Hi Midlands Brit,
Firstly, I can tell you that Karidis is a plastic surgeon. I just checked and in our email correspondence and on all of the literature I've received he is referred to as Karidis MD FRCS. Plus during my consultation when discussing something I had previously discussed with a breast surgeon, he dismissed it and said "that's probably because he's a breast surgeon, not a plastic surgeon like I am"
As far as the difference goes, I think its basically just a description of the same thing it just depends what the purpose is. Cosmetic surgery is for aesthetic purposes whereas plastic surgery can be for the same types of surgery but might treat burns, clefts and other disfigurements etc. So is gynaecomastia plastic or cosmetic surgery? Good question!
I suppose with that in mind, surgeons like Karidis and Levick are "cosmetic" surgeons.
I also tried to research other surgeons but all I could find were surgical companies which lacked individuality. And it is indeed very hard to look elsewhere when you're bombarded with pictures and good results from these two.
In regards to the micro aire technique. I believe it's some revolutionary technique that he uses. I think the diameter of the needle/tube is incredibly small and as a result the incisions you're left with are no larger than 2mm and I think this is the main difference on previous techniques. Scarring is a big concern for people considering this operation and I can honestly say I have to squint to see mine, they're totally unnoticeable.
As far as criticism goes, I'll give it a go! I thought the consultation examination was very brief. And the marking up stage was even more brief, I thought he'd have me raise my arms, tense, do this do that but it was literally hands by your side and in 30 seconds he was finished. I have actually read elsewhere that this is the most true position to observe the glandular tissue but if that is true, it still seemed worryingly quick. I've also had no contact with his clinic since I was discharged. I haven't needed any but it'd still have been nice, I've also read that others have had a call. Lastly, the compression vest I was given was obviously too small, I had circulation issues and felt light headed when wearing it and so took it off earlier than I was supposed to. I thought that was pretty poor considering how integral it's supposed to be to your recovery.
I can only be honest with my experience though. The chunk this has taken out of my bank balance is huge but nothing as big as the one on my chest. My case was larger than average and I, like most here, spent years subconsciously tugging my shirt, pinching my nips and avoiding tshirts because my moobs stuck out. But for the last 5 weeks I've walked around chest out, flat, wearing tight tshirts on nights out and in the gym and I'm bloody loving it.
I'd still say try to see an NHS surgeon first. As you say there must be others with good experience and that's what it's there for. Unfortunately my NHS experience didn't go well and I couldn't get a look in. Thoroughly research until you reach a decision you're comfortable with.
Hope that helps.