General vs. local for gynecomastia surgery?

Thank you for your question.  I typically recommend general anesthesia for this procedure.  It allows the surgeon to be aggressive in the removal.  Most importantly I feel it's the safest way to do the procedure and it allows us to make sure the patient is comfortable.  I would suggest addressing your concerns with your surgeon and following their recommendations.  Best of luck to you. 

Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease or the use of certain drugs. The decision of what type of anesthesia to use is usually made on a case by case basis depending on the patient and severity of the gynecomastia. A lot of plastic surgeons use general anesthesia for gynecomastia surgery, however I do most of my gynecomastia procedures under local anesthesia in the office.

Thank you for sharing your excellent question.  Depending on the patient and severity of the gynecomastia it can be done under either anesthetic technique.  This ultimately depends on your comfort level and safety to achieve the goal you want.  Hope this helps.