The following article was written by user ‘lilLowerLip’ from r/steroids Reddit
What is Gyno (Gynecomastia)
I am assuming most of you know what gyno is, but for those of you who do not, it is defined as; “a common disorder of the endocrine system in which there is a non-cancerous increase in the size of male breast tissue”. Basically what this means is that the lactiferous cells have enlarged because of an imbalance in the amount of estrogen in your body.
Finding a Surgeon
When finding a proper surgeon you need to do your research. Call around, you can literally just search for some of the top plastic surgeons in the area. You want to make sure they have done plenty of surgeries for gyno before. My surgeon himself has done well over 200 of this exact surgery.
Talking to the Surgeon
YOU ARE NOT FUCKING JUICING!!! I can not stress this enough, if you mention this to your surgeon, theres a 99% chance you wont be getting the surgery from him/her. Just say you’re on that sweet ass creatine, which we all know is better than tren. My surgeon said, and I quote “If youre on the juice, you arent getting the surgery, too many dumb ass’ cant keep their estrogen in check and fuck everything up”.
This is what a ton of people want to know, and unfortunately it will vary depending on how bad your gyno really is. I myself have “class 1” gyno, the slightest case. So obviously getting surgery for class 1 gyno is going to be cheaper than getting it done on class 4. But if you want to save a fuck ton of money GO INTO THIS SURGERY LEAN. I went for a quote about 8 months ago when I was 14% bodyfat and the cost was $5,700. I got a new quote yesterday at 9% body fat and it is $3,660. That’s just over $2k, save your wallet and go in lean. The reason the cost dropped so dramatically is because they wont have to do any liposuction on my chest since there really is no fat to remove. As far as insurance goes they will not cover it if you are in the US. But for those of you in Canada that are in the military I believe they will cover it for you!
Is this a permanent fix?
Yes and no. For the average person who goes in and gets this surgery, yes it is a permanent fix, but we aren’t average people are we? We put stuff in our butt’s and needles in everything we can. So, if you’re going to get this surgery and still run gear afterwords, just know that there is a chance for recurrence. Although the chance of you getting gyno is much less than it was before, just know that it still can happen. Keep your estrogen in check and you will be good!
Note: I did not use any form of AAS before or during this surgery
Drugs you will be given before the surgery, and what they do
Scopolamine (Nausea) Ondansentron (Nausea) Ibuprofin/800mg (Pain and Swelling) Oxycodone HCL 5mg/Acetaminophen 325mg (Pain/fun) Cefadroxil (Antibiotic)
24 Hours Before Surgery
So before we even get to the day of surgery there are some things that you are going to need to do to get ready, most of these things will happen within 24 hours pre-surgery. The first being no food, no medications (besides the prescribed), AND NO WATER after 10PM the night before surgery, my surgery was at 8AM so this wasn’t all that bad. The next is going to be a small Scopolamine patch that you will place behind your ear, it will slowly release medication into your body that will help dull the nausea from the anesthesia that they use to put you under for surgery.
Morning of Surgery
So after arriving at the hospital I was pretty nervous, never gone under the knife before. The nurses there took really nice care of me. You will be taken back into a pre-op room which usually consists of a reclining chair with a warm blanket put over you. They will then put an IV in you that really only consists of a saline solution and some vitamins and minerals that will help you accept the relaxing agent they give you before administering the anesthesia, they will also most likely have you take a Vicodin at the same time to get you more relaxed/ let you have some fun.
Time for Surgery!
It’s time! Once the operating room is all prepped for your juicyness, they will walk you in and have you lay out on a table that looks like a giant cushioned cross. They will then Velcro your arms down and begin to administer the relaxing agent which is really nice. Beyond that I dont remember much. The last thing I remember before passing out is my surgeon and the three nurses standing around me discussing when the wanted to go see the play “Wicked” later that night. Thats when I blurted out “YOU GUYS ARE WAY TO FUCKING CASUAL ABOUT THIS, YOU’RE ABOUT TO CUT ME UP!…. I want to see book of Mormon” and then I passed the fuck out.
Waking up after Surgery
The next thing I remember is coming too while a nurse is attempting to help me put on my shorts and shirt and I’m just sitting there barely able to open my eyes. After a few minutes I was pretty aware of my surroundings but was still INCREDIBLY high, which in all honesty was very, very fun. I will be honest this is where it gets hard for me to right about just waking up after surgery because I barely remember any of it. The only thing I remember is going home about 20 minutes after waking up, and just laying on the couch with ice packs on my chest.
Dressings and Bandages
Depending on the amount of tissue removed from your chest, there are a couple different dressings/bandages that will be used to cover the area that has been operated on. For me, it was a simple patch of gauze over each nipple as well as a water tight bandage, which I was instructed not to remove until my post op appointment 3 days after surgery. Now, if you were to have more tissue removed than I did, it is possible that you may have a small thin tubes in place behind each nipple to release any fluid or air that my arise in the area where tissue was removed since it is literally a hollow space behind your nipple until healing is complete.
Recovery and Protocol
There are a few things that people have been messaging me about, mainly the recovery aspect when dealing with the compression vest you are made to wear after surgery. I personally did not need the compression vest because the amount of tissue removed was very little compared to most. I wore 2 compression shirts that were a size smaller that what Im used too and things have turned out well. If you are made to wear the vest then WEAR IT! My doctor has told me stories of patients coming in after surgery with tons of liquid build up because they only wore the vest for a couple days. However, you can wear the vest for a couple weeks, and then ask your doctor if you can then switch to a compression shirt, the vest usually is not needed for the entire, usually 6 week, period. Also, when you get this surgery done, and you are in the recovery process, you are going to look like shit for a couple days, there’s no way around it. Your chest will be swollen, your body will be bloated from the saline solution, and you will also be constipated from the oxy. But just know, IT WILL GET BETTER.
Day after Surgery
Now, if you remember from my last post, I said I didnt have to get any liposuction. So, when I woke up I really wasn’t all that sore. I was actually able to drive 2 hours back to my apartment at my university. There was a bit of pain when I would put my arms above my head but that was all. There also was not that much swelling, that came later.
The Real Recovery Begins (2 days after surgery)
This is when your body really begins to realize the extent of the operation. Swelling really started to build up but it wasn’t anything I couldn’t cover with a compression shirt and t-shirt or button down. Really the only thing you can do during this time is RICE. Rest, Ice, Compression, Elevation. I would recommend getting a couple compression shirts for when you are going to ice your chest. Put on 2 compression shirts, stick a couple ice packs inbetween them, and then just relax for a couple hours.
Liquid Build-up and other Complications
As with every surgery, there is always risk for complications. The most common for this surgery is liquid and air build up in the newly empty area. When the tissue is removed there is basically a hallow crater behind the skin of your nipple. Until you chest heals and your skin tightens up, your body is going to be looking for something to fill that blank space, usually with air and blood. This is absolutely nothing to worry about, I myself had blood drained from this area 3 days after my operation, took all of 2 minutes to drain both sides. The doctor simply took two 18g needles (I know) and drained them. I am going back in tomorrow morning to have the last remaining bit of liquid drained and then everything should be close to fully healed! Another very common complication is loss of feeling on and around the nipple. Think of this as more of a side effect, since most people will lose at least some feeling. I have lost about 30-40% of the feeling on the outer sides of each nipple but everything else seems to be fine, again, this is absolutely nothing to worry about. Unless you’re into nipple stuff.
Getting back into the Gym
This was huge for me, as I know it is for all of you! I got my surgery on a Monday, and had my post-op appointment that fallowing Thursday, and during the post-op I was told I could go back to lifting beginning Friday. Although I personally decided to just wait until Monday and do a few body weight workouts until then so that I could start back on a brand new week. Now, this wont be the same for everybody, obviously everybody’s body is different, so they will heal differently. Just remember RICE!!!!
Before and After Pics
4 days after surgery