Gynecomastia Surgery - I am scared of re occurrence and going for surgery again if it didn't work out in the first place.

Thanks for the question. If necessary, gynecomastia can be repeated 2-3 times depending on the operation area. I wish you all the best.

I know of no FDA approved non surgical/non invasive treatment for gynecomastia. If you are seeking non surgical options for mild gynecomastia, I think that Vanquish which uses RF energy, or UltraShape that uses ultrasound rather than Cool Sculpt would be the best option though all are off FDA usage. Surgery is the best option for the vast majority of patients with gynecomastia.#gynecomastia#malebreastreduction

With regards to your hear murmur, you should get checked by you primary physician and possibly a heart specialist before proceeding with any surgery.  Gynecomastia with little or no gladular tissue can possibly be treated well with Vaser liposuction alone.  If it doesn't work well you may need a glandular excision at your original surgery or at a later date.  Often, getting more than one consultation will help clarify this issue for you.