Once you’ve found a few plastic surgeons you might be interested in working with, it’s time to arrange consultations. These appointments with prospective surgeons are all-important. In treating patients with gynecomastia in Manhattan, we find that those who are well informed and make the ultimate choice of plastic surgeon carefully are typically more satisfied with their results.
Here are some points to cover and consider during your consultations. These are designed to help you decide who your surgeon should be. (You will soon have many more questions about preparing for gynecomastia surgery, the procedure itself, recovery and risks.)
Gynecomastia Expertise
After making sure each plastic surgeon you consult is certified by the American Board of Plastic Surgery, you’ll want to explore their gynecomastia experience. You should know that according to the American Society for Aesthetic Plastic Surgery, just over 18,000 male breast reduction procedures were performed in the U.S. in 2010. That’s not a large number, so be prepared to find that many plastic surgeons have a limited track record with gynecomastia.
If you’re seeking an expert, ask how many male breast reduction surgeries each prospective surgeon performs every year and how many they have done during their career. See how many before and after gynecomastia photos they have to show, request names of patients you can speak with.
Philosophy and Approach
Ask questions about your surgeon’s philosophy and approach to treating gynecomastia patients to see if it feels like a fit. What type of anesthesia does he or she prefer to use and why? If you want a different kind, is it available to you? What credentials does the anesthesiologist have? Does the surgeon treat the anesthesiologist as an important team member?
A critical factor to discuss is whether your surgeon is prepared to do excision and liposuction, as your physique may require. In our experience, there are few cases in which liposuction only will do the job, and your surgeon should be prepared to use both methods of reduction. Ask exactly how they go about achieving natural looking contours for their patients.
Nuts and Bolts
Don’t be afraid to inquire about patient satisfaction. Under what circumstances are gynecomastia patients unhappy with the outcome of surgery? How many of the surgeon’s patients have been dissatisfied? What is the policy on revision surgery and scar treatment?
Does the surgeon respond directly to your questions – and review certain aspects of the operation that you are not clear on. If a surgeon doesn’t reply to your questions in a consultation, can you be sure he or she will be responsive after surgery is performed?
Finally, trust your instincts in making the decision about who will be your gynecomastia surgeon. If you’re not comfortable with one you interview, chances are they may not have listened closely to you. Perhaps they’ve made assumptions about your case, maybe their policies seem inflexible or it’s possible some of their answers have sounded evasive.
Whatever the reason, if you don’t “click” with a plastic surgeon, move on. As we discuss gynecomastia with Manhattan patients, we remind them that male breast reduction is a somewhat specialized procedure. You may have to look a little harder to find the surgeon who’s a fit for you, and you may even need to travel outside your hometown. Your results will be worth the effort.

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