A Gentle Approach to Healthy Living


Pediatric and Adult Circumcision located in Culver City, Serving
Southern California / San Francisco / Phoenix / Las Vegas

Older Baby Circumcisions

It's not too late for your little one at Gentle Circumcision

Gentle Circumcision

Serving Southern California / San Francisco / Phoenix / Las Vegas

While it’s generally very young babies who undergo circumcision, medical problems at birth may interfere with the families’ desire to circumcise soon after birth. If you have an older baby and you’re considering circumcision, Dr. Jerome Pittman, who specializes in circumcision for older babies and children at Gentle Circumcision in Culver City, California, can help.  There are very few doctors who  can perform these older baby procedures using local anesthesia in Southern California. The Gentle Circumcision team has completed more than 6,000 older baby circumcisions since its launch in 2005. Their exceptional pain management program is the primary reason they have been successful in circumcising this age group.

Older Baby Circumcision Q & A

Circumcision is the removal of the foreskin from the glans (head) of your baby’s penis. Circumcision usually takes place soon after the baby is born, but there are sometimes reasons why newborns can’t undergo circumcision.

The most common reasons are:

  • Premature birth
  • Breathing problems during delivery
  • No insurance coverage
  • Undecided about circumcision at birth
  • Only specialty medical practice exclusively devoted to male circumcision
  • Most referred source in Southern California
  • 4.7 out of 5 stars Google Reviews
  • All ages: Newborn—) Adults
  • 45+ combined years of experience
  • Over 17,000 total circumcisions
  • 6000+ Older Baby procedures
  • Virtually pain-free options
  • No-needle anesthesia (option)
  • Conscious Sedation (Twilight Sleep option)

Circumcision for older babies is possible using the Plastibell technique. Plastibell is the method Dr. Pittman uses to circumcise newborn babies.

The Plastibell circumcision device is made of clear, lightweight plastic. It’s shaped like a bell with a detachable handle attached. The Plastibel device comes in several sizes to fit newborns, older babies, and some toddlers.

During the circumcision, Dr. Pittman places the bell portion over the glans  (head) of your baby’s penis. The excess foreskin is then pulled  over the bell and secured tightly with special string. (ligature).

The procedure is completed by removing the unwanted excess portion of foreskin. The bell acts as protection for the delicate glans during the procedure.

Older baby circumcision takes about 20 minutes to complete. Healing time is approximately 14-21 days.

Older babies feel pain just like you do, and one of the priorities at Gentle Circumcision is to make sure there’s excellent pain management for your baby, both during and after the procedure.For older babies, a pre-circumcision loading dose of acetaminophen is given the night before, and repeated the morning of the procedure. With needle-free injections (optional), we are able to numb the circumcision area prior to and after the conclusion of the procedure. This needle-free experience is virtually painless and simple in principle. The needle-free administration of  local anesthesia uses a medical grade jet to deliver a high-pressure jet stream of anesthesia directly to the area. The anesthesia penetrates locally at the injection site and onset is almost immediate. After the procedure, parents can alternate between acetaminophen (infant Tylenol) and ibuprofen (infant Motrin) to provide a virtually painless circumcision recovery.


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Make Appointment

Call our office to make your appointment, or simply schedule online. You have a choice to setup a consultation alone, or schedule a same day consultation and procedure.

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Next, come to the office for your consultation. At this appointment, you will have a chance to get answers to all the questions you have about circumcision.

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On the day of your procedure, be sure to arrive a little early. Administering local anesthesia and completing the circumcision will take 30 minutes.

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Virtually Painless Recovery

We have perfected our pain management strategies to allow your older baby the most comfortable recovery possible. Healing time is approximately 14 days.

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Gentle Circumcision has achieved virtually painless recovery for over 6000 older baby circumcisions using exceptional pain management techniques.