Gynecomastia male breast surgery by Dr. Bermant
The surgery continued
Newer techniques such as the super-wet and tumescent liposuction improve Dr. Bermant's ability to sculpt the chest with less after surgery bruising.
His Dynamic Technique helps individualize each patient's sculpture to the specific problem found at the time of surgery. This means each patient's after surgery instructions will vary depending on what has been done during surgery.
In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the remaining skin to firmly readjust to the new breast contour. This is like the contour readjustment seen on Dr. Bermant's small incision breast ptosis and subsequent pages. The pattern for the skin excisions and subsequent scars are similar. However in many cases, Dr. Bermant is able to remove very large gland masses from tiny incisions avoiding large scars.
Rarely a small drain is inserted through a separate incision to draw off excess fluids. Dr. Bermant is often able to avoid drains as part of his male chest sculpture. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped or a garment used to keep the skin firmly in place.
After your surgery
We need our patients to become part of the team to optimize results. After Dr. Bermant evolved his surgical sculpture techniques to have such little swelling and bruising as seen on these web pages, small factors can influence the result. Understanding aftercare and limitations of activities is important. Comfort is Nature’s way of letting you know what a recovering body will tolerate. Push a healing sculpture too far and you will injure it causing further damage, discomfort, and swelling.
One day after Dr. Bermant sculpture with transparent plastic dressings in place (more on this patient).
Whether you have had excision with a scalpel or liposuction, you may feel some discomfort for a few days after 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 Dr. Bermant's surgery. Although we prescribe medication, many find that just Tylenol adequate for their comfort. Learn more about comfort after Dr. Bermant's Male Chest Sculpture.
You should arrange to have someone drive you home after surgery and to help you out for a day or two if needed.
Swelling evolves after surgery. Results can be quite remarkable even as you first get off of Dr. Bermant's operating table. We commonly hear a "wow" or "I can't believe it looks so good this early" right in the operating room. Swelling however exists from the tumescent fluid injected and tissues operated. Tissues evolve with the fluid being absorbed over the first several hours after surgery. Further swelling decreases over the next several days. There is even more improvement normally over the first few weeks. However, it can take more than six months for the final changes from liposuction and scar evolution to be seen. Learn more about tissue evolution after gynecomastia.
To help reduce swelling, you will probably be instructed to wear an elastic pressure garment continuously for a week or two, and for a few weeks longer when you are active. However, many patients chose to wear the garments longer because it makes them feel comfortable and they want to optimize their scars. Scars that evolve under pressure often are finer and softer than without pressure. Garments can be a convenient and comfortable way to apply this pressure as part of Dr. Bermant's scar care for gynecomastia surgery.
In the meantime, it is important to begin getting back to normal. You will be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough - which could be as early as a day or two after surgery. Any stitches will generally be removed between 6 - 14 days after surgery.
Depending on the extent of surgery, you may need to avoid sexual activity for a week or two, and heavy exercise for about three weeks. You need to stay from any sport of job that risks a blow to the chest area for at least four weeks. In general, it will take about a month before you are back to all of your normal activities.
You should also avoid exposing the resulting scars to the sun for at least six months. Sunlight can permanently affect the skin's pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sun block and or sun protective clothing.
Your new look