Gynaecomastia Pre-Post Operative Care

PRE Operative Instructions


You must be fasted prior to your procedure - DO NOT EAT, DRINK (even water) or CHEW anything for at least 6 hours before your procedure. The hospital will ring you the day before your procedure to confirm your admission time.

Notify Dr Lim of any other medication that you are currently taking.

Do not take any medication that contains aspirin, or take anti-inflammatory or herbal medication for two weeks before your procedure. Aspirin thins the blood and this can result in unnecessary blood loss during your procedure.

Please stop smoking for four weeks before and four weeks after your procedure. Smoking decreases blood flow to the skin and may delay healing.

Do not drink any alcohol for two days after the procedure as it can interfere with the anaesthetic you are given on the day.

Arnica, available from your health food store, is to be taken before and after surgery. Arnica is available in tablet, spray and papule form. Please take as directed a few days prior to surgery. Vitamin C is to be taken two weeks before and two weeks after surgery. Arnica may help to reduce bruising and Vitamin C may help to assist healing, both may result in a reduced healing time.

If you have a gastric band you will need to have a fluid diet the day before your surgery and fast for at least 8hrs on the day of your procedure.  

Do not wear any nail polish or jewellery to the hospital and leave any valuables at home.

It is recommended that you take a loose shirt that buttons down the front with you to the hospital to wear home. This will make getting dressed easier as you will not have to lift your arms.

 

POST Operative Instructions


After the procedure you will have a firm bandage around your chest and you may also have a drain in each side of your chest. These will be removed, depending on the amount of drainage 24 - 48 hours after surgery as instructed by Dr Lim.

If you are staying in hospital overnight, Dr Lim will normally visit you the morning after your procedure. If you are feeling well and your drains can be removed, the staff will arrange for you to be discharged after this.

A general anaesthetic can take some days to recover from and if you feel a little slow and not quite yourself for a few days this is probably quite normal. Just take it easy and rest for the next few days.

You will be required to wear a post operative compression garment day and night for 6 weeks. The first 3 weeks during the day and night, and the second 3 weeks only at nights.

You will be given oral pain relief to take home.

Dr Lim will prescribe antibiotics for the week after the procedure. You should continue to take them until they are finished.

Do not lift anything heavy for three to four weeks. Avoid sporting activities for four to six weeks.

You will need to see Dr Lim one week after the operation. The tapes on your chest that remain will be removed at this visit. One week after the tape has been removed you may begin massaging the scars with Vitamin E cream. This will need to be done for a minute or two twice a day for the first three months to aid in the healing of the scar. At this time you may also like to apply silicone sheeting. Dr Lim will advise.

No spray tanning on the suture lines for at least 6 weeks after your surgery

Contact the rooms if any of the following develop;

  • temperature higher than 38°C or chills
  • heavy bleeding or fluid from any incision or drain site
  • increased pain in either side of the chest
  • redness around the incision lines that is spreading
  • tenderness and marked enlargement of either side of the chest

The nursing staff from Dr Lim’s rooms will contact you daily for the first few days after the operation.

Both Dr Lim and the nursing staff are available to you in the post operative period and indeed at any time during your recovery. Should you have any concerns or questions please do not hesitate to call the rooms.