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Company logo: Elliot W. Jacobs, MD, FACS - Diplomate, American Board Of Plastic Surgery

Specializing in Primary &
Revision Gynecomastia Surgery

815 Park Avenue New York, NY 10021

Why We Use Twilight Sedation for Gynecomastia Surgery

IV sedation for gynecomastia surgery

Local anesthesia for gynecomastia surgery is less expensive for the patient. General anesthesia is easier for the surgical team. So why do we use twilight or intravenous (IV) sedation for our New York man boobs patients?

Here’s why IV sedation is clearly the best choice for the guys we work with.

Local Sedation is Risky

We understand why those considering surgery for man boobs might entertain the idea of having local anesthesia. The most tempting reason is that it tends to be a little less expensive, because having an anesthesiologist on the surgical team is not required. This shaves a few dollars off that part of the total cost. In addition, some guys are simply afraid of “going under” and feel that local anesthesia will be easier to cope with.

When one of our New York man boobs patients asks about local anesthesia, we tell them that even when it’s administered perfectly (via several needle sticks that can be distressing), a local anesthetic can’t stop all the pain. The nerve fibers involved in the liposuction part of surgery aren’t affected by local anesthesia, so patients feel pushing and pulling at least, real pain at worst. When a guy starts squirming, no surgeon can do his or her best work.

Male breast reduction should be a once in a lifetime event, and all patients want a good experience and great results. Why risk both those aspects of surgery?

General Anesthesia Has Side Effects

Most people know that general anesthesia has unpleasant side effects. Nearly every patient awakens after surgery feeling very groggy—even “hung over.” Some report feeling extremely cold. Many experience a dry mouth and sore throat from the breathing tube. And it’s not unusual for patients to have nausea and even experience vomiting that may require additional medication. Some of these effects last a few to several hours, some last longer. That’s why patients are cautioned not to drive for a few days following surgery.

With the prospect that their patients will very likely suffer at least a few of these side effects, why do so many gynecomastia surgeons prefer general anesthesia? The simple fact is it’s easier for the surgical team. The anesthesiologist or nurse anesthetist basically administers the drugs, then monitors the patient’s vital signs. The operation proceeds with the patient deeply asleep. He wakes up slowly in the recovery room as the drugs wear off.

The Benefits of Twilight Sedation

Twilight sedation is given through IV fluids; it’s the same kind a guy might have if he needs periodontal surgery, a colonoscopy or another procedure that requires him to be asleep and still. We can perform male breast reduction in our accredited surgical suite with this method because our M.D. anesthesiologist has been a key part of our staff for three decades. He works seamlessly with the other members of the team, monitoring the patient and medication levels closely. He assures that each guy is lightly but completely asleep and feeling no discomfort.

When the procedure is finished, our patients wake up quickly and fully with no ill effects. Some claim they could even drive themselves home—though of course we don’t let them!

Let’s Talk it Over

Should you decide to come see us about surgery for man boobs in New York, anesthesia is a topic we’ll cover in the consultation room. It’s true that IV sedation may not be the answer for every patient. In a few cases where there’s just a small amount of excess tissue directly under the nipple, local anesthesia might be an option. On the other hand, if a guy has additional health challenges, general anesthesia in a hospital may be best.

But for most guys, twilight sedation is a great choice. It delivers the chief benefit of general anesthesia with none of the unwanted side effects. We’ll explain that many patients tell us it was the best part of surgery, and we can certainly refer you to another patient who will share their experience. Why not give us a call at 212-570-6080 and make an appointment today?

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