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How much will it cost? The fee for gynecomastia surgery can be located in the suggested fees . Please call my office for an accurate price quote or make an appointment for a personal consultation to discuss your specific concerns. My suggested quotes include professional fees, anesthesia fees, operating room costs, elastic garment, house calls, and before care and after care. They do not include hospitalization costs, prescriptions, home nursing care, preoperative history and physical examination, laboratory costs, or pathology fees. If you compare prices, make sure that you consider all these costs. In addition, gynecomastia surgery requires some time off work for a safe recovery. I require complete payment two weeks in advance of all cosmetic surgery. What can I do about enlarged breasts? Most boys develop breast tissue as part of early adolescence. This almost always resolves as puberty progresses. A few men experience persistent fullness of the chest that detracts from their masculine appearance. Gynecomastia surgery selectively reduces these deposits utilizing liposuction and/or direct surgical excision. Will liposuction be sufficient to reduce the breast size? Past the age of thirty there is a good chance that liposuction will be sufficient to correct the problem. Patients younger than this usually require surgical removal through a small incision around the nipple. Will I ever be exactly the same on both sides? It is normal for the body not to be the same on both sides. Gynecomastia surgery can reduce these differences but not eliminate them. It will be necessary for you to adjust to some asymmetry after your surgery. Will there be scars after surgery? Scars are part of all surgery. It is important to understand where gynecomastia surgery scars will be placed. Gynecomastia surgery requires small (one-eighth to three-eighths of an inch) for liposuction and/or a small scar around the nipple for surgical excision. These are inconspicuous and easily covered with clothing. What are the risks of gynecomastia surgery ? There are risks with any surgery. Infection, excessive bleeding, abnormal scarring, poor healing, slow healing, skin loss, changes in skin sensation, muscle or nerve injury, although uncommon, can occur with any operation. Fortunately, most problems that result from such complications are correctable with additional surgery. There may be loss of nipple sensation. Although rare, it is also possible to loose part of the nipple or the entire nipple. You must understand your risk of complications completely before you choose to have gynecomastia surgery. I have heard about so many bad things on television, is it safe to have gynecomastia surgery? There are always risks with gynecomastia surgery. When severe complications are combined with inexperienced surgeons, poor results can occur. I believe that gynecomastia surgery can be done safely with a high degree of patient satisfaction. Serious problems are usually related to infection and/or excessive fat removal. Most poor results can be improved with additional surgery. What can you tell me about this new technique I saw on television? Everyone in America wants the latest in medical care. This is not always the best medical care. At times media presentations will leave out critical information about potential complications, quality of result, and FDA regulation. I am open minded when it comes to new technology but I would rather not use my patients to try out the newest techniques. Recently, there has been considerable press coverage of ultrasonic liposuction. This may ease the removal of gynecomastia tissue but it carries greater risks. How old do I have to be to have this surgery? Body development can continue into the early twenties. When gynecomastia surgery is done before this time, there is a chance the surgery will have to be repeated. For this reason, I suggest that surgery be postponed until eighteen years of age. For general health reasons, I recommend that all my patients stop smoking. It is clear that smoking increases your risk for developing all sorts of cancers. Breathing problems like emphysema and circulatory problems including heart attacks are also linked to smoking. Smoking can increase the risk of coughing after your surgery that can lead to unwanted bleeding. Smoking also reduces blood flow that can result in skin loss during the healing period. Both of these problems can ruin the results of your gynecomastia surgery and lead to revision surgery. It is always best to stop smoking. There are other choices when it comes to gynecomastia surgery. These weight loss, acceptance of a deformity, and changes in clothing styles. Alternate gynecomastia surgery techniques include ultrasonic liposuction. In my opinion, ultrasonic liposuction has greater risks and costs more. Always understand all your options before having gynecomastia surgery. What additional procedures can I consider that will enhance the result? Surgeries can be combined to yield dramatic and complimentary results. For safety reasons, I recommend the length of surgery be limited to six hours and no more than two areas of the body be treated at the same time. Gynecomastia surgery can be combined with liposuction of the abdomen, hips, and submental area. Am I a good candidate for gynecomastia surgery? This is a question that can only be answered after a personal consultation. Gynecomastia surgery is suggested to men with enlarged breasts that have not resolved during puberty. I feel strongly that gynecomastia surgery is not a treatment for obesity. Obesity increases the risk of complications and detracts from the aesthetic result. There are other things to consider as well including psychiatric conditions, life stress, medical illness, obesity, and motivation. You should be a healthy nonsmoker, within twenty pounds of your ideal weight. Major life stresses (i.e. grieving a death and divorce) must be absent in your life. The ideal candidate is motivated by internal desires to look better. How many times can I have gynecomastia surgery done? Each time surgery is done, scar tissue is created in the surgical site. This scar tissue detracts from the natural result. If you do not gain weight, the changes should be very long lasting. This is not a treatment for weight gain or obesity. For these reasons, I recommend that gynecomastia surgery not be done more than two times at prescribed intervals.
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