Consultation & Medical Evaluation

• Consultation: You will start by meeting with Dr. Faulkner, a board-certified plastic surgeon, to discuss your goals, medical history, and reasons for the surgery. This will help determine the best approach to treatment.
• Physical exam: Dr. Faulkner will assess the degree of gynecomastia, and any underlying causes, to ensure you’re a good candidate for surgery.
• Pre-surgical tests: Dr. Faulkner may order blood tests, imaging, or other diagnostic tests to rule out any underlying medical conditions that could affect the surgery.

Stop Smoking & Alcohol Use

• Stop smoking: Smoking can impede the healing process and increase the risk of complications. It’s recommended to stop smoking at least 6 weeks before surgery.
• Avoid alcohol: Refrain from drinking alcohol for 48 to 72 hours before surgery and for as long as you are taking narcotic pain medication, as alcohol can interfere with the anesthetic and increase bleeding risks.

Medications and Supplements

• Discontinue certain medications: Avoid blood-thinning medications (such as aspirin, ibuprofen, or certain herbal supplements) for at least 7 to 10 days prior to surgery, as they can increase the risk of bleeding.
• Follow prescribed instructions: If Dr. Faulkner prescribes any medications, such as antibiotics, take them as directed to minimize the risk of infection.

Fasting Before Surgery

• You will be required to fast for 8 to 12 hours prior to the surgery. This means no food or drink during this time to reduce the risk of complications while under anesthesia.

Prepare for Aftercare

• Arrange transportation: You will need someone to drive you home after the procedure.
• Plan for rest: Set up a comfortable space where you can rest post-surgery. You may need help with daily tasks for the first few days after surgery.

Shower & Clean Skin

• Clean your skin: Shower with antibacterial soap the night before surgery to reduce the risk of infection.

Wear Comfortable Clothing

• Loose, comfortable clothes: On the day of surgery, wear loose-fitting clothes that will be easy to put on and won’t irritate the surgical site.

Rest and Recovery

• Rest: Rest is essential for healing. Avoid strenuous activity and any lifting, pushing, or pulling for at least 4 to 6 weeks. This allows your body to heal properly and reduces the risk of complications.
• Pain management: You may experience discomfort, bruising, or swelling post-surgery. Dr. Faulkner will likely prescribe pain relievers to help manage this, and over-the-counter medications may be recommended as well.

Compression Garment

• Wear a compression garment: A compression garment or chest binder will be prescribed to help reduce swelling, support the chest, and ensure the skin adheres to the underlying tissue. You will need to wear it for 4 to 6 weeks post-surgery.
• Avoid removing the garment: Only remove it when advised by Dr. Faulkner (e.g., for showering or cleaning). Wearing the garment as directed will help achieve optimal results.

Wound Care & Hygiene

• Keep incisions clean and dry: Follow Dr. Faulkner’s specific instructions for cleaning your incisions. You may need to use antiseptic solutions to prevent infection.
• Showering: You may be allowed to shower after 48 to 72 hours, but avoid direct water pressure on the incision sites. Do not soak in water (e.g., baths, hot tubs, swimming pools) until Dr. Faulkner gives clearance.
• Monitor for infection: Look for signs of infection at the incision sites, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your surgeon immediately.

Swelling and Bruising

• Manage swelling: Swelling and bruising are common after gynecomastia surgery.
• Elevate your upper body: When resting or sleeping, keep your upper body elevated with pillows to help reduce swelling.
• Be patient with swelling: It can take several weeks to several months for swelling to subside completely.

Activity Restrictions

• Avoid strenuous activities: Do not engage in heavy lifting, vigorous exercise, or sports for 4 to 6 weeks post-surgery. This includes activities that could put strain on your chest.
• Gentle movement: You can begin walking or doing light activities within the first few days, but avoid any movements that could cause stress on the chest area.
• Avoid raising your arms above your head: Limit arm movements to prevent unnecessary strain on the healing area. You may be cleared to resume normal movement around 6 weeks.

Follow-Up Appointments

• Attend follow-up appointments: You will have a series of follow-up visits with Dr. Faulkner to ensure proper healing. The first visit is typically within 3 to 5 days after surgery, with additional visits at 2 to 3 weeks and 3 to 6 months.
• Monitor healing progress: Dr. Faulkner will check for any signs of complications, assess your healing, and ensure that your chest is healing as expected.

Scarring

• Scars will form: Scars from gynecomastia surgery are usually placed discreetly around the areola or under the chest fold, but they will still take time to heal.
• Scar care: Follow Dr. Faulkner’s instructions on how to care for your scars. You may be advised to use scar creams or silicone sheets, which you can find in our office, after a few weeks to help minimize scarring.
• Avoid sun exposure: Keep your scars out of direct sunlight for 6 to 12 months to avoid hyperpigmentation and ensure the scars heal properly.

Signs of Complications

Contact Dr. Faulkner immediately if you experience:

• Excessive swelling or pain that is not relieved by prescribed medication.
• Signs of infection, such as fever, redness, or drainage from the incision.
• Fluid buildup or lumps under the skin.
• Any changes in the appearance of your chest, such as uneven results or changes in the position of the nipples.

Long-Term Results & Considerations

• Final results: The final contour of your chest may take several months to fully reveal itself, as swelling gradually subsides and your body heals.
• Maintain a healthy lifestyle: To preserve the results of your gynecomastia surgery, maintain a healthy diet and regular exercise routine to prevent weight gain, which could affect the appearance of your chest.
• Emotional recovery: Many men feel a boost in self-esteem and confidence following gynecomastia surgery, but it’s important to be patient with yourself during the recovery process.

Gynecomastia surgery can be a transformative procedure that enhances both physical appearance and emotional well-being. By following the pre- and post-care instructions provided by your gynecomastia doctor in Rockville you can ensure a smooth recovery process and achieve the best possible results. Always stay in close communication with our office and follow Dr. Faulkner’s advice for optimal healing.