As previously mentioned, this procedure can be done at an outpatient surgical facility or in our office. Both procedure locations will utilize the same surgical technique, however we will focus on the surgical expectations when performed in the office, as it is most common location for this procedure. Prior to your surgery we will discuss the general procedure again, sign informed consent, obtain pre-operative photos, and mark the surgical site. The procedure will began by numbing the marked area with local anesthetic to ensure your comfort throughout the procedure. After the numbing is injected, the procedure will take approximately 30 minutes per side of the chest. The incision will be made half way around the edge of the areola (the darker pigmented skin around the nipple), which allows for the incision to blend well when it heals. The glandular breast tissue will be removed (excised), sparing your pectoralis major muscle and fascia. We will use dissolvable sutures to close the incision, which means there are no sutures to remove at your post-operative appointment. The incision will be covered with a steri-strip (adhesive bandage strip) that will remain on until your post-operative appointment. Post-operative instructions will be discussed and a compression ACE wrap will be applied. Determining whether you are a candidate for in office gynecomastia procedure will be determined during your consultation with one of our board certified plastic surgeons.