Gynecomastia Surgery Cost

Gynecomastia Surgery Cost





Male breast reduction procedures are designed to:

  • Reduce breast size by removing excessive glandular tissue.
  • Restore a natural contour to the chest wall.
  • If necessary, position the nipple and areola to a more appropriate location in order to maintain a sense of proportion.

What treatment options are available?

Much as with female breast reduction, treatment approaches are based on an individual patient’s needs and their clinical presentation. Gynecomastia Surgery Cost is much more affordable in the office setting, with advanced procedures within your budget. In mild cases, direct surgical removal of a small amount of breast tissue may be all that’s needed. If larger volumes of tissue are present, then a small-scale liposuction procedure may be appropriate. In severe cases, the excision (surgical removal) of excess skin folds is necessary. Often a combination approach is used.

In the most minor cases, gynecomastia presents as a highly localized “breast bud” directly under the areolar area. This can usually be removed quite easily via an incision made directly along the lower pole of the areola. Since the incision is made at the junction of the areola and breast any scarring which occurs is naturally hidden. More severe cases usually involve a more diffuse enlargement of glandular and other fatty tissues. If this tissue isn’t too fibrous then liposuction is often helpful. In the most severe cases, excess skin is present which can only be dealt with via direct excision.

No Excisions usually needed!

If only a small amount of redundant (excess) skin is present with gynecomastia then excision may not be needed. In approximately 50% of cases this will successfully resolve itself in less than a year with no further action. In more severe cases, however, skin removal is almost always necessary. While this approach allows for the most complete reduction visible scarring is highly likely. It’s also a more invasive, challenging procedure with a longer recovery time.

If a more aggressive approach is taken the nipple may need to be surgically repositioned to a more appropriate location. This “free nipple graft” is technically demanding and is likely to be the most difficult part of the procedure. During your consultation, your surgeon will make recommendations based on the severity of your condition and your treatment goals.

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What risks are associated with this type of procedure?

No surgical procedure, no matter how minimally invasive, is without some level of risk. In rare cases infection can occur. Scarring and other undesirable cosmetic outcomes are also possible, including asymmetry and depressed, “sunken” nipples. If nerve damage occurs during the procedure, then sensory changes may occur which may become permanent.

Excessive bleeding is the most common complication of male breast reduction surgery. This usually poses no danger, but may result in the formation of a hematoma. This refers to a mass of clotted blood within the breast tissue. This is usually harmless, but in rare cases may require additional surgery to remove the hematoma or stop additional bleeding. A post-surgical compression garment is the easiest way to lower the risk of hematoma after a breast reduction procedure. This form-fitting garment delivers gentle compression and support to the breasts and can reduce swelling, inflammation, and aid in proper healing.

How To Prepare?

  • If you smoke, you should stop at least four weeks prior to the procedure and for the first two weeks following it if you have a nicotine addiction. Nicotine’s propensity to slow healing is the major justification for this precaution.
  • At least two weeks prior to the procedure and two weeks following it, avoid taking any supplements or medications that contain blood thinners. Some examples of these things are aspirin, ibuprofen, gingko, green tea, etc.
  • Drink plenty of water before and after the procedure.
  • Inform your surgeon immediately if you get sick or get an infection before the scheduled procedure. Based on the information, he or she might choose the subsequent course of action.
  • Whenever possible, take a week off from work if your job requires a lot of effort.

Taking the first step:

Your initial consultation for Gynecomastia Surgery Cost for male breast reduction surgery.

Meeting with your prospective surgeon is the starting point for any successful cosmetic procedure. As with any surgery, this initial consultation will determine if you’re a good candidate for the procedure and how it’s likely to help. More specifically, this initial meeting serves the following purposes:

  • Interviewing your surgeon.
  • Deciding if you’re a good candidate. This is based in large part on the following:
  • Past medical history.
  • Family medical history.
  • Review of medications. This includes illicit substances.
  • Physical exam. Additional testing can be ordered if more information is needed. Refer out as necessary.
  • Discussing any potential adverse outcomes or complications.
  • Developing realistic expectations.
  • Receiving a detailed explanation of the procedure.
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What can I expect on the day of my Gynecomastia Surgery procedure?

It’s recommended that you show up about 30 minutes early to our surgical suites located at 20555 Rt 19 (Perry Highway); Cranberry Twp, PA, Ste. D. It’s important that you’ve fasted since the evening before your procedure. This is a complete fast, meaning no food or beverages after midnight of the previous day. If any oral medications are needed they may be taken with a very small amount of water. Dr. Giraldo will meet with you to field any last-minute questions you may have. After this you’ll be prepped for the procedure itself.

To start, you’ll be properly draped and positioned in a sterile operating field. Next, Dr. Giraldo will mark the region using a specialized skin marker. At this point you’ll be given some form of pain control, usually beginning with light pre-operative sedation. In most cases you won’t be “put under” and only local anesthetic agents such as lidocaine are necessary. Once these medications are in full effect the actual procedure can begin.

What can I expect after my procedure?

It’s normal to experience some level of pain or discomfort in the chest regions in the days following your procedure. In most cases you’ll be given a short course of prescription pain medication. Due to the minimally invasive nature of these procedures, however, this isn’t always necessary and over-the-counter medications often suffice.

Almost all male breast reduction procedures have a liposuction component. As such, you’ll be fitted for a post-procedure compression garment. This applies constant, gentle pressure to the surgical site in order to minimize bleeding and swelling. For many patients this decreases discomfort as well.

You’ll be asked to walk short distances almost immediately after your procedure. It’s also recommended that you begin taking small amounts of water as soon as possible. If everything is going as expected you’ll receive written after-care instructions and be released after a brief period of observation. Finally, you’ll be given a 24-hour contact number to call in the unlikely event of an emergency.

As a safety measure it’s mandatory that you bring someone with you to drive you home. It’s also highly recommended that you have someone stay with you for the 24-48 hours immediately following your procedure.

What will happen during my consultation for male breast reduction surgery?

Before planning your procedure, you and your surgeon will discuss the following:

  • Your cosmetic goals. Be specific, and let your surgeon know exactly what you’d like to accomplish. Having this conversation will help you develop realistic expectations as to what the surgery can and cannot do.
  • Current and past medical conditions, especially chronic systemic diseases such as diabetes.
  • A surgical history, paying particular attention to any past procedures performed on the chest area.
  • A review of medications. This includes prescription drugs, over the counter drugs, and dietary supplements. This covers alcohol and illicit drugs such as marijuana and anabolic steroids as well.

During the consultation for Gynecomastia Surgery Cost your surgeon will also likely do the following:

  • Evaluate your overall health, including all surgical risk factors and pre-existing conditions.
  • Order lab work and other diagnostic testing. This will help him or her evaluate your endocrine (hormonal) health and other factors possible underlying factors.
  • Perform a physical examination of the chest area. Exact measurements of both breasts will be taken and the position of the nipples will be noted. The health and elasticity of the overlying skin will also be evaluated.
  • Pre-procedure photographs will be taken with your permission. These are the “before” part of your before-and-after pictures.
  • Present you with an overview of your treatment options.
  • Discuss possible outcomes. This includes a discussion of surgical risks, complications, and potential negative results.
  • Go over the type of anesthesia or other pain control methods which will be used. This usually include pre-operative sedation and local anesthetic medications.
  • Make appropriate treatment recommendations.

Patient Safety

All branches of medicine, including cosmetic surgery, take two ideas very seriously. First and foremost is patient safety. This entails weighing potential benefits against potential risks. The second is informed consent. No surgeon can ethically perform any procedure without the explicit consent of a patient who is fully aware of all aspects of the procedure. Later, consent must be given by the patient in writing before his or her procedure. Your initial consultation addresses these issues and others, and only after this essential first step can the process continue.

Pittsburgh area cosmetic surgeon Dr. Mauricio Giraldo insists on a thorough, face-to-face consultation with all gynecomastia surgery candidates. Unlike other cosmetic concerns, male breast enlargement can have many different causes. It’s entirely possible that a case of gynecomastia is caused by prescriptions medications, for instance. This is but one of several reasons why surgery isn’t necessary, and a great example of why an in-depth consultation is essential.

Related Health Problems

There’s also a strong correlation between gynecomastia and medical conditions such as cirrhosis of the liver, kidney disease, and various hormonal problems. It’s also worth mentioning that illicit drugs, particularly cannabis and anabolic steroids, can contribute to breast enlargement as well.

Pre-operative planning for Gynecomastia surgery costs and procedure can begin once it’s been established that surgery is both appropriate and likely to help. To begin with, Dr. Giraldo will go over your goals and expectations. Chest measurements will then be taken, paying particular attention to the amount of redundant (excess) skin present. This may become even more pronounced once fatty breast tissue is removed and may require a combination approach to fully address the issue.

In order to fully clear a patient for surgery routine lab testing is usually performed to make sure a patient is in otherwise good health. Before and after photos are taken, and a date is set for your procedure.

Can gynecomastia come back after treatment?

The recurrence of gynecomastia after treatment can vary depending on several factors, including the underlying cause, the type of treatment received, and individual characteristics. Here are key points to consider:

1. Treatment Type:

   – Surgical Intervention: If gynecomastia is treated surgically through procedures like liposuction or glandular tissue removal, recurrence is less likely, especially when performed by a skilled surgeon.

   – Non-Surgical Approaches: If treated with medications or lifestyle changes, the potential for recurrence may be higher, and ongoing management may be necessary.

2. Underlying Cause:

   – If gynecomastia is linked to a reversible cause, such as medication use or hormonal fluctuations during puberty, addressing the root cause can contribute to a lower risk of recurrence.

3. Hormonal Factors:

   – Hormonal imbalances can contribute to gynecomastia. If there are persistent hormonal issues, this may increase the risk of recurrence. Comprehensive hormone management may be necessary.

4. Weight Fluctuations:

   – Gynecomastia related to excess body fat can reoccur with weight gain. Maintaining a stable, healthy weight through diet and exercise can be essential in preventing recurrence in such cases.

Is surgery the only effective way to treat severe gynecomastia?

Surgery is often considered one of the most effective ways to treat severe gynecomastia, especially when the enlargement of breast tissue is primarily due to excess glandular tissue rather than fatty deposits. The surgical procedures commonly used for severe gynecomastia include:

  1. Liposuction: This is often used when excess breast tissue is mainly composed of fat. Liposuction involves removing fat through small incisions using a thin tube (cannula) and suction.
  2. Glandular Tissue Excision: In cases where glandular tissue is a significant contributor to gynecomastia, surgical excision is performed to remove the excess tissue. This may involve more extensive incisions.
  3. Combination Procedures: In many cases, a combination of liposuction and glandular tissue excision is used to achieve the best results.

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Health conditions which play a role in developing gynecomastia:

Gynecomastia can be a symptom of underlying conditions which disrupt the body’s hormonal balance. These include the following:

  • Hyperthyroidism. This develops when the thyroid glands are overactive and produce too much thyroxine.
  • Kidney Failure. Approximately 50% of late-stage kidney failure patients undergoing dialysis develop gynecomastia. While not dangerous, gynecomastia is one of the most common side effects of kidney failure.
  • Liver Damage (Cirrhosis). Alcohol and other drugs can cause internal scarring of the liver. While the liver doesn’t produce any hormones itself it directly influences the body’s hormonal balance. This can result in gynecomastia and a host of other symptoms.
  • Normal Aging: Men produce less testosterone as they age. This alone can cause gynecomastia. This is especially true of overweight and obese men who typically have higher estrogen levels.
  • Certain Tumors. Gynecomastia can result when a tumor develops in an organ or gland which produces hormones. These include the adrenal glands, the pituitary glands, and the testicles.
  • Hypogonadism. Any condition which disrupts normal testosterone production can cause gynecomastia. Klinefelter’s syndrome is the best known example.
  • Chronic Malnutrition. Levels of testosterone drop when the body is malnourished while estrogen levels remain the same. This can cause temporary breast enlargement which usually resolves when a proper diet is resumed.

Herbal products and gynecomastia

The essential oils including lavender and tea tree oil have been implicated in gynecomastia. This is most likely due to the fact that their chemical structure somewhat resembles estrogen.

Gynecomastia risk factors

The following are known to raise a patient’s risk of gynecomastia:

  • Puberty
  • Being over 60 years old
  • Using anabolic steroids, whether by prescription or illicitly. These drugs act as a substitute testosterone. With mid-long term use they suppress the body’s ability to produce its own testosterone. This often causes gynecomastia.
  • Liver damage
  • Kidney damage
  • Genetic conditions such as Klinefelter’s syndrome.
  • Tumors which secrete estrogen or interfere with the production of testosterone.