QUESTION: Dr. Blau, what do you know about this new technique that supposedly uses a laser to melt the gynecomastia? It supposedly uses a very small incision and the recovery is supposed to be faster. Does it really get rid of all the glands?
DR BLAU: The laser technique for gynecomastia is not new. It has been around for 5 years. Unfortunately the results did not justify the technique because the recurrence rate is very high. It's nearly impossible to ensure that you get all the glands out and, for a bodybuilder, that's a nightmare scenario that I'm not willing to risk. My current excisional procedure has produced fantastic results in 100% of my patients.
QUESTION: Dr. Blau, is it possible for a man to have breast cancer in one of the glands that are removed? By having gynecomastia surgery, does that make you immune to potential future breast cancer?
DR BLAU: Breast Cancer in men is extremely rare. Out of the thousands of gynecomastia cases I've done, I have only seen 2 patients (both over the age of 50) that, upon removing the gynecomastia, turned out to be breast cancer. They were referred to and treated by an oncologist. Removal of the mammary glands in men may indeed reduce the chance of having this rare cancer; however, there are no studies out there to confirm this.
QUESTION: How many days do I need to stay out of the gym after gynecomastia surgery? Can I start doing cardio (no upper body movements) after a few days?
DR BLAU: Cardio can be started about 2-3 weeks after surgery (depending on the severity of the case). Weight training can be resumed about 3-4 weeks after surgery (also depending on the recovery rate).
QUESTION: Do you insert temporary drains while doing gynecomastia surgery? How long do these drains need to be in place? Do they leave a scar?
DR BLAU: It's extremely rare that I insert drains following surgery. With the unique excisional procedure I use, there never seems to be a need for them. No drains also mean no additional scarring. On occasion when drains are warranted, scarring is usually very minimal (if at all).
QUESTION: Are there any medications that should be stopped prior to getting gynecomastia surgery?
DR BLAU: Prior to surgery for gynecomastia, my office send every patient an extensive list of prescription and over-the-counter medications and nutritional supplements that they should avoid 10-14 days prior to surgery. I formulated this all-inclusive list so that the surgery will be effortless and the healing/recovery process will be as speedy and efficient as possible.
Aspirin Medications to Avoid
4-Way Cold Tabs, 5-Aminosalicylic Acid, Acetilsalicylic Acid
Adprin-B products, Alka-Seltzer products, Amigesic
Anacin products, Anexsia w/Codeine, Argesic-SA
Arthra-G, Arthriten products, Arthritis Foundation products
Arthritis Pain Formula, Arthritis Strength BC Powder,Arthropan
ASA, Asacol Ascriptin products
Aspergum Asprimox products Axotal
Azdone Azulfidine products B-A-C
Backache Maximum Strength Relief Bayer Products BC Powder
Bismatrol products Buffered Aspirin Bufferin products
Buffetts 11 Buffex Butal/ASA/Caff
Butalbital Compound Cama Arthritis Pain Reliever Carisoprodol Compound
Cheracol Choline Magnesium Trisalicylate Choline Salicylate
Cope Coricidin Cortisone Medications
Damason-P Darvon Compound-65 Darvon/ASA
Dipentum Disalcid Doan's products
Dolobid Dristan Duragesic
Easprin Ecotrin products Empirin products
Equagesic Excedrin products Fiorgen PF
Fiorinal products Gelpirin Genprin
Gensan Goody's Extra Strength Headache Powders Halfprin products
Isollyl Improved Kaodene Lanorinal
Lortab ASA Magan Magnaprin products
Magnesium Salicylate Magsal Marnal
Marthritic Meprobamate Mesalamine
Methocarbamol Micrainin Mobidin
Mobigesic Momentum Mono-Gesic
Night-Time Effervescent Cold Norgesic products Norwich products
Olsalazine Orphengesic products Oxycodone
Pabalate products P-A-C Pain Reliever Tabs
Panasal Pentasa Pepto-Bismol
Percodan products Phenaphen/Codeine #3 Pink Bismuth
Propoxyphene Compound products Robaxisal Rowasa
Roxeprin Saleto products Salflex
Salicylate products Salsalate SalsitabDavid Palumbo
Scheduled on 1/24/2011
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Scot-Tussin Original 5-Action Sine-off Sinutab
Sodium Salicylate Sodol Compound Soma Compound
St. Joseph Aspirin Sulfasalazine Supac
Suprax Synalgos-DC Talwin
Triaminicin Tricosal Trilisate
Tussanil DH Tussirex products Ursinus-Inlay
Vanquish Wesprin Willow Bark products
Zorprin
Ibuprofen Medications to Avoid
Actron Acular (opthalmic) Advil products
Aleve Anaprox products Ansaid
Cataflam Clinoril Daypro
Diclofenac Dimetapp Sinus Dristan Sinus
Etodolac Feldene Fenoprofen
Flurbiprofen Genpril Haltran
IBU Ibuprin Ibuprofen
Ibuprohm Indochron E-R Indocin products
Indomethacin products Ketoprofen Ketorolac
Lodine Meclofenamate Meclomen
Mefenamic Acid Menadol Midol products
Motrin products Nabumetone Nalfon products
Naprelan Naprosyn products Naprox X
Naproxen Nuprin Ocufen (opthalmic)
Orudis products Oruvail Oxaprozin
Piroxicam Ponstel Profenal
Relafen Rhinocaps Sine-Aid products
Sulindac Suprofen Tolectin products
Tolmetin Toradol Voltaren
Other Medications to Avoid
. 4-Way w/ Codeine A.C.A.
A-A Compound Accutrim Actifed
Anexsia Anisindione Anturane
Arthritis Bufferin BC Tablets Childrens Advil
Clinoril C Contac Coumadin
Dalteparin injection Dicumerol Dipyridamole
Doxycycline Emagrin Enoxaparin injection
Flagyl Fragmin injection Furadantin
Garlic Heparin Hydrocortisone
Isollyl Lovenox injection MacrodantinScheduled on 1/24/201........................
Mellaril Miradon Opasal
Pan-PAC Pentoxyfylline Persantine
Phenylpropanolamine Prednisone Protamine
Protein Shake Pyrroxate Ru-Tuss
Salatin Sinex Sofarin
Soltice Sparine Stelazine
Sulfinpyrazone Tenuate Tenuate Dospan
Thorazine Ticlid Ticlopidine
Trental Ursinus Vibramycin
Vitamin E Warfarin
Tricyclic Antidepressants Medications to Avoid
Adapin Amitriptyline Amoxapine
Anafranil Asendin Aventyl
Clomipramine Desipramine Doxepin
Elavil Endep Etrafon products
Imipramine Janimine Limbitrol products
Ludiomil Maprotiline Norpramin
Nortriptyline Pamelor Pertofrane
Protriptyline Sinequan Surmontil
Tofranil Triavil Trimipramine
Vivactil
Herbal Medications to Avoid
Echinecea Food Supliments Ginkgo Biloba
Ginseng Herbs Protein Shake
St. John's Wort
To set up an appointment with Dr. Blau, contact his office at (914)-428-4700 and visit his gynecomastia website HERE
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