Male Gynecomastia Surgery: Options and Costs Explained - Plastic Surgery

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Gynecomastia


I am 18 years old, 173 cm tall, and weigh 60 kg.
I underwent surgery for gynecomastia in general surgery around February of this year, but I am not very satisfied with the results.
My nipples still appear prominent when I wear clothes, which makes me uncomfortable.
The doctor mentioned that not all of the tissue was removed; only a portion was excised through an incision below the areola.
Therefore, I am considering undergoing another surgery, this time with a plastic surgeon, but I am unsure about the costs involved.
I would like to have a procedure that includes liposuction.
Honestly, I have been dealing with this condition since the first year of junior high, and it wasn't until my senior year of high school that I had the surgery, but I am still not satisfied.
I hope to find a more comprehensive surgical option.
I am not very concerned about scarring, and while my symptoms are not severe, I cannot stand up straight when wearing clothes because my nipples become noticeably prominent.
I have tried to eliminate fried foods from my diet, but there has been no change, which is why I am considering surgery again.

Allen, 10~19 year old female. Ask Date: 2016/10/21

Dr. Lu Daokuan reply Plastic Surgery


The cost for liposuction combined with power-assisted liposuction to remove excess breast tissue is approximately 60,000 to 80,000 NTD.

Reply Date: 2016/10/21

More Info


Male gynecomastia, a condition characterized by enlarged breast tissue in males, can be a source of significant psychological distress and physical discomfort for many individuals. It is understandable that after undergoing surgery, you may still feel dissatisfied with the results, especially if the protrusion of the nipples remains noticeable. Let’s explore your concerns regarding the surgery options, costs, and potential outcomes.


Surgical Options and Costs
1. Surgical Techniques:
- Liposuction: This is often used for cases where the breast tissue is not excessively enlarged. It involves the removal of fat through small incisions and can help contour the chest. The cost for liposuction combined with gynecomastia surgery can range from $6,000 to $8,000, depending on the surgeon's expertise and the complexity of the procedure.

- Excision Surgery: If there is significant glandular tissue, excision surgery may be necessary. This involves making a larger incision, typically around the areola, to remove the excess tissue. The costs for this procedure can range from $10,000 to $12,000.
2. Combination Procedures: If you are considering a combination of liposuction and excision, the total cost may be on the higher end of the spectrum. It is crucial to consult with a board-certified plastic surgeon who specializes in gynecomastia to discuss your specific case and get an accurate estimate.


Post-Surgical Considerations
1. Satisfaction and Expectations: It is essential to have realistic expectations regarding the outcomes of the surgery. While many patients report significant improvements in their self-esteem and body image, some may still experience dissatisfaction if the results do not meet their expectations. Discussing your concerns with your surgeon can help clarify what can be achieved with a second procedure.

2. Risks and Complications: As with any surgery, there are risks involved, including infection, scarring, and the possibility of recurrence. Although recurrence is not common, it can happen, especially if the underlying hormonal issues are not addressed. It is vital to discuss these risks with your surgeon and understand the likelihood of needing further interventions.

3. Recovery Time: Recovery from gynecomastia surgery typically involves some swelling and bruising, which can last for several weeks. Most patients can return to normal activities within a week or two, but strenuous exercise should be avoided for at least a month.


Insurance and Financial Considerations
- Insurance Coverage: Many insurance plans do not cover gynecomastia surgery, especially if it is deemed cosmetic. However, if the condition is severe and affects your quality of life, some insurance companies may provide partial coverage. It is advisable to check with your insurance provider to understand your coverage options.

- Payment Plans: If insurance does not cover the procedure, many surgeons offer financing options to help manage the costs. This can make the surgery more accessible without a significant upfront financial burden.


Conclusion
In summary, if you are considering a second surgery for male gynecomastia, it is crucial to consult with a qualified plastic surgeon who can provide a thorough evaluation and discuss the best surgical options tailored to your needs. Understanding the costs, potential outcomes, and risks involved will help you make an informed decision. Remember, the goal of surgery is not only to improve physical appearance but also to enhance your overall well-being and confidence.

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