What kind of anesthesia is used to treat a hematoma of a nipple following gynecomastia half moon nipple excision?

Do they use Local, General, or IV Sedation?

Doctor Answers 4

Types of Anesthesia for Different Procedures

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There are varying degrees of gynecomastia ranging from puffy nipple to severe breast enlargement and/or breast sag. The severity of the gynecomastia will determine which treatment option is necessary. In most cases, men suffer from standard gynecomastia, which can be surgically treated as an in-office procedure under local anesthesia. For more severe cases, it may be recommended that you have your procedure under general anesthesia at an outpatient surgery center. Your consultation will determine which option is best suited for treating your gynecomastia.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


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Dear foreveryoung908,

You have many choices for anesthesia in this clinical scenario of evacuation of a hematoma. When it can be performed under simple local anesthesia and oral and intramuscular sedation without the need for full general anesthesia. In the case where patients are extremely anxious general anesthetic or IV sedation can be deployed and for this requires the services of an anesthetist.

Meet with your plastic surgeon, discuss the possibilities and choose the anesthetic that best meets your needs.

I hope this information is of some assistance and best of luck.

R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 101 reviews

Gynecomastia and hematoma

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A small hematoma may be amenable to local anesthesia. More involved procedures might be better off with sedation.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Anesthesia Question

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Thank you very much for your question.

The answer depends on how big the hematoma is, and what the doctor feels is your tolerance for the procedure, and their ability to get you through it comfortably.  I recommend contacting your surgeon to ask about the anesthetic plan.  Best of luck!

Daniel Krochmal, MD
Chicago General Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.