Gynaecomastia Pre Post Instructions

Pre – Operative Instructions

‘As you prepare for Gynaecomastia surgery, we will guide and help you at every step to make your journey comfortable.’

We have well trained staff and experienced doctors to help you avoid unnecessary anxiety or stress of procedure.We are just a phone call away and don’t hesitate to call us for any concern.

  • BLOOD THINNERS -Stop taking Blood Thinning medicines as Aspirin, Omega 3 or Heparin, Ibubruphen ,Vit.E, 7 days prior to surgery.
  • SMOKING -Stop Smoking for 1 week before and 1 week after the surgery.
  • RECENT ILLNESS – If you have recent cough, sore throat or running nose, please call our clinic for advice.
  • Tell your doctors if you have any medical history of Diabetes, Hypertension, Asthma, Cough, Heart disease etc.

BLOOD INVESTIGATIONS

Complete Blood Counts- CBC  |  PTI/INR  |  Blood Sugar levels-Random/ Fasting  |  Viral markers – HIV, HbsAg,HCV  |  ECG and Chest X-ray (if age more than 30 years)  |  Other optional blood test as or if prescribed.

 

PRE ANAESTHETIC CHECK-UP – Our Anaesthetist will advice the type of anaesthesia suitable in your case.

On The Day of Surgery

  • Eating- You need to be fasting for at least 6 hours before surgery. Don’t eat after midnight. Don’t drink tea or water in the morning.
  • Brushing- You can brush teeth but do not drink water.
  • Shower- Take shower and shampoo your hair the night before or in the morning of surgery. In shower, use betadine scrub to clean chest and axillary area.
  • Deodorants- Do not use deodorant spray or lotions.
  • Clothing- Wear loose and comfortable clothes on the day of surgery.
  • Jewellery- Remove jewellery or any other costly belongings at home.
  • Contact lenses- Remove contact lenses and wear glasses.
  • Photo ID– Must bring the photo ID as Aadhaar card, Driving licence etc. for address and photo proof.
  • Arrival- Kindly reach our clinic at scheduled time (usually 9:00 am).
  • Call from Clinic – You will get a call from our clinic, a day prior to your surgery for timings, directions and instructions.
  • Transportation- There should be one attendant accompanying you and to drive you back to home / hotel. If you don’t have any one available to accompany you, please call our clinic for other options.
  • Payment- You need to pay the deposit at our clinic either by cash or by card payment, in the morning before the surgery.
  • Schedule time off-work- The type of work you do will determine how much time you need to take off-work. Patients with sedentary or desk jobs may go back to work after 2-3 days. If you do a physical job with heavy lifting or strenuous activity, you may need to take 7 – 10 days off work.

Prescription

You will be prescribed an oral Antibiotic and Analgesic. It is mandatory to take this medicines in full doses, for 5 days:

Tab. Augmentin 625 mg, 3 times a day, for 5 days
Tab. Combiflam, 3 times a day, for 5 days

Optional medications

  • Vitamin C 500 mg, once a day, start one week before surgery and continue for 2 weeks after the surgery. It prevents any illness and speeds up skin healing at incision sites.
  • Multivitamin– once a day, 1 week before surgery and continue for 4 weeks after surgery.
  • Arnica- Arnica in form of a pill or cream helps to decrease bruising (if any) and speeds up the healing process.
  • Neosporin ointment- it is applied at incision sites to prevent infection, to be applied morning & evening, for 1 week
  • Silicone Gel- It prevent hypertrophy of scars and fades away the scar gradually at incision sites. Start applying the gel at 4 weeks after surgery, twice a day, for 6 months.

To BOOK AN APPOINTMENT
Call us or Whatsapp us at +91 80548 02500 – Dr. Rajni or +91 81466 66880 – Dr. Shareen

POST OPERATIVE INSTRUCTIONS & RECOVERY

  • You will be awake immediately after the surgery and will be resting in a recovery room.
  • There may be some discomfort or soreness at the chest.
  • You will be wearing a pressure garment.
  • After rest for 4-6 hours, you can be discharged.
  • On the same late evening, you are advised to take liquid or semi solid bland diet.
  • From the next day onwards, you can do all the routine activities at home like watching TV, talking on mobile phone, internet surfing, walkaround to washroom kitchen etc.
  • Prescription is given for oral Analgesics and Antibiotics Tab. Augmentin 625 mg, TDS, for 5 days and Tab. Combiflame, TDS, for 5 days
  • There might be some fluid oozing from tiny incisions, at sides of chest, for first 24 hours. The absorbing pad is applied at your chest to absorb it.
  • There can be some bruising (not in all cases), which will subside over few days.
  • You are advised to wear a pressure garment at your chest for 3-4 weeks.
  • The pain in recovery period is often labelled as Mild Grade by our clients and easily relieved by oral medication.
  • You can take shower after 2 days.
  • You can join your desk or office job after 2–3 days.

FOLLOW UP VISITS
There are 2 follow up visits required.

First- at 2 days after surgery  |  Second- at 7 days after surgery.

EXERCISE
Dr. Gawri encourages all his clients to be active from the first day only. It is not required to keep lying in bed, you can do all routine activities at home immediately.

You can go for:

A stroll or walk outside at 2-3 days  |  Brisk walk at 10 days  |  Jogging at 2-3 weeks  |  Weight training or Swimming can be resumed at 4-6 weeks

It is advised to wear pressure garment during jogging or exercise.

TAKE SHOWER / BATHING
You can take shower from 2nd day after surgery onwards,
eg, if operated on Thursday, you can take shower on Sunday.

Remove pressure garment to shower.  |  Directly wet & apply soap over chest.  |  Do not rub but pat dry gently with a towel.  |  Apply Band-Aid at tiny incision sites.  |  Put the support garment back on.

Cleaning and washing the area daily will keep the incisions clean and promotes wound healing.

Massage
Start massage at chest as described by clinic staff at about 10 days.

NOTE

  • The quality of results may be affected if you do not follow the instructions and follow up visits, as advised.
  • For any query or unusual change, don’t hesitate us to call us at: +91 80548-02500 – Dr Rajni +91 81466-66880 – Dr Shareen (between 10 am – 6 pm, Sundays off.)

To BOOK AN APPOINTMENT
Call us or Whatsapp us at +91 80548 02500 – Dr. Rajni or +91 81466 66880 – Dr. Shareen

Before & After

TESTIMONIALS – COSMETIC SURGERY

I always desired for a sharp nose , which could give me confidence with good looks. I got my rhinoplasty surgery done from Dr. Gawri and the result is amazing. Initially there was swelling but it gradually reduced to show the well defined nose.

Rhinoplasty, Sonia

My face always looked very old and gloomy. I consulted at Kyra Aesthetic Clinic and met a Skin Specialist and plastic surgeon. They advised me Fat grafting cosmetic procedure. I saw the previous cases and made up my mind.
Today, i get many compliments for my new look. Thanks Dr. Gawri

Fat Grafting to Face

I always wanted to have a fuller Breast since my college days. I wanted to wear dresses and look attractive. I met Dr. Vikas Gawri for my Breast Implant surgery. I got the desired result and am happy to make this decision.

Breast Implants, Bhavna, 28 Years, Chandigarh

I was advised for Facelift surgery by a doctor in Canada. When I came to India, I contacted Dr. Vikas Gawri. Some of my friends in Punjab recommended his name. He is a expert plastic surgeon with good reputation. He did my Facelift surgery and it changed my looks. I look 10 years younger now,

Facelift

I always wanted a muscular chest and flat tummy. I met Dr. Gawri for Liposuction procedure. He explained everything clearly and I could talk to few of his clients. Just 1 week after the procedure, I was happy to see the result. He gave me good shaped chest and abdomen by Ultrasonic Liposuction .

Vaser Liposuction – Chest and Abdomen.
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