Gynecomastia: Surgical Options, Recovery, and Costs - Plastic Surgery

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Gynecomastia, or the enlargement of breast tissue in males, can be a source of concern for many individuals. Understanding the surgical options, recovery process, and associated costs is crucial for those considering treatment. Here’s a comprehensive overview based on your questions.

1. Surgical Options and Scarring: The two primary surgical approaches for treating gynecomastia are liposuction and excisional surgery. Liposuction is often preferred for cases where there is more fatty tissue than glandular tissue. This method involves making small incisions, typically around 1-2 cm, which can be placed in inconspicuous areas such as the axilla (underarm) or along the edge of the areola. Excisional surgery, on the other hand, is more invasive and may be necessary if there is significant glandular tissue that needs to be removed. This method usually results in a larger scar, approximately 3-5 cm, depending on the extent of tissue removal. The choice of technique will depend on the specific characteristics of your gynecomastia, including the amount of glandular versus fatty tissue.

2. Hospital vs. Clinic Procedures: Major hospitals like National Taiwan University Hospital, Chang Gung Memorial Hospital, and others typically have experienced plastic surgeons who can perform both liposuction and excisional surgeries. They may also offer a more comprehensive pre-operative evaluation and post-operative care. In contrast, private clinics may focus on one technique, often liposuction, due to its minimally invasive nature. It’s essential to consult with a qualified surgeon who can assess your condition and recommend the most suitable approach.

3. Recovery Time and Post-Operative Care: Recovery time can vary based on the surgical method used. Generally, patients can expect to return to normal activities within a week or two after liposuction, while excisional surgery may require a longer recovery period of 2-4 weeks. During the recovery phase, wearing a compression garment is often recommended to help reduce swelling and support the healing process. This garment should be worn for several weeks post-surgery, as advised by your surgeon.

4. Insurance Coverage and Costs: In many cases, gynecomastia surgery is considered a cosmetic procedure and may not be covered by health insurance. However, if the condition is causing significant physical discomfort or psychological distress, some insurance providers may offer partial coverage. The cost of surgery can vary widely based on the facility, the surgeon’s experience, and the complexity of the procedure. In Taiwan, the cost can range from NT$50,000 to NT$150,000 or more, depending on the factors mentioned. It’s advisable to discuss the financial aspects with your surgeon and check with your insurance provider for any potential coverage options.

In summary, the best surgical option for gynecomastia will depend on individual circumstances, including the type and extent of tissue involved. Consulting with a qualified plastic surgeon will provide you with personalized recommendations and help you understand the potential outcomes, recovery process, and costs involved. It’s essential to weigh the benefits and risks of surgery carefully and to have realistic expectations about the results.