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*Treatment results may vary
Amazing
It’s been a month since I had gynecomastia surgery with both Dr. David Azouz and Dr. Solomon Azouz (they’re a dad/son dynamic duo haha). I currently need to wear 2 compression shirts & 2 binders at all times except during showers; so I’m not able to enjoy the full benefits of wearing fitted shirts in public just yet. But even 4-5 weeks out of surgery I can notice an immediate difference in wearing fitted shirts. Prior to surgery, I would need to wear hot, sticky compression shirts or put bandaids over my nipples to mask its appearance in public. However, I’m confident that I’ll no longer need to do this once I’m cleared to take off my binder! I’m so happy about this.
Price-wise, expect this to be pricey for several reasons: this procedure is elective, these surgeons are very experienced, and they have generally outstanding feedback from their patients (he gave me a discount for being a healthcare worker). Dr. David Azouz is one of the most in-demand board certified plastic surgeons in Dallas. He also treats patients from all around the world and performs gynecomastia surgery very frequently as its one of his most popular procedures. He conveyed to me during my appointment that sometimes he performs over five of these procedures on different patients on a given day. Therefore, he has likely perfected every tiny surgical detail as well as its typical post-operative management. My insurance didn’t cover this. However, because of their long-standing experience, I didn’t have a problem with their price tag. I paid the whole thing out of pocket but I believe they offer installment plans if I’m not mistaken.
As far as the surgery itself, I was given IV sedation with Propofol and Versed; there’s no need for intubation. Of course anesthesia is individualized based on your history and preferences. For myself, Anesthesia was able to manage this procedure without an invasive airway (its kind of like if you’ve ever had a GI scope - similar level of sedation). The CRNA I had was pretty chill and answered all my questions pre-operatively. It takes place at an outpatient surgery center near Medical City Dallas and you can go home the same day with a designated driver after recovering in PACU. The day will go like this: you go to the surgery center, you change into a gown, a nurse inserts an IV, and you walk yourself into the OR. During this time, the CRNA (or whoever is the Anesthesia provider) places EKG stickers on your back and you lie down on the OR table while they restrain both your arms. The last thing I remember is this and Dr. David Azouz starting a pleasant conversation with me (I believe he does this to calm your anxiety and assess your level of consciousness to see if you’re adequately sedated for the procedure; at this time the CRNA is pushing sedating medicines through your IV). I honestly don’t even recall seeing my CRNA pushing meds through my IV. I was asleep during the procedure. The next thing I remember is being in the car at CVS Pharmacy with my family telling me they’re going to go inside and get my pain meds real quick. Side note, my family said I was trying to jump out of the car on the highway on the way home hahahahahaha). I don’t even remember waking up in PACU. I got home, they got me dressed in my PJs, and I went to sleep. I don’t really recall much else from that day. To your benefit, the IV meds you’re given intraoperatively produce varying levels of amnesia.
As far as pain, I didn’t have any pain at all following the procedure. I think I was given Tylenol #3 with Codeine (I forgot tbh because I didn’t use it much), but it’s a narcotic for mild-moderate pain every 4-6 hours PRN). My only complaints was the soreness (like doing a chest workout) and the skin agitation I developed from the compression shirts and binders (I have a lifelong history of eczema). I did develop blisters and inflammation around my torso which was WAY more uncomfortable than the surgical sites themselves. Dr. Solomon was really nice to me and gave me free Aveeno eczema sample creams and balms as well as a prescription for a corticosteroid called Clobetasol propionate cream (which worked wonderfully). My rash quickly resolved on post-operative day 4-5 after being able to take off the compression garments, airing out my torso, showering, utilizing the creams and gel, and wearing a soft cotton undershirt to cushion my skin from the binders and compression shirts.
The follow-up appointments are weekly for the first 2-3 weeks. My next one is in 2-3 weeks. Some surgeons utilize bulb drains to drain fluid from the surgical sites but Dr. Solomon and Dr. David do not. Therefore, you don’t need to worry about them being taken out at a follow-up appointment. I was cleared to shower on POD 3. There are certain restrictions that they will give you. These include no heavy lifting, no bathes, and no high intensity exercise or sports. They will clear you at each follow-up appointment as to when you can resume these activities. They talk fast because they have a lot of patients to see so I recommend writing down/typing as much as you can. It’s imperative you attend these follow-up appointments (I can’t stress this enough). I had stitches removed at the 2-3 week mark. The incisions are at the borderline of your skin and the areolae bilaterally so it’s VERY difficult to identify the incisions from a cosmetic standpoint (even just 1 month out of the procedure).
I’m writing this testimonial to give you an idea of what to expect and to give the praise Dr. David Azouz and Dr. Solomon Azouz deserve. They’re both excellent surgeons and I recommend that they treat your gynecomastia. I chose them specifically after researching their website, reading their biographies, and reading google reviews (which most of them are 5-stars that attest to their greatness I might add). Therefore I hope that this review will allow you comfortably select Dr. David Azouz and Dr. Solomon Azouz as your surgeons of choice. I love these guys and I’m extremely grateful they did my surgery. More than anything I can’t wait to stop wearing my compression garments and wear fitted shirts without having to wear a compression shirt underneath. Overall, I’m satisfied with the outcome and I can’t wait to completely enjoy the benefits of this procedure.
Price-wise, expect this to be pricey for several reasons: this procedure is elective, these surgeons are very experienced, and they have generally outstanding feedback from their patients (he gave me a discount for being a healthcare worker). Dr. David Azouz is one of the most in-demand board certified plastic surgeons in Dallas. He also treats patients from all around the world and performs gynecomastia surgery very frequently as its one of his most popular procedures. He conveyed to me during my appointment that sometimes he performs over five of these procedures on different patients on a given day. Therefore, he has likely perfected every tiny surgical detail as well as its typical post-operative management. My insurance didn’t cover this. However, because of their long-standing experience, I didn’t have a problem with their price tag. I paid the whole thing out of pocket but I believe they offer installment plans if I’m not mistaken.
As far as the surgery itself, I was given IV sedation with Propofol and Versed; there’s no need for intubation. Of course anesthesia is individualized based on your history and preferences. For myself, Anesthesia was able to manage this procedure without an invasive airway (its kind of like if you’ve ever had a GI scope - similar level of sedation). The CRNA I had was pretty chill and answered all my questions pre-operatively. It takes place at an outpatient surgery center near Medical City Dallas and you can go home the same day with a designated driver after recovering in PACU. The day will go like this: you go to the surgery center, you change into a gown, a nurse inserts an IV, and you walk yourself into the OR. During this time, the CRNA (or whoever is the Anesthesia provider) places EKG stickers on your back and you lie down on the OR table while they restrain both your arms. The last thing I remember is this and Dr. David Azouz starting a pleasant conversation with me (I believe he does this to calm your anxiety and assess your level of consciousness to see if you’re adequately sedated for the procedure; at this time the CRNA is pushing sedating medicines through your IV). I honestly don’t even recall seeing my CRNA pushing meds through my IV. I was asleep during the procedure. The next thing I remember is being in the car at CVS Pharmacy with my family telling me they’re going to go inside and get my pain meds real quick. Side note, my family said I was trying to jump out of the car on the highway on the way home hahahahahaha). I don’t even remember waking up in PACU. I got home, they got me dressed in my PJs, and I went to sleep. I don’t really recall much else from that day. To your benefit, the IV meds you’re given intraoperatively produce varying levels of amnesia.
As far as pain, I didn’t have any pain at all following the procedure. I think I was given Tylenol #3 with Codeine (I forgot tbh because I didn’t use it much), but it’s a narcotic for mild-moderate pain every 4-6 hours PRN). My only complaints was the soreness (like doing a chest workout) and the skin agitation I developed from the compression shirts and binders (I have a lifelong history of eczema). I did develop blisters and inflammation around my torso which was WAY more uncomfortable than the surgical sites themselves. Dr. Solomon was really nice to me and gave me free Aveeno eczema sample creams and balms as well as a prescription for a corticosteroid called Clobetasol propionate cream (which worked wonderfully). My rash quickly resolved on post-operative day 4-5 after being able to take off the compression garments, airing out my torso, showering, utilizing the creams and gel, and wearing a soft cotton undershirt to cushion my skin from the binders and compression shirts.
The follow-up appointments are weekly for the first 2-3 weeks. My next one is in 2-3 weeks. Some surgeons utilize bulb drains to drain fluid from the surgical sites but Dr. Solomon and Dr. David do not. Therefore, you don’t need to worry about them being taken out at a follow-up appointment. I was cleared to shower on POD 3. There are certain restrictions that they will give you. These include no heavy lifting, no bathes, and no high intensity exercise or sports. They will clear you at each follow-up appointment as to when you can resume these activities. They talk fast because they have a lot of patients to see so I recommend writing down/typing as much as you can. It’s imperative you attend these follow-up appointments (I can’t stress this enough). I had stitches removed at the 2-3 week mark. The incisions are at the borderline of your skin and the areolae bilaterally so it’s VERY difficult to identify the incisions from a cosmetic standpoint (even just 1 month out of the procedure).
I’m writing this testimonial to give you an idea of what to expect and to give the praise Dr. David Azouz and Dr. Solomon Azouz deserve. They’re both excellent surgeons and I recommend that they treat your gynecomastia. I chose them specifically after researching their website, reading their biographies, and reading google reviews (which most of them are 5-stars that attest to their greatness I might add). Therefore I hope that this review will allow you comfortably select Dr. David Azouz and Dr. Solomon Azouz as your surgeons of choice. I love these guys and I’m extremely grateful they did my surgery. More than anything I can’t wait to stop wearing my compression garments and wear fitted shirts without having to wear a compression shirt underneath. Overall, I’m satisfied with the outcome and I can’t wait to completely enjoy the benefits of this procedure.
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