A good candidate for gynecomastia has to be:
At least 18 years old, so that their body is completely developed.
Experienced extreme discomfort due to large breasts
Suffered from a lack of confidence
Tried medical treatments but didn’t get any respond
Who have realistic expectations from surgery

Below are some of the things you should need to do in preparing for gynecomastia surgery:
Get lab testing or a medical evaluation
Take certain medications or adjust your current medications
Stop smoking
Avoid taking aspirin, anti-inflammatory drugs or herbal supplements to prevent increased bleeding during and after the operation.
Be sure to arrange for someone to drive you to the hospital and to your home afterwards. You will also need an companion to stay with you for at least the first night following surgery.

The first step before gynecomastia surgery will be a preliminary meeting with your doctor. Remember that this consultation will determine your gynecomastia treatment process.
You should clearly answer all the questions your doctor will ask you, and you should not skip in detail about your medical history.
Your doctor should find out what causes gynecomastia in order to decide which treatment to apply. For this, a number of tests may be requested after the physical examination.

There are two methods for removing the unwanted tissue and excess fat in the chest area: liposuction and mastectomy. Both of the options require a short recovery time because they are less invasive.
Before the surgery, your doctor plans which of the methods will be performed on your breasts. Depending on the type of the procedure, the surgery takes 1 to 3 hours.
Liposuction: Performed under local anesthesia. Excess breast fat is removed by liposuction. No need to stay in the hospital. Patients can go back home on the same day.
Mastectomy: Performed under general anesthesia. The doctor makes small incisions to remove excess glandular tissue. The incisions are traditionally oval-shaped surrounding the areola and the skin near to armpit.
After removing the tissues, the doctor may change the position of the nipples if it is necessary. The incisions are closed with stitches and surgical drain tubes are placed near the incisions to remove blood or other fluids.

After gynecomastia surgery is done, dressings or bandages will be applied to your incisions and an elastic bandage or support garment may be used to minimize swelling and support your new chest contour unil it completely heals.
A small, thin tube (drainer) may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
You will be given specific instructions about how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health.

Although gynecomastia (male breast reduction surgery) is a simple procedure, it should not be forgotten that it is a surgical operation. As with any surgical operation, it is important for patients to rest well for a while after gynecomastia surgery.
Depending on the degree of gynecomastia surgery, the length of the healing process may vary. In general, the first two weeks are critical. In this process, patients should stay away from strenuous physical activities and should not tire themselves.
Patients who are discharged after the necessary examinations are made after the operation should take a 2-week leave from their workplace. From the second week, it is possible to return to daily activities that are not too tiring. Full recovery and return to social life takes between 3-6 weeks