Local Anesthetic?

[gr]

I’m including a picture of my torso to show how much  gyne I have.  It’s not much and wouldn’t bother the average guy, but I work out and it takes away from the muscularity of my pecs.  





I can feel the gyne tissue under both nipples.  Mostly the right but some on the left.  I have dieted away most of the fat.

Cause?  Family history (father had a little of it when he was my age: 54)   Also, I’ve smoked pot and used some steroids in the past.

I have talked to some surgeons in LA about surgery (I was 20 pounds heavier at the time).  One said he could said he could excision the breast tissue and lipo the remaining fat.  The other said he could do it all with a lipo technique.  Both quoted me a price which included an anesthesiologist which was almost half the cost.

Questions:

Is there a lipo technique that can excise the breast tissue?

I have read that lipo can sometimes be done under local anesthetic.  What would make someone a candidate for doing it with only a local anesthetic?   Considering how little I have to have removed, is this something I might be able to do?  

Has anyone out there had this operation with only a local anesthetic?

[jc71]

gr,
Dad had it huh? Mine did too, maybe that's why he was depressed most of his life.  Smoking dope and doing the sauce probably doesn't help either.

Regardless of the lipo technique, the overwhelming majority of stuff i've read, both here and from other sources seems to believe that it's not powerful enough to break-up and remove tough, thick, dense gland tissue.  There's another thread here (I think on page 2 or 3) where another member claims there's a ps in Texas who uses lypo for gland removeal with good results, but I don't know.

Who's a good candidate for local? Good question. I think it depends on your severity (you said you're not too bad) and the PS's personal preference.  How's that for a scientific reason?

My PS told me that he wants me to get general for the simple fact that it's a 2 hour surgery and eventually i'll start getting restless and move my body if I only get local.

I'd kind of lean towards the lypo with excision if there's any excess of gland tissue there.  You don't want to go back in a year and get it removed. May as well do it all at once.

[vaio]

Same here. My surgeon prefers using general.

[DrBermant]

I’m including a picture of my torso to show how much  gyne I have.  It’s not much and wouldn’t bother the average guy, but I work out and it takes away from the muscularity of my pecs.  




I can feel the gyne tissue under both nipples.  Mostly the right but some on the left.  I have dieted away most of the fat.

Cause?  Family history (father had a little of it when he was my age: 54)   Also, I’ve smoked pot and used some steroids in the past.

I have talked to some surgeons in LA about surgery (I was 20 pounds heavier at the time).  One said he could said he could excision the breast tissue and lipo the remaining fat.  The other said he could do it all with a lipo technique.  Both quoted me a price which included an anesthesiologist which was almost half the cost.

Questions:

Is there a lipo technique that can excise the breast tissue?

I have read that lipo can sometimes be done under local anesthetic.  What would make someone a candidate for doing it with only a local anesthetic?   Considering how little I have to have removed, is this something I might be able to do?  

Has anyone out there had this operation with only a local anesthetic?

All types of liposuction (such as sharp cutting canula, ultrasonic, and power assisted) preferentially remove fat over gland.  I have seen many patients from around the world who did not like the remaining gland left over from other doctors' liposuction alone surgery.


Some surgeons use general with tumescent techniques. Some use general alone.  I found that general anesthesia can leave patients with a higher chance of nausea and discomfort after surgery.

Each surgeon has his / her preferences about anesthesia.  I typically use local with heavy sedation.  That is not general anesthesia, but the patient is not awake.  We use medications injected into an IV for this sedation.  That is how we help keep our patients comfortable for most types of gynecomastia chest sculpture.  Sedation itself is an art.  I will use local anesthesia alone when performing actual nipple reduction surgery.

You can look at other posts here in this forum where anesthesia and sedation are discussed:

I prefer to perform tumescent anesthesia with sedation over general anesthesia or local anesthesia alone for most types of male chest sculpture. We take the comfort of our patients very seriously. You can find a number of posts here in this forum where patients describe their anesthesia experiences under this local anesthesia with sedation:

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1021397758;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1030314533;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1037669367;start=4#4

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1052569996;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1062552462;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1065016337;start=4#4

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1073182463;start=4#4

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

[gr]

Dr. Bermant

Thanks for the information.

I live in Los Angeles.  Is there anyone here that you could recommend?