Gynecomastia Surgery Process
Gynecomastia surgery process can vary depending on the exact procedure you choose. There are two surgical procedures used to treat the condition. One is liposuction and the other is male breast reduction. Liposuction is a surgical process that gets rid of excess fat. Male breast reduction involves tissue excision.
The first step of the gynecomastia surgery process is anesthesia. An anesthetist will administer medications for general or local anesthesia. This is usually intravenous sedation. There is no generic option here. The doctor or surgeon will recommend the suitable form of anesthesia depending on the medical history and health profile of the patient. Anesthesia is an imperative first step after all the pre-surgical processes.
The second step depends on whether you are choosing liposuction or male breast reduction involving tissue excision. The liposuction technique is more suitable if the enlarged breasts are primarily due to excessive fat and not hormonal imbalance and unusual growth of the gland tissues in male breasts. Liposuction requires inserting a cannula which is a hollow thin tube. One incision is usually not sufficient. Several tiny incisions are required. The tool is used in back & forth motion to loosen up the fatty tissues. Only excess fatty tissues are targeted with the controlled motion. The loosened excess fatty tissues are then extracted using vacuum suction. This is not the only technique used in liposuction. The specific technique may vary depending on the specific condition of gynecomastia of a patient.
Male breast reduction surgery for gynecomastia is also an invasive procedure. It involves an excision technique. There are different techniques of excision. Some men require the enlarged glandular tissues in the breast to be removed. Some also require the excess skin to be removed. There is another excision needed to ensure the areolas and the nipples are in their normal positions and not repositioned as a result of the surgery. There are several patterns of incision. The exact technique will be chosen by the surgeon after extensive assessment of the severity of gynecomastia.
Men who have mild gynecomastia and especially if it is due to excessive fat can choose liposuction. Those who have severe forms of the condition will need male breast reduction surgery involving the excision technique. Both are invasive. Some men who have the most serious forms of gynecomastia might need both liposuction and male breast reduction. The surgeon will also have a say in the matter depending on their assessment.
Not all surgeons are experts in both liposuction and male breast reduction surgery. Liposuction technologies vary so the infrastructure at an outpatient healthcare center, hospital or clinic will determine what you can choose. Liposuction incisions can be around the areola or farther towards the armpit. Recovery post liposuction may take three weeks or longer. Extensive workouts are not permitted for over a month.
Liposuction does not work if a man has saggy and stretched skin. Severe cases of gynecomastia cannot be cured by liposuction. Male breast reduction surgery is also an outpatient treatment. It may require general anesthesia but local anesthesia is also used. Recovery period and the process are not very different from that of liposuction. Either gynecomastia surgery process may have to be repeated if the results are not optimal.
Surgery Risks, Side Effects, Recovery process and Results
Gynecomastia surgery has several potential risks and side effects. Any type of plastic surgery or cosmetic surgery has risks. Gynecomastia surgery has potential complications too, some of which may worsen the condition instead of treating it.
Some common risks of gynecomastia surgery are reactions to glues, tapes, materials used for suture, injected agents and topical preparations. Anesthesia, which is an imperative step before the surgery, poses a few risks. Patients are vulnerable to hematoma or bleeding, blood clots, changes in breast contour and the shape, breast asymmetry is a real possibility and there can be changes in the sensitivity of the nipple or the entire breast. The changes in sensitivity may be permanent or temporary.
Gynecomastia is an invasive surgical procedure, whether it is liposuction or male breast reduction. The incision and excision can cause damage to blood vessels, nerves and muscles. Deep incisions can cause damage to lungs. Such damage could be permanent or temporary. The surgery can cause pulmonary and cardiac complications including deep vein thrombosis. The process can cause fat necrosis. It is a condition wherein the fatty tissue in the breast dies. Seroma or accumulation of fluid is a common risk of surgery. Patients are at risk of infection and sustained pain. The wound may not heal properly. There is a chance a patient may need revision surgery. The scarring may be unusual and hence unpleasant.
There are some side effects of gynecomastia surgery. While hematoma or bleeding, infection and blood clots can be cured by doctors, scars are unavoidable. The extent of scarring shall depend on the severity of the incision or excision. How deep the incision is and the effect of the controlled motion to loosen the excess fat, the extraction of fat and glandular tissue, the efficacy of the sutures and other aspects determine the severity of the scars. Saggy skin is one common side effect of gynecomastia surgery if the condition was severe. Men can experience de-pigmentation in the skin after surgery.
Temporary side effects include pain, discomfort and bruising. Irregular or abnormal symmetry of breasts can be a permanent problem unless patients undergo another surgical procedure to rectify that. Swelling and fluid retention or loss are temporary side effects. Change in pigmentation is permanent. Fat necrosis is also a permanent side effect.
The recovery process and period post gynecomastia surgery depend on the exact method and the overall health of an individual. Patients are required to have the operated area bandaged. Compression garments have to be worn for a period of time as instructed by the surgeon. This is nonnegotiable. The duration of the imperative bandages and compression garments depends on the extent of swelling and how long it takes for the new contour of the chest to heal. Recovery may include surgically draining excess fluid or blood. The first few days are the worst. Patients feel varying levels of soreness, pain, swelling and tenderness. There can be considerable discomfort. Painkillers may be prescribed or over the counter relievers may be taken during this time. The full recovery period is usually a month at the least. It can be prolonged in many cases and can span several months.
Insurance Info and Costs around the World
Cost of Gynecomastia Surgery in the United States & Canada
The cost of gynecomastia surgery in the United States varies from state to state. According to latest data published by the American Society of Plastic Surgeons, the nationwide average is $3,978. There are other statistics available that estimate the average to be $3,900 to $4,000. The costs can vary considerably across the country. In Florida, the cost spirals up to $10,000 in many regions such as Kissimmee. Gynecomastia surgery in New York costs more than $5,000. The cost in Manhattan is typically more than $10,000.
The cost of gynecomastia surgery in Canada is similar. The surgical procedure accounts for the major chunk of the expense but there are additional costs. There are anesthesia fees, medical tests, cost of hospital stay or the surgical facility, medicines and garments for post surgery recovery. The fee charged by the surgeon may not be included in the cost of the procedure. Health insurance policies in the United States and Canada do not have coverage for gynecomastia surgery. It is a form of plastic surgery. Most kinds of plastic surgery are exempted from health insurance coverage. You would have to get a special insurance to have coverage for such procedures. Even then, there are clauses that will prevent you from undergoing a surgery immediately after getting insured.
Cost of Gynecomastia Surgery in the United Kingdom
Gynecomastia surgery in the United Kingdom can cost around £3,500 to £5,500. The procedure is called breast reduction surgery in the UK. The cost ranging from £3,500 to £5,500 usually does not include consultation fee. There will be pre-surgical tests and other procedures. These costs are additional. Patients also require post surgical care, which also costs extra. Like in the United States and Canada, health insurance in the United Kingdom does not provide coverage for gynecomastia surgery.
Cost of Gynecomastia Surgery in Australia
Gynecomastia surgery costs anywhere from A$2,640 up to A$10,000 in Australia. A$ or AUD is Australian Dollar. The cost is highest in Sydney and Melbourne. The exact type of gynecomastia determines the cost. In many countries including Australia, gynecomastia is classified into several types or stages depending on the extent of male breast growth diagnosed. Certain types of gynecomastia require more than one surgery. The costs will get compounded in such cases. The duration of the surgery depends on the type of gynecomastia and this too influences the cost.
Cost of Gynecomastia Surgery in India and Pakistan
Gynecomastia surgery in India can cost anywhere from Rupees 95,000 to more than Rupees 345,000. This is an equivalent of $1,500 to $6,000. The cost varies from city to city. The average cost in the national capital city of New Delhi is Rupees 140,000. The average cost in major cities such as Mumbai, Chennai, Hyderabad, Bangalore and Kolkata are Rupees 155,000, Rupees 180,000, Rupees 205,000, Rupees 165,000 and Rupees 220,000. In cities like Ahmadabad or states like Kerala and Goa, the cost can be as much as 3,45,000.
Gynecomastia surgery in Pakistan is basically liposuction. It is a far reduction surgery. This is not the exact procedure as breast reduction surgery. The cost of such a process in Pakistan is around 100,000 Pakistani Rupees.