Surgical Details of Gynecomastia Male Breast Reduction Surgery
Sedation is a very good technique for many average cases of gynecomastia surgery. Medicine given through intravenous access sedates the patient during the operation. Most do not remember much during the operation, yet are able to walk from the operating table after the surgery. We use a combination of medications adjusted for each patient's needs.
 | Dr. Bermant starts out with some local anesthesia injected near the areola to numb the site I will insert the anesthetic cannula. |
Dr. Bermant prefers correction of enlarged male breasts under local anesthetic with sedation. He rarely uses general anesthesia unless performing a circumferential upper chest lift. In both cases, local anesthesia and adrenaline are injected to limit feeling in the chest. This permits a lighter general anesthesia, easing recovery.
 | After waiting for the medication to numb the skin, a scalpel makes the small opening for the infiltrating cannula. |
Sedation blocks the sensation of pulling and tugging as the cannula moves in the tissue injecting the tumescent numbing liquid.
 | This tumescent cannula is a skinny long tube that introduces the dilute local anesthetic under the skin and above the muscle. Dr. Bermant is using a special pump to control the flow of the liquid. |
During tumescent and superwet techniques, a large volume of the dilute local anesthetic is injected under the skin, around the gland, and in the fat.
 | The tumescent and superwet techniques frequently result in:
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 | Gynecomastia |  |
