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Three options exist for surgery. Smaller procedures can actually be done in the office with light oral sedation. Adolescents frequently do better with a light general #anaesthetic.Twilight or IV sedation are another great choice. All procedures are outpatient either in the office or a certified outpatients surgery facility.The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding. For instance, studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. Therefore, it is important for patients to be as close as possible to their normal body weight prior to surgery. Not only will this decrease risks of complications, but will also enhance the aesthetic results. Further, normal body weight is different from one patient to another.All surgical procedures carry some degree of #risk. Always discuss your issues and concerns with the Plastic Surgeon during and following your consultation. Information that you read online may not apply to your personal situation.It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
The optimal time for cosmetic surgery is when a patient loses their desired weight and remains at that weight for 6 months or more. At your weight, I would like to see you see if you can shed some pounds before surgery. While easier said than done, you will ultimately have a much better result with more definition to the chest wall (and probably even motivation to keep shedding).
Being within a normal BMI range would be ideal, as this makes the surgery safer and the results better. You should try to lose some weight before considering surgery, as this may help improve your gynecomastia.
Gynecomastia surgery technique selection mainly depends on the anatomy of your breasts. For example, if you have significant excess skin and sagging of the breasts, you will need a more extensive surgery to remove the excess skin and contour the chest. Good luckand be safe.John T.Nguyen, MD, FACS, FICSDouble BoardCertified Plastic Surgeon
AT 69" and 232lbs your BMI is calculated to be 34.3 which is considered obese. Your ideal body weight (IBW) would be closer to 160lbs. Therefore you should preferably lose a minimum of 50 lbs in order to come within 15% of your IBW. However, if you intend on regaining the weight after surgery, it is not generally advised.
