Male breast reduction
Before your surgery
Your surgeon will need a complete medical history, so check your own records ahead of time and be ready to provide this information. First, your urologist at home will examine your breasts and check for causes of the gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. In some extreme cases, it is also recommend a mammogram, or breast x-ray. This will not only rule out the very small possibility of breast cancer, but will reveal the breast's composition. Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he can choose a surgical approach to best suit your needs. You should plan to stop smoking and take aspirin for a minimum of one or two weeks before surgery and during recovery. Smoking decreases circulation and interferes with proper healing. Correction of enlarged male breasts may be performed under general, or in some cases, under local anaesthesia plus sedation. You'll be awake, but very relaxed and insensitive to pain. More extensive correction may be performed under general anaesthesia, which allows the patient to sleep through the entire operation. One day before the operation all necessary examinations will be performed in the clinic. You will also discuss the anaesthesia with your anaesthesiologist. You will need to stay overnight in the clinic and leave 1-2 days after the operation.

After your surgery
Whether you have had excision with a scalpel or liposuction, you may feel some discomfort for a few days after male breast reduction surgery. The surgery is right against your chest muscles and a lot of movement or exertion can be uncomfortable. Most patients have little discomfort which is easily controlled with medications which we prescribe. We typically hear "sore" and "tender" rather than pain after surgery.