Gynecomastia Surgery by Dr. Mordcai Blau - New York Plastic Surgeon
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    Am I a candidate for male breast reduction?
    The most important question you should ask yourself is: does the condition bother you both psychologically and physically?  Should the answer be positive, you should consider surgery and start to gather information that will help you make an intelligent decision while consulting with a Board Certified Plastic Surgeon who is experienced in this type of surgery, obtaining information from web sites and referrals.
    Am I too young to have gynecomastia surgery?
    In general, we recommend you wait until the age of 18 years. There are some circumstances where a person should consider it earlier. For this you will have to consult a Plastic Surgeon.
    How do I choose the right Plastic Surgeon?
    As a rule, he/she should be a Board Certified Plastic Surgeon and a member of the American Society of Plastic Surgeons ( Most importantly, the surgeon should have experience with this specific procedure. In today's world, the Internet is an invaluable tool that can help you to make your decision by reading specific content and viewing photo galleries.

    Communication with your surgeon's office staff and the physician are of paramount importance. Once you decide to have the surgery, you should interview a few surgeons and  expect to receive complete and satisfactory answers to all of your questions. Good rapport with the office staff and surgeon prior to surgery is essential for a successful end result.
    What results can I expect?
    You should discuss this with your surgeon prior to surgery, and make sure you fully understand everything that is involved while keeping your expectations realistic.  Your experienced surgeon can help you with this.
    How many procedures of this nature has the surgeon performed? In a month, in a year, in his career?
    If he has significant experience, it should be substantiated with good quality pre and post-operative photos as well as references.
    What are the surgical risks?
    See the section on Surgical Risks.
    What kind of scar should I expect?
    Usually periareolar (about 1 inch scar in the lower part of the areola) that is generally inconspicuous. Sometimes, tiny scars remain in the armpit or chest after liposuction. Some people need more extensive procedures, and this should be discussed with your surgeon in detail prior to surgery.
    Will I have pain that will require medication?
    Usually pain is minimal, but since we want to make sure you will be comfortable, we do provide you with a prescription for pain medication.
    How much time should I take off from work or school?
    This depends on the type of work you do and the extent of the surgical procedure. Usually it's between 3 and 10 days, but healing time varies for each individual and should be discussed with your surgeon.
    What types of anesthesia do you offer?
    Local anesthesia is determined based on the type of surgical procedure and the patient's tolerance. Sedation is not a general anesthesia, but the patient is asleep. This is the preferred method in my office because it is safe when done by an experienced  Board Certified Anesthesiologist. General anesthesia is rarely needed in my office.
    Is the operating room certified?
    My office is certified by The Joint Commission on Accreditation of Healthcare Organizations. This commission certifies 80% of the major hospitals in the United States of America. This certification provides you with extra assurance on the highest quality standards of a surgical suite.
    How should I prepare for the surgery?
    Prior to surgery you should get detailed instructions from your surgeon's office.  Pre-operative testing is mandatory. You should stop medications such as blood thinner, aspirin, Advil,  Vitamin E and herbal remedies such as St. John's Wort and Ginkgo Biloba. Do not eat or drink eight (8) hours prior to surgery. Arrive on the day of surgery in comfortable clothing that is not tight or confining. Have a responsible person accompany you to and from the doctor's office.
    What type of dressing will I have?
    My personal preference is an elastic (ACE bandage) or surgical vest. Sometimes gauze dressing is all that is necessary.
    Will I have a drain?
    Usually not, but in cases of excessive bleeding, a drain will be necessary. This will be removed in a few days post-operative.
    Should I change my own dressing?
    This depends on the amount of bleeding or discharge, and should be discussed with your surgeon. It is always wise to have sterile gauze and surgical tape at home.
    Will my health insurance cover this procedure?
    In most cases, they do not cover this procedure.
    What can cause gynecomastia?
    Gynecomastia can be caused by drugs, steroids or  marijuana as well as other factors.  These should be discontinued prior to surgery to minimize recurrence.
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