under the skin and hematoma is a blood mass. A seroma often
first appears no sooner than two weeks after treatment, while a hematoma often occurs within 24 hours
after gynecomastia treatment. Left untreated, these fluid accumulations can lead to scar formation and
what we surgeons call “hard healing,” which is a general term for healing that has more
scar tissue and firmness than normal. Larger collections require drainage treatment to remove the fluid,
but small collections can be managed with observation and tissue massage.
Mondor’s disease is something that
can happen after gynecomastia treatment. It’s a self-limited inflammatory condition of the chest
veins that results in some pain and discomfort. This condition may cause some “guitar
string” lines under your chest skin, particularly when you raise your arms up. Being
self-limited, it will go away on its own after a few weeks, but the best approach is not to develop this
condition. Mondor’s disease occurs in about 20% of my cases and is most likely associated with
multiple Zone treatment. The more area treated, the more liposuction fat removed, the more likely this
will occur. Preventative measures include taking NSAIDs
(nonsteroidal anti-inflammatory drugs) like Motrin or Aleve for about 7-10 days, starting the
day after surgery.
My ever-thoughtful staff has come up with something that helps our patients tremendously — a
“Keep Austin Weird” bag that is full of unexpected necessities for your treatment and
supplies for gynecomastia surgery recovery. We do the shopping for you so that you can recover in peace.
Items like your compression garment are important, but I don’t know many guys who would know or
want to go shopping for the Maxi pads that are used as post procedure dressings. And as a small token of
your time with us, the tote will hopefully forever remind you of your life-changing experience in
Austin, Texas. I hope that whenever you see it, it will bring a big smile to your face, as it should.
If you follow these guidelines, it is likely your recovery will be perfectly fine — history has
certainly proven this to be true. I will keep my end of the bargain and perform world-class gynecomastia
surgery. If you do your part, the final result will be something we can both be proud of. When
you’re ready to take that first critical step in your gynecomastia treatment journey, contact me for a free online consultation.
Our team at AGC is here to answer your questions, assist with scheduling your appointment, or help you with any other matters related to your treatment. Book your consultation online for specific questions regarding a personalized surgical plan.
A further detailed discussion with Dr. Caridi and his team will follow this inquiry. If you are seeking more general information or are a previous patient needing to contact medical staff, always feel free to call our office.
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