Hi,I am 44 yo male and I have gynecomastia and would like to have it addressed. I also have 20 extra pounds to lose out of initial 50 when I started tackling this problem last year.Here are my questions:1) How is the procedure done under current gold standards? Is it local anestheia? One day procedure? Any hospital stay? Stitches? Scars?2) What is the recovery process? How long will pain remain? When can I go back to work? When can I cycle, play squash, or lift weights?3) Should I wait until I lose those 20 pounds and then do the procedure?4) How much does it cost?Thanks much
Person's Age: 44
lost 30 pounds. 20 remain.
Thank you for your question. The surgery for gynecomastia is an excellent procedure to eliminate the extra tissue. It would be to your advantage to be at the weight you want to be at before any surgery. The procedure is an outpatient procedure performed under general anesthesia or local anesthesia with sedation. The incision used is around each areola so the scar is hidden somewhat after it heals. Usually the scar heals well depending on your healing ability. You will have pain or discomfort for 4-7 days and no exercise for 3-4 weeks.
You can return to work in 7-14 days as long as you do no heavy lifting or reaching. The procedure involves removal of fatty and breast tissue by excision and usually some liposuction. Sometimes some excess skin also needs to be removed. It is difficult to obtain insurance coverage for this procedure. A ballpark figure for total cost including the surgeon`s fee, facility fee and anesthesiologist`s fee is $4,000-$6,000. You should see a board certified plastic surgeon for a consultation so that he may examine you and discuss your options.
The risk factors include bleeding, infection, poor scar healing and being a little uneven during the healing process. One side may heal slower than the other but at the end of healing, the two sides should be similar. Total healing time to where the scars fade is 6-12 months. Dr. Rice or DR. Lista have excellent reputations in your area.
These risks are very low, by the way.
Thanks again doc.How long would it take to go back to cycling, squash, and weightlifting?
Thanks so much. appreciated
30 years experience; Board Certified in Plastic Surgery; Member American College of Surgeons;