Gynecomastia Surgery Compression Garment. How Tight Should it Be?

Hi! I had gynecomastia surgeryliposuction on my chest 3 weeks ago. And i was wondering how tight should the compression garment be and how long should i wear the compression garment? I felt that the garment i had was not giving be so much compression(became loose), so now i am using two compression vests' to get more tightness. Does extra tight compression give better final results and is it safe?

Doctor Answers 11

Compression Garment after Gynecomastia

Thank you for your question.

I ask my patients to wear a compression garment after this procedure for 3-4 weeks after surgery.  My staff measures the patient and I put the garment on while the patient is in the operating room.

It should fit snug but not too tight to cause discomfort.

Call your surgeon's office and follow their instructions as they know your history the best.

Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,501 reviews

Use of a Compression Garment After a Gynecomastia Procedure

Our patients are required to wear a compression garment for the a few weeks following their #Gynecomastia surgery. The #compression garment helps to reduce the swelling, and the longer it is worn, the more quickly you will heal.We recommend it not be removed, at all, until the second or third day after the surgery. After that, we suggest they feel free to temporarily remove the #garment for showering or laundering only. We encourage our patients to maintain circumferential pressure for 4-6 weeks, but they may switch to an exercise compression garment when advised.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Compression Garments Post Gynecomastia Surgery

Hi King90,

Thanks for the post. The purpose of the compression garment is to control and reduce the swelling that is normal after any surgery. The garment should be snug but not too tight as it may cause irritation to the skin. I typically advise patients to wear their garments for 3-6 weeks depending on the type of surgery they had. If your garment felt loose then it should be fine to wear something to give a bit more compression.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Compression garments help give a smoother contour and better final result

I recommend for my gynecomastia liposuction patients to wear their compression garments for 4 weeks.  The purpose of the garment is to compress the tissues during early healing, which helps prevent fluid collections from forming and leads to a smoother final result. 

I like the Veronique brand and the style # 640 adjustable compression vest which has 3 levels of tightness. 

As the  swelling goes down, you can tighten the vest accordingly.  I also recommend that patients wear a comfortable t-shirt under the vest. 

I hope this is helpful.  Good luck!

David F. Pratt, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 41 reviews

Gynecomastia Surgery Compression Garment. How Tight Should it Be?

Firm compression is helpful in decreasing post operative swelling.  However, overly tight compression may cause skin necrosis.  Be careful and communicate with your surgeon.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 83 reviews

Compression garment after a gynecomastia should be snug, not too tight

Compression garment after a gynecomastia should be snug, not too tight to help minimize swelling, and help shape the chest (keep the skin adhering to the chest wall) without being too tight so that you can't breath properly.  I ask my patients to wear it for 2 weeks continuously

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 472 reviews

Compression Garment

I generally recommend patients wear a support garment for 6 weeks - night and day for the first three weeks, and then during the day for another three weeks. This garment will help reduce swelling and conform the skin to your new shape. It should be snug, but not so snug that you have trouble breathing. If your compression garment isn't as snug, you should ask your surgeon for a replacement. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Compression Garments Should Fit Snugly Following Gynecomastia Surgery

In an effort to facilitate wound healing following breast reduction surgery, compression garments are frequently utilized. Compression garments should fit snugly, but should not fit tightly, because this can potentially damage the underlying skin. Compression following surgery helps minimize swelling, decreases hematoma formation, decreases post-operative pain and controls skin contraction.

                  In most cases compression garments are worn for four to six weeks. It’s important to remember that post-operative care needs to be individualized for each patient. In some cases, compression may be required for longer than anticipated, while in others it can be discontinued early.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Compression garment after TT

The garment should be pretty snug but not "tight". it should not be painful. Some guys will also wear the tighter Nike or Under Armour shirts after a couple of weeks with the garment.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 80 reviews

Compression Garments after Gynecomastia/Male Breast Reduction Surgery Guidelines

I recommend my patients wear their garments for a minimum of 3 weeks if not a lot of redundant skin following liposuction male breast reduction to a maximum of 6 weeks. To be effective the garment needs to fit snug but not too tight as to cause pressure problems (inspect your skin if discomfort and when skin is exposed), or prevent you from sleeping. As the edema resolves it is common for patients to switch to a smaller garment that fits - A Spanx type garment would work rather than ordering one or paying more at your doctor;'s office.

Male Breast Reduction (Gynecomastia Reduction) by liposuction requires compression garments for three main reasons:

  1. it restricts the amount of edema that forms and hastens its resolution by mechanical pressure
  2. It decreases the amount of bruising
  3. It assists the loose skin in retracting or shrinking

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 159 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.