• Jay M. Pensler, M.D.
  • Chicago Plastic Surgeon
  • 680 North Lake Shore Drive
  • Suite 1125
  • Chicago, IL 60611
  • 312.642.7777
  • info@plasticsurg.org
  • Contact Dr. Pensler for a Consultation

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Important facts about the safety and risks of gynecomastia surgery

The decision to have gynecomastia surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

The risks include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Blood clots
  • Infection
  • Poor wound healing
  • Changes in nipple or breast sensation, which may be temporary or permanent
  • If liposuction is used, additional risks include uneven contours, rippling or loose skin, irregular pigmentation, excessive fluid loss or fluid accumulation
  • Anesthesia risks
  • Breast contour and shape irregularities
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
  • Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
  • Breast asymmetry
  • Fatty tissue deep in the skin might die (fat necrosis)
  • Fluid accumulation
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Pain, which may persist
  • Possibility of revisional surgery

Where will my surgery be performed?

Surgery to correct gynecomastia may be performed on an outpatient basis, in an office-based or ambulatory surgical facility, or a hospital setting. It may be performed under general anesthesia or local anesthesia with sedation.

These decisions will be based on the requirements of your specific procedure and in consideration of your preference and your doctor’s best judgment. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.

When you go home

If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary:

  • To perform additional tightening or repositioning of the breasts
  • To treat any complications that may occur

Be careful

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

Be sure to ask questions:It’s very important to ask your plastic surgeon questions about your breast lift procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

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