How to Prepare for Gynaecomastia Surgery

Dr Michael Kernohan MBBS, MSc, BDS, MRCS, FDSRCS, FRCS(Plast), FRACS (Plast

Essential Steps to Prepare for Gynaecomastia Surgery

You’ve taken a significant step by deciding to undergo gynaecomastia surgery and scheduling your appointment. Now that the consultation is behind you, it’s time to focus on preparing for the procedure. Proper preparation is important for ensuring the surgery goes smoothly and for facilitating a successful recovery. In this blog, Specialist Plastic Surgeon Dr Michael Kernohan will provide you with detailed steps and considerations to help you get ready for your upcoming surgery, from health and lifestyle adjustments to practical and emotional preparations. By following these guidelines, you can approach your surgery day with certainty and peace of mind, knowing you’ve done everything possible to prepare yourself.

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Overview of Gynaecomastia Surgery

Gynaecomastia surgery, also known as male breast reduction surgery, is designed to reduce the size of enlarged male breasts. This procedure involves the removal of excess fat, glandular tissue, and sometimes skin, to achieve a flatter and firmer chest contour. The procedure typically lasts a few hours, and depending on the extent of the surgery, you may go home the same day or stay overnight.

Pre-Surgery Medical Preparations

Before your surgery, a thorough medical evaluation is necessary to ensure you are fit for the procedure. This includes:

  • Complete Medical History: Provide a detailed medical history to Dr Kernohan, including any current medications, previous surgeries, and chronic conditions.
  • Physical Examination: Dr Kernohan will conduct a physical examination to assess the extent of gynaecomastia and plan the surgery accordingly.
  • Lab Tests: Routine blood tests, a chest X-ray, and possibly an ECG (electrocardiogram) will be required to rule out any potential issues that could complicate the surgery.

Medication Adjustments

Certain medications can interfere with the surgery or the healing process. Dr Kernohan will provide specific instructions regarding:

  • Blood Thinners: If you are on blood-thinning medication such as aspirin or warfarin, you will need to stop taking them a week or two before the surgery to reduce the risk of excessive bleeding.
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Avoid NSAIDs like ibuprofen, as they can also increase bleeding risks.
  • Supplements: Herbal supplements and vitamins, especially those like Vitamin E, garlic, ginkgo, and ginseng, should be avoided as they can increase bleeding risks.
  • Prescription Medications: Discuss all your current prescription medications with Dr Kernohan to determine which ones you should continue and which ones to stop before surgery.

Pre-Surgical Health Improvement

Improving your overall health in the weeks leading up to the surgery can enhance your recovery and surgical outcome. Focus on:

  • Healthy Diet: Eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains to boost your immune system and overall health.
  • Hydration: Stay well-hydrated by drinking plenty of water. Proper hydration is crucial for recovery and helps in maintaining good skin elasticity.
  • Avoid Smoking and Alcohol: Quit smoking at least six weeks before the surgery, as smoking can impair blood flow and slow down the healing process. Similarly, avoid alcohol a week before surgery to prevent dehydration and reduce the risk of complications.

Preparing Your Home for Recovery

Making your home recovery-ready before your surgery can significantly ease your post-operative period. Here are some tips:

  • Create a Comfortable Recovery Area: Set up a comfortable space with all essentials within easy reach. This can include your bed or a recliner chair, pillows to support your upper body, and a small table for medications, water, and other necessities.
  • Stock Up on Supplies: Ensure you have all the required supplies, such as gauze pads, antiseptic solution, pain relief medication, and any other items recommended by Dr Kernohan.
  • Easy Access to Necessities: Place frequently used items like your phone, remote control, books, and snacks within easy reach to avoid unnecessary movements during the initial recovery days.

Practical Arrangements

Practical arrangements will help ensure everything goes smoothly on the day of your surgery and the initial recovery period. These include:

  • Transportation: Arrange for a friend or family member to drive you to and from the hospital or clinic, as you will not be able to drive yourself post-surgery due to the effects of anaesthesia.
  • Post-Surgery Assistance: Having someone to assist you for at least the first 24-48 hours post-surgery can be very helpful. This person can help with daily activities, monitor your condition, and provide emotional support.
  • Work and Leave Arrangements: Plan your work schedule and arrange for leave well in advance. Discuss with your employer about your surgery and recovery period to ensure a smooth transition and adequate time off.

Dietary Preparations

Maintaining a healthy diet before surgery is important for optimal recovery. Consider the following dietary guidelines:

  • Balanced Nutrition: Focus on a diet rich in vitamins, minerals, and protein to support tissue repair and immune function. Include a variety of fruits, vegetables, lean meats, fish, nuts, and whole grains.
  • Hydration: Drink plenty of water to keep your body well-hydrated. Avoid sugary drinks and caffeine, which can dehydrate you.
  • Avoid Certain Foods: Steer clear of foods that can increase inflammation or interfere with healing, such as processed foods, excessive sugar, and trans fats.

Mental and Emotional Preparation for Gynaecomastia Surgery

Surgery can be a significant emotional and psychological journey. Preparing yourself mentally can help reduce anxiety and ensure a positive experience. Here are some tips:

  • Educate Yourself: Knowledge is empowering. Learn as much as you can about the procedure, the recovery process, and what to expect. This can help alleviate fears and build assurance.
  • Stay Positive: Maintain a positive outlook and focus on the benefits of the surgery. Visualising the positive outcomes can help reduce pre-surgery anxiety.
  • Support System: Surround yourself with supportive family and friends who can provide encouragement and reassurance. Discussing your feelings and concerns with them can be very comforting.

Physical Preparations

Your physical condition plays a significant role in your recovery process. Here are some steps to prepare your body:

  • Exercise: Engage in light to moderate exercise to keep your body fit and healthy. Focus on cardio exercises like walking or swimming to improve circulation and overall fitness.
  • Skin Care: Taking care of your skin before surgery can aid in the healing process. Keep your skin clean and moisturised. Avoid sun exposure and any skin treatments that can irritate your chest area.
  • Weight Management: If you need to lose weight, do so gradually and healthily. Sudden weight loss can affect your overall health and recovery.

Financial Preparations

Understanding the financial aspects of your surgery is also important. Consider the following:

  • Cost of Surgery: Get a clear understanding of the total cost of the surgery, including surgeon’s fees, anaesthesia, hospital charges, and post-operative care.
  • Insurance Coverage: Check with your insurance provider to see if gynaecomastia surgery is covered under your plan. Some insurers may cover the surgery if it is deemed medically necessary.
  • Payment Plans: If the surgery is not covered by insurance, ask about payment plans or financing options that can help manage the cost.

Practical Day-Before and Day-of Surgery Preparations

As your surgery day approaches, there are specific steps you need to take to ensure everything goes smoothly:

Day Before Surgery

  • Follow Fasting Instructions: Dr Kernohan will instruct you not to eat or drink anything for a specific period before the surgery, typically nothing after midnight the night before. This is crucial to prevent complications with anaesthesia.
  • Final Preparations: Confirm your transportation arrangements and make sure your recovery area at home is ready.
  • Shower and Hygiene: Take a thorough shower using antibacterial soap to reduce the risk of infection. Do not apply lotions, perfumes, or deodorants after your shower.

Day of Surgery

  • Comfortable Clothing: Wear loose, comfortable clothing that is easy to put on and take off. A button-up shirt is a good choice as it avoids the need to lift anything over your head.
  • Essential Items: Bring only essential items with you, such as your ID, insurance information, and any paperwork provided by Dr Kernohan. Leave valuables at home.
  • Arrival Time: Arrive at the hospital or clinic at the designated time to allow for pre-surgery preparations and checks.

Mental Preparation on the Day of Surgery

Staying calm and relaxed on the day of your surgery is important. Here are some tips to manage any pre-surgery anxiety:

  • Relaxation Techniques: Practice deep breathing exercises, meditation, or visualisation techniques to help calm your mind.
  • Positive Thoughts: Focus on positive thoughts and remind yourself of the reasons why you decided to undergo the surgery.
  • Supportive Companion: Having a supportive friend or family member with you can provide comfort and reassurance.

Final Checklist

To ensure you are fully prepared, go through this final checklist before heading to your surgery:

  • Medical Evaluation Completed: Ensure all necessary medical tests and evaluations have been completed.
  • Medications Adjusted: Followed all instructions regarding medication adjustments.
  • Healthy Diet and Hydration: Maintained a healthy diet and stayed well-hydrated.
  • Practical Arrangements: Made all necessary practical arrangements, including transportation and post-surgery assistance.
  • Home Prepared for Recovery: Prepared your home recovery area and stocked up on essential supplies.
  • Mental Preparation: Mentally prepared yourself for the surgery and have a positive mindset.
  • Financial Preparations: Arranged for the financial aspects of the surgery.
  • Final Preparations on Day Before and Day of Surgery: Followed all final preparations, including fasting and hygiene instructions.

By following these steps, you can ensure that you are fully prepared for your gynaecomastia surgery. Proper preparation not only helps in achieving optimal surgical outcomes but also ensures a smoother and more comfortable recovery period. Remember to stay in close communication with Dr Kernohan, adhere to all given instructions, and take care of your physical and mental well-being throughout the process.

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FAQs about Preparing for Gynaecomastia Surgery

FAQs

How long before my surgery should I stop smoking?

  • It is generally recommended to stop smoking at least six weeks before your surgery. Smoking can significantly impair blood flow and slow down the healing process, increasing the risk of complications both during and after the procedure.

What should I do if I catch a cold or flu close to my surgery date?

  • If you develop symptoms of a cold or flu in the days leading up to your surgery, contact Dr Kernohan immediately. He may advise you to reschedule the surgery to ensure your body is in the best possible condition for a safe procedure and smooth recovery.

Can I exercise before my surgery, and if so, what types of exercises are best?

  • Yes, you can exercise before your surgery. Focus on light to moderate cardiovascular exercises such as walking, cycling, or swimming. These activities can improve your overall fitness and circulation, which can help with recovery. However, avoid intense workouts or heavy lifting in the week leading up to your surgery.

Are there any specific dietary supplements I should take to aid in my recovery?

  • While a balanced diet is the best way to get necessary nutrients, some supplements might help with recovery. Consult Dr Kernohan before taking any supplements, but generally, a multivitamin, Vitamin C, and Zinc can support healing. Avoid any supplements that can increase bleeding risk, such as Vitamin E and certain herbal supplements.

How can I prepare for the emotional aspects of surgery and recovery?

  • Preparing emotionally is just as important as physical preparation. Consider talking to a counsellor or joining a support group for individuals undergoing gynaecomastia surgery. Practicing relaxation techniques such as deep breathing, meditation, or yoga can also help manage pre-surgery anxiety and ensure you approach your procedure with a calm and positive mindset.

Further Reading about Gynaecomastia Surgery with Sydney Specialist Plastic Surgeon Dr Michael Kernohan

Medical References about Gynaecomastia