As an answer, I designed my own set of surgical instruments specifically for this problem. In my hands, it is performed on an outpatient basis in my office operating room. Routinely there will be some swelling, bruising and temporary diminished feeling in the chest and the nipples. All of these symptoms subside within several weeks. The extra skin tightens by itself and the areola often shrinks in size.
Most men are able to return to sedentary-type work within four to seven days after the surgery.
A compression dressing is placed on the chest and worn under the clothing for approximately three weeks. Strenuous exercise and sports may begin three weeks after surgery. Complete healing may take up to three or four months. There is no right or wrong age for surgery to be performed. In my view, if gynecomastia has been present for two or more years and is stable and not increasing in size, then surgery may be considered.