About the surgery
The type of anesthesia used will depend on many factors, including your preference, the surgeon, the extent of the growth, your age, and the size of the incision. Either local with intravenous sedation or general anesthesia may be used. The surgeon often will make marks on the skin before surgery to indicate the areas to be removed.
There are different types of surgical procedures that may be utilized, including the following:
- Suction lipectomy. This is a form of liposuction that allows for tapering of the edges of the tissue without unwanted side effects. Complicated gynecomastia conditions may require an open surgical procedure, in which the breast tissue is cut open and the excess tissue is removed.
- Endoscopic surgery. This newer procedure uses a small, flexible tube with a light and a camera lens at the end (endoscope) to examine the inside of the breast. Tissue is then removed without making a large, open, surgical incision. Data regarding the accuracy or complications of this technique are not available at this time.