Gynaecomastia Pre Post Instructions

• 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.

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

• 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.

• 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.

• 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.

• 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 Vikas Gawri (between 10 am – 6 pm, Sundays off.)