Understanding what to expect after gynecomastia surgery helps ease anxiety. The goal, of course, is to reduce the size of the male breast and to leave a masculine contoured chest. Removing too much breast tissue may result in a "crater deformity" and may necessitate further surgery. If not enough tissue is removed, additional surgery may also be needed. It is important to choose a Board Certified Plastic Surgeon who specializes in gynecomastia. After surgery, you will most likely be wearing a compression vest, and you will have drains in place. After 2 or 3 days the drains will be removed. The sutures are usually removed after 1 week. The compression vest is to be worn 24/7 for 6 weeks and is only to be removed when showering. Showering is allowed when the drain incisions have completely closed in about 2 to 3 days after removal. When the vest is removed, men need to understand what they see is not the final result. The incisions around the bottom half of the areola are evident, but when they have healed, they are almost invisible due to the change in skin texture. The drain incision, which is very small, can leave a visible scar on the side of the chest. However, sensitive to men’s comments about the drain scar, Dr. Miguel Delgado now positions the drain incision high in the armpit area and is well hidden. Viewing the chest at the early healing stage can be very disconcerting for many patients. Swelling is normal after any surgical procedure and is part of the natural healing process, it can last for several weeks, and some residual swelling can last several months. Swelling occurs to increase blood supply to the surgical area; this is to bring extra nutrients that promote healing. The inflammation also helps fight off infections. However, excess swelling and inflammation need to be watched closely for a possible hematoma, an abnormal collection of blood outside of a blood vessel. When viewing your surgical results a few days after surgery, do not be alarmed if your chest still looks full. As the swelling subsides, the true contour of the chest will become evident, and the ability to go shirtless will finally be a reality. According to many postings on the website RealSelf.com, it is clear that many men are concerned about their puffy nipples after surgery. This has the potential of becoming a problem if all the swelling has subsided. Usually, if puffy nipples remain, it is an indication that not enough breast tissue was removed from behind the nipple, especially if liposuction alone was performed and there wasn’t any excision of breast tissue. This can be corrected but entails another surgery. Choose your gynecomastia surgeon carefully!