26 year old male, was obese as a kid, looking to get my gynecomastia removed. 1. Should I consult my physician first? 2. I am currently out of shape. Is it ideal to get in shape (lower bodyfat %) first? will that affect cosmetic results? 3. Should I opt to get put out or just partially sedated? I would prefer to be as conscious as possible. 4. How long is the typical recovery time? Thank you in advance.
Answer: Gynecomastia questions. Should I consult my physician? Is it ideal to get in shape first? Great question. With almost all plastic surgeries it is safe to say that the better shape you are in before your surgery, the better you will look after. You would only need to consult your family doctor if you are concerned that the gynecomastia is due to a medical condition, in which case you would need to be worked up for that. If not, then it would be fine to go directly to a plastic surgeon for consultation. In terms of the type of anaesthetic, you should discuss that with the surgeon you choose as each will have different options and will have their own comfort level with varying degrees of anaesthesia. The only way to know for sure is to book a consultation with a board-certified plastic surgeon in your area to be examined. Best of Luck!
Helpful 1 person found this helpful
Answer: Gynecomastia questions. Should I consult my physician? Is it ideal to get in shape first? Great question. With almost all plastic surgeries it is safe to say that the better shape you are in before your surgery, the better you will look after. You would only need to consult your family doctor if you are concerned that the gynecomastia is due to a medical condition, in which case you would need to be worked up for that. If not, then it would be fine to go directly to a plastic surgeon for consultation. In terms of the type of anaesthetic, you should discuss that with the surgeon you choose as each will have different options and will have their own comfort level with varying degrees of anaesthesia. The only way to know for sure is to book a consultation with a board-certified plastic surgeon in your area to be examined. Best of Luck!
Helpful 1 person found this helpful
Answer: Seek a Board Certified Surgeon Specialized in Gynecomastia Surgery 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.There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. 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.Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.
Helpful
Answer: Seek a Board Certified Surgeon Specialized in Gynecomastia Surgery 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.There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. 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.Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.
Helpful
August 18, 2015
Answer: Gynecomastia timing Getting a check-up by your general physician is always a good start. Healthy patients have better recoveries. The difference from getting the surgery now or when being more in shape is that if you loose weight AFTER Gynecomastia surgery, there might be some sagging of the skin and therefore a new procedure might be necessary. General anesthesia is the most common type, but regional blocks and even local anesthesia (intercostal block) may be done with you wide awake and safely breathing on your own. Typical recovery time realistically speaking is three weeks. You are most welcome for my response.
Helpful
August 18, 2015
Answer: Gynecomastia timing Getting a check-up by your general physician is always a good start. Healthy patients have better recoveries. The difference from getting the surgery now or when being more in shape is that if you loose weight AFTER Gynecomastia surgery, there might be some sagging of the skin and therefore a new procedure might be necessary. General anesthesia is the most common type, but regional blocks and even local anesthesia (intercostal block) may be done with you wide awake and safely breathing on your own. Typical recovery time realistically speaking is three weeks. You are most welcome for my response.
Helpful
August 17, 2015
Answer: Gynecomastia questions. Should I consult my physician? Is it ideal to get in shape first? Thank you for the question. Yes, it is ideal to achieve your long-term stable weight prior to proceeding with chest wall surgery. Exactly what operation you should undergo will depend on your physical examination and accurate diagnosis. It is important to differentiate gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. In most cases, gynecomastia is treated with resection of the excess breast tissue; peripheral chest liposuction surgery may also be helpful. Practices will vary, but I generally perform these operations under general anesthesia, under the supervision of board-certified anesthesiologists. Recovery time will vary from one patient to another, depending mainly on exactly what procedure is performed.
Helpful
August 17, 2015
Answer: Gynecomastia questions. Should I consult my physician? Is it ideal to get in shape first? Thank you for the question. Yes, it is ideal to achieve your long-term stable weight prior to proceeding with chest wall surgery. Exactly what operation you should undergo will depend on your physical examination and accurate diagnosis. It is important to differentiate gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. In most cases, gynecomastia is treated with resection of the excess breast tissue; peripheral chest liposuction surgery may also be helpful. Practices will vary, but I generally perform these operations under general anesthesia, under the supervision of board-certified anesthesiologists. Recovery time will vary from one patient to another, depending mainly on exactly what procedure is performed.
Helpful
August 18, 2015
Answer: Preparing for gynecomastia surgery 1) It is always recommended to see your primary doctor first for an overall health evaluation, especially if you haven't done so in the past year. 2) It's hard to answer this question without seeing pictures or knowing your height/weight/etc. Everyone's opinion of being out of shape varies. Your plastic surgeon will be able to tell you if he recommends losing weight before surgery or not. Obviously, being in ideal shape is beneficial for many reasons, however it's not always necessary in order to have a successful surgery. 3) I cannot answer this question without knowing how severe your gynecomastia is. If a more extensive surgery is needed, general anesthesia is recommended. If you have standard gynecomastia, most of my patients have surgery under local anesthesia w/ an oral sedative. 4) Recovery time applies to different things. Going back to work, being able to exercise, going in a pool or hot tub, etc. Most stand gynecomastia patients can resume work within 3-5 days, however it will be longer if the job requires heaving lifting, rigorous activity, etc. The entire recovery period is about 4-6 weeks in total. This just means until incisions have closed up, swelling has subsided, full movement of your arms, you can work out, etc. The most important advice I can give you is to make sure you go to a plastic surgeon who is specialized in gynecomastia surgery. Ask how many surgeries he performs each year, make sure you have access to viewing a large photo library of before/after photos, ask to speak with former patients, etc. Best of Luck!
Helpful
August 18, 2015
Answer: Preparing for gynecomastia surgery 1) It is always recommended to see your primary doctor first for an overall health evaluation, especially if you haven't done so in the past year. 2) It's hard to answer this question without seeing pictures or knowing your height/weight/etc. Everyone's opinion of being out of shape varies. Your plastic surgeon will be able to tell you if he recommends losing weight before surgery or not. Obviously, being in ideal shape is beneficial for many reasons, however it's not always necessary in order to have a successful surgery. 3) I cannot answer this question without knowing how severe your gynecomastia is. If a more extensive surgery is needed, general anesthesia is recommended. If you have standard gynecomastia, most of my patients have surgery under local anesthesia w/ an oral sedative. 4) Recovery time applies to different things. Going back to work, being able to exercise, going in a pool or hot tub, etc. Most stand gynecomastia patients can resume work within 3-5 days, however it will be longer if the job requires heaving lifting, rigorous activity, etc. The entire recovery period is about 4-6 weeks in total. This just means until incisions have closed up, swelling has subsided, full movement of your arms, you can work out, etc. The most important advice I can give you is to make sure you go to a plastic surgeon who is specialized in gynecomastia surgery. Ask how many surgeries he performs each year, make sure you have access to viewing a large photo library of before/after photos, ask to speak with former patients, etc. Best of Luck!
Helpful
