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How Much It Would Hurt Was My Biggest Worry
How Much It Would Hurt Was My Biggest Worry
In gynecomastia consultations, the order of worries is generally similar. First pain, second the result. How much it will hurt — and if the shape you wanted does not come out after enduring it, what was that time for.
Someone who had surgery this past June wrote both side by side. "I worried about the pain, and about what I'd do if I weren't satisfied with the result" — and after surgery, wrote that there was almost no pain and that they were satisfied with the outcome.
But that passage is this person's case. The degree of pain varies widely with the amount of glandular tissue, the extent of excision, and an individual's pain threshold. I cannot call it a painless operation; it is more accurate to say the goal is to manage pain within a predictable range.
This person also left a note about the consultation: that everyone was kind and explained things in detail, which made scheduling straightforward.
The reason a surgery date does not get set is usually not a lack of resolve. It is that something remains unknown. What grade your condition is, where and how large the incision will be, how the scar will settle and how long the compression garment must be worn, how much of daily life is possible during recovery. With those still blurry, you cannot pick a date.
That is why we spend time on explanation in the consulting room. Gynecomastia surgery is not a cosmetic procedure but treatment covered by health insurance, and whether and when to proceed is also advised on the basis of test results. Once the explanation is complete, patients generally make the decision themselves. It is not for us to rush.

Asked what they wanted to do after surgery, this person answered in one line: "I want to work out and wear thin clothes."
It is an answer that comes up unusually often in this field. Many people say that no matter how much they exercised, that one area never came into line, and it was frustrating. Glandular tissue differs in nature from fat and sometimes does not shrink with exercise or weight loss alone — which is why the effort did not show results.
Resuming exercise is scheduled in stages while watching the wound and swelling. The order is to start with light activity and raise the intensity, with the timing discussed and set at follow-up visits. Recovery speed differs between individuals, so it is best not to move it up on your own.
On the final question, this person wrote: "If you're on the fence, I definitely recommend at least having a consultation."
I do not want to translate that sentence into a recommendation for surgery. A consultation is not a decision; it is a check. It is the process of finding out what your condition is through examination and testing, and there are cases in which the outcome is our advising that surgery is not necessary. Whether you actually have surgery, and when, is something to decide after confirming your own condition.
Searching alone on repeat increases information but rarely settles a judgment. Whichever way the conclusion falls, I agree that it is better to know your own body accurately.
- · Board Certified Thoracic Surgeon / M.S. in Medicine
- · M.D., Pusan National University School of Medicine
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- · Thoracic Surgery Residency, Samsung Medical Center
- · Thoracic Surgery Fellowship, Samsung Medical Center
- · Former Professor of Thoracic Surgery, Dongguk University Ilsan Hospital
- · Member, The Korean Society for Thoracic and Cardiovascular Surgery
