Cost of Gynecomastia Excision
$6,200 - $7,500
Who is a good candidate for gynecomastia excision?
Sometimes excess breast tissue or prominent breast tissue can cause men to be uncomfortable going shirtless when wearing form fitting or light-colored clothing. Gynecomastia excision is the procedure used to describe either direct excision of the excess breast tissue through an incision, liposuction alone, or a combination of both to reshape the chest and make the excess tissue less prominent. Direct excision vs. liposuction is sometimes due to surgeon preference, however if the tissue is very fibrous, direct excision is recommended as this type of tissue is difficult to liposuction.
The Procedure for Gynecomastia Excision
Gynecomastia surgery is usually done under general anesthesia. If direct excision is indicated, a small incision around the areola (colored portion around the nipple) is made, and tissue is removed through this incision. The incision hides well and is usually faintly visible after about 1 year. In more extreme cases where there is a lot of excess fat and skin, a larger incision under the breast fold is sometimes used for a mastectomy type of procedure. If liposuction is being done alone or in conjunction with direct tissue excision, a 3-4mm incision is made in a hidden area on the chest, and excess fat and tissue are removed through this small hole. Sometimes a combination of direct excision and liposuction is used for an optimal result. The procedure usually takes around 1-1½ hours and is done in an ambulatory surgery center. Surgical drains are not usually needed unless there is a large amount of tissue removed.
Recovery After Gynecomastia Excision
Regardless of whether direct excision, liposuction, or both are done, patients will need to wear a compression vest or ACE wrap around their chest for 4-6 weeks to help decrease swelling and decrease the chances of fluid collection (seroma). During this time, overhead lifting should be avoided for 1 week and lifting anything more than 5lbs or high-end exercise is not recommended for 4-6 weeks. Patients are usually back to driving a car within a week, or when they are off all pain medications. Normal exercise can be resumed about 6 weeks out from surgery.
Frequently Asked Questions
What type of anesthesia is used for gynecomastia excision?
Gynecomastia excision is performed under general anesthesia.
Where are the incisions for gynecomastia excision?
In most cases, the incision is hidden on the underside of the areola. In more extreme cases, the incision is along the inframammary fold and another incision is made around the entire areola. If liposuction is performed with the excision, there will be small 3-4mm incisions along the inframammary fold.
What is the cost of gynecomastia excision?
$6,200 - $7,500
This includes anesthesia and facility fees.
How long is a gynecomastia excision procedure?
Gynecomastia excision is typically about 1-1½ hours.
What is the recovery time after gynecomastia excision?
The patient will have lifting and activity restrictions for 4-6 weeks after surgery. Those with sedentary positions may consider returning to work 2 weeks post-op, and 4-6 weeks if the patient's job involves a lot of activity or heavy lifting.
What should be expected after gynecomastia excision?
Patients will need to wear a compression vest or ACE wrap around their chest for 4-6 weeks to help decrease swelling and the chances of fluid collection (seroma). Most are usually back to driving a car within a week, or when they are off all pain medications.