Orange County Plastic Surgery

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Gynecomastia can be treated with either liposuction, using primarily an ultrasonic or power assisted machine and/or with a direct excision and liposuction. Both are performed as an outpatient under general anesthesia by and MD anesthesiologist.

I do prefer the liposuction approach for it involves a very small scar placed on the side of the breast but it becomes more difficult to extract all the fat/breast tissue if there is more of the former. Then, I would perform the direct excision, usually through an incision around the areola about one and half inches long. I then also use liposuction to "feather" the edges so it is smoother. Sometimes, I cannot determine what I end up doing until the actual surgery. I first usually begin with the liposuction.

However, if the patient wishes all the tissue gone, I recommend the second approach.The approximate cost of the liposuction alone with the ultrasonic or power assisted machine is about $3500 while when it is combined with the direct excision it is about $6500.

The recovery is shorter for the former but I still would recommend limited activity for the first two weeks and usually full activity thereafter. Swelling is present with both approaches and resolves over several months. Once the tissue is removed (and it is sent for pathological examination) it usually does not recur unless there is a significant weight gain. Since it is primarily cosmetic, the insurance rarely covers the procedure, especially if liposuction is involved.

Problems such as bleeding, fluid collection(sarcoma), infection, unevenness, asymmetry and scarring may occur but are minimal.

GYNECOMASTIA AND
LIPOSUCTION BEFORE

GYNECOMASTIA AND
LIPOSUCTION AFTER


GYNECOMASTIA WITH SUBCUTANEOUS MASTECOMY, LIPOSUCTION BEFORE		GYNECOMASTIA WITH SUBCUTANEOUS MASTECOMY, LIPOSUCTION AFTER


GYNECOMASTIA BEFORE		GYNECOMASTIA AFTER


GYNECOMASTIA BEFORE		GYNECOMASTIA AFTER


GYNECOMASTIA-LIPOSUCTION BEFORE		GYNECOMASTIA-LIPOSUCTION AFTER

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EDWARD JONAS DOMANSKIS, MD - 1441 Avocado Avenue Suite 307 Newport Beach, California 92660 Telephone: (949) 640-6324 Fax: (949) 640-7347