Yes, we do male chest reconstruction
surgery. 
While we will endeavor to utilize
the smallest incisions possible,
and strive for reasons of concealment
to make those incisions along anatomical
skin folds or planes if at all possible, a consultation
would be required to best advise you.
We cannot do breasts larger than a
C in the office, unless your breasts are
pendulous and the base or pedicle (coming
off the chest wall) is narrow.
Fees to include anesthesia
and use of the facility range
from $5,000 to $8,500.  Scheduling
for surgery requires a 50%
deposit which is non-refundable.
The balance is due no later than
the day before surgery and must
be presented in cashiers check
or currency at that time.  Credit
cards and personal checks are
not accepted.
Consultation is $250 and
there will be some out of pocket
fees for a compressive chest
garment, laboratory tests
(which could be done in your
home town) and a letter of medical
clearance (if indicated).
Any special pre-operative instructions?Do initiate a telephone consultation
before surgery so we can get to know you better
and answer any questions you may have. A CBC should be performed 2 months
before your scheduled procedure. If your
blood count is low normal or below normal
values, a hematology consult may be needed.
Usually patients on testosterone have normal to
high blood counts.Better to learn of this well in advance.
Within 10 days before surgery, all patients are
required to have these blood tests: a CBC (again),
PT, PTT, and platelet count. Our lab fee is $100,
but you could have this done in your home town
perhaps more reasonably.
All patients over 40 and those on diabetic,
neurological or cardiovascular medications require
a letter of medical clearance with reference minimally
to an EKG and chest X-ray to be obtained within 1 week
of your scheduled procedure.
You may wish to stop testosterone a good month before surgery,
as testosterone is metabolized into estrogens and
may predispose to thromboses or emboli (unwanted clotting).
You may resume 10 days after surgery.
No aspirin or aspirin products, no anti-inflammatory drugs
such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex
or Vioxx for a week before surgery. No Vitamin E or excessive alcohol
or spices for a week before surgery as this may promote bruising.
Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice
a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets
sublingually, 4 times a day), vitamin C 500 mg (3 times a day)
starting 1 week before surgery. Do take these medications
unless there are specific reasons why you choose not to
and lets discuss it beforehand.
If for any reason, despite tight scheduling arrangements
and eager anticipation of being converted, you have
contracted an illness such as a flu like syndrome with
coughing, sore throat, fever, or diarrhea, please reschedule
allowing a good two weeks for recovery. These things
happen and we are very sympathetic. Surely we do not
want any patient with a very recent cold to have general
anesthesia. If you have gained weight, please advise
as we may have to postpone surgery.

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