"The Surgery Went the Way I Was Told in Consultation"

To give the answer first, what a gynecomastia consultation decides is not the result but the scope. How far to excise the glandular tissue, to which layer to perform liposuction, and how thick a layer of tissue to leave under the areola.

This scope creates the shape. If only liposuction is done for someone with a high proportion of glandular tissue, a firm lump remains and can be felt when touched. Conversely, if the glandular tissue is removed entirely, the area under the areola sinks like a pressed-in saucer. This is a depression deformity. So we taper the edges so they blend into the surrounding fat layer and refine it so that a gentle curve remains over the pectoralis major.

The basic approach is to explain this plan before surgery and carry it out as planned in surgery. However, when the tissue is opened it sometimes differs from what was expected, and the scope may need to be adjusted on the spot. We explain that possibility, too, in consultation.

As their worry before surgery, they wrote this.

"I was worried that complications might occur."

In gynecomastia surgery, the items that actually need to be managed are bleeding and hematoma, seroma, and asymmetry between left and right. These are not items I can say will not happen just because they are not frequent.

In my case, I finish after sufficiently confirming hemostasis during surgery, and after surgery I explain the compression garment and the follow-up schedule together. The compression garment is stifling, but it presses the space created where tissue was removed and reduces the room for fluid to collect. If you take it off early because it is uncomfortable, that space opens up again.

The course after surgery generally goes in order. About one week in, light cardio is possible; from two weeks, the inner wounds have stabilized to some degree, and shoulder stretches can help drain the swelling. From four weeks, light weight training, and by about six weeks most people regain most of their pre-surgery exercise capacity.

This schedule also needs adjusting depending on the extent of excision and the course, so it is better to confirm and decide when to resume at an examination.

What we decide together in consultation is the incision location. If the incision follows the lower border of the areola, the scar lies on the color boundary between the areola and the skin and becomes less noticeable as time passes. In some cases, a small incision for liposuction is added on the side.

This does not mean no scar remains. How quickly it heals and how much the scar fades differ greatly by constitution, and it often takes several months for the redness to settle. I explain this part in advance before surgery, too.

In the box asking what they wanted to do after surgery, they wrote this.

"Thank you for doing the surgery well."

Satisfaction differs from person to person depending on the pre-surgery condition and expectations. Even with surgery of the same scope, people take it differently, so it is hard to state uniformly that it will turn out a certain way.

In this person's case, the scope I described in consultation and the actual scope of surgery did not diverge. What you should confirm in consultation is that scope.