Anaesthesia in Gynecomastia

Patient safety is of utmost importance. To ensure that our patients get best pre and post -surgery care, Dr. Chugh operates in an accredited Hospital equipped with latest techniques and technology.

Anaesthesia can be Local or General Anaesthesia

Local Anaesthesia

It means the anesthesia is directly given to surgical area while you are awake. It is similar to what you will get while getting a tooth extraction done. In some cases, mild sedation can be added.


  • Can go home after surgery
  • No need of pre surgery six hours of fasting as in general anaesthesia
  • Can be performed easily in Puffy nipples or Grade 1
  • Usually surgery completed in 45 minutes
  • Lesser pricing than General Anaesthesia


  • Cannot be done if higher grades of gynecomastia
  • Difficult to do if you have anxiety, restlessness
  • Should not be done if major changes are required
  • Extensive liposuction not possible under local anaesthesia
  • Might be painful for some patients

General Anaesthesia

Most commonly done and safe option is general anaesthesia. An IV line is put in your hand through which drugs are given that puts you through deep sleep. A small tube in then put through mouth. Gynecomastia surgery is a day care surgery and is performed in an accredited hospital under the guidance of experts of Anaesthesia.


  • Completely asleep, not aware of surroundings
  • No pain felt
  • Can be done in higher grades of anesthesia
  • Multiple body procedures can be done in one sitting
  • Best for people with anxiety issues


  • Fasting for six hours before surgery.
  • Fasting for 3-4 hours after surgery
  • Have to stay for few hours post-surgery
  • Pricing is slightly higher than local anesthesia

Tumuscent anaesthesia infiltration

It is a latest technique in which anaesthesia fluid be it local or general anesthesia through a specialized motorized cannula called Power assisted liposuction aka Microaire Liposuction.

It is based on the principle of SAFE liposuction developed by Dr. Simeon Wall Jr.

  • S – Separation of fat
  • A- Aspiration of fat
  • FE- Fat Equalisation

Dr. Chugh uses this technique to provide best and consistent results. Microaire has a highly motorized cannula that while giving tumuscent fluid also separates fat which allows for easy removal of fat with minimal swelling and bruising and faster post- surgery recovery.

Constituents of Tumuscent Fluid

  • Lignocaine: Numbing agent
  • Bupivacaine: Long- acting numbing agent
  • Soda-Bicarbonate: Takes away stinging sensation
  • Adrenaline: Constricts blood vessels so that there is no bleeding
  • Normal Saline: Acts as a carrier