Wound Care

3 minute read

Gynecomastia surgery guarantees surgical scars. There may be incisions at the bottom of the areola, liposuction scars, or skin excision. In any case, optimal healing occurs when the fresh incisions are kept moist and covered. Do not let your gynecomastia incisions become uncovered and scabbed over. This will prevent the cells to penetrate the scaly scab as it traverses to the top level of the dermis. A worsened scar will develop because of the scab.

Multiple studies have found that dressings that create and maintain a moist environment are now considered to provide the optimal conditions for wound healing.

Examples of poor scar formation

Below is a progression of my first surgery where the inexperienced surgeon simply placed surgical glue over the incision and did not properly stop the bleeding before ending the surgery. The end result was predictably a poor hypertrophic scar that was raised.

1 day post-op 10 days post-op
21 days post-op 21 days post-op
3 months post-op 12 months post-op

Examples of good scar formation

This shows the exact same scar as above after it was excised and placed in a 24-hour moist environment for the first 2 months post surgery. All sutures were internal and dissolvable after 2 weeks.

4 days post-op 21 days post-op
3 months post-op 3 months post-op

Liposuction scars

These are generally tiny and well hidden. These will heal the best and should cause little concern. Here is my example liposuction scar after 2 weeks. It is the pinkish dot in the middle of the skin. The nearby mole masks it even more.

21 days post-op 3 months post-op

Ideal bandages for gynecomastia

Here are the bandages that I used. They can be purchased at Amazon or in any typical drug store. They must be changed daily for the first few weeks and covered with Neosporin generously.

For Liposuction scars, the round type are perfect. They keep the scars moist and allow the body movement.

For Areola scars these must cover the entire scar and keep tight along the skin.

Neosporin Scar Antibiotic Ointment is a must for the early few weeks to keep the infection away. I got an infection on my first surgery since the wounds were not properly hydrated and no antibiotic cream was used until it was too late. Usually the scar will have a yellow fluid that indicates an infection.

General tips

From the American Academy of Dermatology

  1. Always keep your cut, scrape or other skin injury clean. Gently wash the area with mild soap and water to keep out germs and remove debris.

  2. To help the injured skin heal, use petroleum jelly to keep the wound moist. Petroleum jelly prevents the wound from drying out and forming a scab; wounds with scabs take longer to heal. This will also help prevent a scar from getting too large, deep or itchy. As long as the wound is cleaned daily, it is not necessary to use anti-bacterial ointments.

  3. After cleaning the wound and applying petroleum jelly or a similar ointment, cover the skin with an adhesive bandage. For large scrapes, sores, burns or persistent redness, it may be helpful to use hydrogel or silicone gel sheets.

  4. Change your bandage daily to keep the wound clean while it heals.

  5. Apply sunscreen to the wound after it has healed. Sun protection may help reduce red or brown discoloration and help the scar fade faster.