Gynecomastia

The surgeon will then examine photographs of your chest for reference during surgery and afterwards. He/she may also require you to have a mammogram (breast x-ray).

Be sure to ask all the questions you have about the surgery, and ask to see photos of the doctor’s recent patients, before and after surgery. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision. See Questions to ask your doctor below.

Note: Some insurance companies will pay for breast reduction if it's considered medically necessary. However, be aware that they may have specific requirements such as a letter from your surgeon, a referral from your general practitioner, and/or photos or other documentation. Be sure to find out what your insurance company requires if you intend to use insurance to pay for this surgery.

If the tissue is more fatty in nature, liposuction can provide excellent results. In some people, ultrasonic assisted liposuction is an excellent approach. During liposuction, a small suction rod (cannula) is inserted into the incision to remove fat and other tissue.

In some cases, a repeat procedure is necessary to remove tissue that was missed during the first procedure. In a few cases, if there is a large amount of extra skin, it may be necessary to remove this tissue, which may result in a large scar.

If you have severe pain or discharge in the surgical area, or if you experience muscle aches, dizziness or a general ill feeling with fever, nausea or vomiting, you should call your doctor immediately.

Routine physical activity and exercising (especially lifting, pulling and pushing motions) should be avoided for at least 6 weeks. This will help the scars to heal. Your doctor will advise you on the level of physical activity that is appropriate for you. Some degree of swelling and bruising may last for 3 to 6 months.

Recovery time and privacy needs varies from person to person. If you are not too concerned if people are aware that you have recently had surgery, you may be able to return to light activities earlier.

• Mature enough to fully understand the procedure
• Experiencing embarrassment and/or social inhibition due to breast enlargement
• Knowledgeable about the procedure
• Having good skin elasticity
• In good physical and psychological health
• Wanting to improve their appearance and/or comfort
• Realistic in their expectations
• Willing to attempt diet and exercise as first options
• Non-smokers or able to stop smoking during the healing process
• Not using marijuana or anabolic steroids
• Not heavy user of alcohol

The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you an ideal candidate for this surgery.

In all candidates, discontinuing alcohol, marijuana or anabolic steroids may resolve the problem without surgery.

Overweight men may find that losing weight will reduce breast fullness.

• Excessive fluid loss, leading to shock
• Injury to the skin
• Rippling of the skin
• Excessive scarring
• Pigmentation changes
• Altered sensation
• Insufficient tissue removed

Like all body contouring surgery, it is possible that either too much or too little tissue can be removed. In these cases, a second procedure may be necessary.

1. Are the desired results I described realistic?
2. Is there a non-surgical remedy that I should try first?
3. Where is the surgery performed? How long will the procedure take?
4. What kind of anesthesia is used?
5. How much does it cost?
6. What is your experience in performing this procedure? (How long has he/she performed this procedure, and how many he/she has performed in the past year?)
7. What percentage of patients have had significant complications? (The physician should disclose this information to you.)
8. Will you repeat or correct procedures if it does not meet agreed upon goals? And if the procedure must be repeated / corrected, will I be charged again? (The physician should provide you with his/her policy on this issue.)
9. May I see "before and after" photos of recent patients? The physician should provide many photos of recent patients.
10. May I have the names and contact information for several recent breast reduction patients? (Follow up to get first-hand information on the procedure and the surgeon.)
11. Could I observe the exact procedure I am considering before I decide to have the surgery? (Either on videotape or ask to view one in real life.)
12. Should I have blood drawn ahead of time in case I need a transfusion? (Breast reduction doesn't usually require a blood transfusion, but if large amount of breast tissue will be removed, the need for a transfusion is a possibility.)
13. What should I expect post-operatively, in terms of soreness, what to watch for, medication, bathing, and level of activity?
14. Who will be assisting during the surgery? What are their qualifications? (Does the plastic surgeon perform the entire surgery?)
15. Have you ever had your malpractice insurance coverage denied, revoked, suspended?
16. Do you offer patient financing?

• Tell your doctor about any allergies you have (to foods, drugs, environmental elements).
• Tell your doctor about all medications, herbal supplements or natural supplements you are taking (both prescription and non-prescription).
• Carefully follow any instructions your surgeon gives you regarding eating and drinking, smoking, and vitamins.
• Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.
• Arrange for someone to drive you home after surgery.

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