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Local anesthesia is a valid option for many gynecomastia patients, especially when the tissue is limited, as in Type 1. Dr. Cruise can often numb just the chest so the patient stays awake and comfortable, without general anesthesia. Whether it fits depends on the type and amount of tissue. This 35-year-old had his surgery this way.
He had Type 1 gynecomastia, the mildest form in the Cruise classification, with the tissue gathered under the nipple and areola (the darker skin around the nipple). On his fit, muscular chest, that small amount of tissue made his nipples look puffy and soft.
Dr. Cruise, who has performed over 5,000 gynecomastia cases, removed the gland through an inferior crescent incision, a small curved cut along the lower edge of the areola that blends into its natural border as it heals. He took out only the tissue behind the nipple and left the rest of the chest’s volume in place. You can read more about the anesthesia options the practice offers.
Seven months later, the puffiness is gone and his nipples sit flat and firm. His chest keeps its full, muscular volume, but the shape now looks defined and masculine instead of soft. Every plan is customized, and for a fit patient like him, preserving volume matters as much as removing the gland.
If general anesthesia has been the reason you’ve held off, ask whether local anesthesia could work for you, and book a consultation to find out. Men from across Orange County and beyond come to our Newport Beach office for surgery, and many start with a Zoom consultation.
