Gynecomastia (Male breast reduction)
AFTER CARE

Immediately After Surgery (First 48 Hours)

• You will wake up wearing a compression garment or chest binder to control swelling and support skin retraction.
• Mild pain, tightness, and pressure across the chest are normal; pain is easily managed with prescribed medication.
• Swelling, bruising, and numbness of the chest and nipples are expected.
• Small drains may be placed to remove excess fluid; these are usually removed after 1–3 days.
• Keep your upper body elevated (30–45°) while resting or sleeping to reduce swelling.
• Avoid arm lifting or stretching during the first 48 hours.
• A small amount of blood-tinged drainage is normal; heavy bleeding should be reported.
• Gentle short walks help circulation and prevent clot formation.
• Do not shower until your surgeon approves (usually 48–72 hours post-op).

Goal: Maintain comfort, control swelling, and protect incisions.

Week 1 – Initial Healing

• Swelling and bruising are most noticeable this week.
• Drains, if present, are removed once output decreases.
• Continue wearing your compression garment 24/7, removing only for showers.
• Pain and tightness ease steadily with medication.
• Avoid all strenuous activity or arm movements above shoulder level.
• Dressings will be checked or changed at your first follow-up.
• Nipple numbness or tenderness is common and temporary.

Goal: Reduce swelling and maintain uniform compression on both sides of the chest.

Week 2 – Early Improvement & Massage Introduction

• Swelling begins to decrease; bruising fades to yellowish tones.
• You may feel mild firmness or small lumps beneath the skin — this is part of tissue healing.
• Continue wearing your compression garment continuously.
• Light daily activities (desk work, short walks) are permitted.
• Lymphatic drainage massage may be introduced after Dr Khazbak’s approval this week:
• Performed by a qualified therapist, it helps disperse trapped fluid, reduce swelling, and smooth irregularities.
• Massage should be gentle, using light circular strokes without pressing deeply.
• Begin with 1–2 sessions per week and increase gradually as advised.
• Avoid gym, stretching, or heavy arm movement.
• Itching or tingling around the nipples indicates nerve recovery.

Goal: Encourage fluid drainage and enhance tissue healing through controlled massage and compression.

Weeks 3–4 – Contour Refinement

• Swelling continues to settle, revealing improved chest definition.
• Mild unevenness between sides is common and temporary.
• Resume gentle walking or stretching after clearance.
• Avoid lifting weights, push-ups, or swimming.
• Continue compression garment use day and night (minimum 4–6 weeks).
• Incisions flatten; scars appear pink and begin softening.
• Continue lymphatic massage weekly for optimal contour and softness.

Goal: Support even skin tightening and smooth tissue transition.

Weeks 5–6 – Return to Normal Activity

• Discomfort is minimal; tightness nearly gone.
• Begin non-impact exercises (walking, cycling, light cardio).
• Start scar-care therapy with silicone gel or tape.
• Continue gentle massage if recommended.
• Avoid chest workouts until week 6 or surgeon clearance.
• Nipple sensitivity may fluctuate.

Goal: Strengthen tissues and prepare for gradual return to exercise.

Months 3–6 – Final Results

• Swelling fully resolves, and the chest contour becomes firm and smooth.
• Scars fade from pink to pale.
• Any residual firmness softens progressively.
• Return to full gym routines and upper-body training after approval.
• Maintain a stable weight for lasting results.

Goal: Achieve natural, symmetric, and long-term masculine contour.

Recovery & Lifestyle Tips

• Avoid smoking or nicotine for at least 4 weeks before and after surgery.
• Eat a balanced, high-protein diet and stay hydrated.
• Continue wearing your compression garment as instructed.
• Sleep on your back for 3 weeks.
• Avoid sun exposure on scars for 6 months.
• Attend all follow-up appointments for wound and contour assessment.

When to Contact Dr. Khazbak

Disclaimer

Disclaimer: This plan represents general recovery guidelines after gynecomastia surgery. Healing speed, garment use, massage timing, and return to activity vary by individual case and your surgeon’s preference. Always follow Dr Khazbak’s personalised instructions.