What is the mortality rate or complication rate for gynecomastia gland excision under local anesthesia while awake?
Doctor Answers 9
Complication rate for gynecomastia
Soft tissue procedures of this small magnitude performed under local anesthesia have an extremely low serious mortality or morbidity or complication rate. The risk of a mortality of a procedure performed under local anesthesia in a sterile environment is far smaller than 1 in 50,000 probably more in the order of 1 in several million. Generally, these fatal or serious conditions can be just idiosyncratic anaphylaxis or an allergy to medications used in the anesthetic and generally having a significant complication with local anesthetic procedure and soft tissue such as glandular excision is extremely safe.
I think you want to ensure that you visit your plastic surgeon and discuss these issues with him. You would probably want to ensure that the blood tests, cardiogram and electrolytes are all normal and that the doctor has all the necessary equipment in their facility to manage an extremely rare but untoward event.
I hope this information is of some assistance and best of luck.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Risks Associated with Gynecomastia Surgery
The treatment of gynecomastia involves removing the tissue that is causing the chest to look puffy or enlarged. In most cases this involves removing 100% of the breast tissue. However, sometimes a very small amount of tissue may need to be left behind to avoid any contour abnormalities. For this reason, it is always discussed with patients that if they continue steroid use after surgery there is a chance that gynecomastia may return, albeit to a lesser degree.
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.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.
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