Gynecomastia Reduction: This man is in great shape and works hard at it. A small amount of Gynecomastia over the lower pole of the breast was hiding his true physique.
Breasts that are too large can be as big a problem for men as they are for women. Men account for about 9% of all Cosmetic Plastic Surgery procedures; however, Male Breast Reductions comprise 25% of the all Breast Reductions performed by Board Certified Plastic Surgeons in the United States.
The medical term for the enlarged male breast is Gynecomastia, and there are many reasons for it. Every baby is born with enlarged breasts. This is caused by his mother’s hormones (including Estrogen) crossing the placenta. Since babies don’t normally make female hormones, the breast enlargement resolves as the hormone levels drop after birth. This can take a few weeks to months. For baby boys, this termed Neonatal Gynecomastia.
At six months of age, the breasts may enlarge again. This is thought to be due to increased sensitivity of the estrogen receptors in the breasts. And this may happen again at age six years. Most often, this is just a normal part of development.
The baby to the right has some disproportionate breast tissue. It may be “baby fat” or neonatal gynecomastia, but either way, it should be brought to your pediatricians attention just to be safe.
Adolescent Gynecomastia: A common time for presentation, and correction, is at adolescence.
The next most common time for Gynecomastia is adolescence. Approximately one half of all teen and pre-teen boys will develop Gynecomastia, and for about half of them, it doesn’t go away. It takes a year or two for the breasts to shrink for the lucky half who have their Gynecomastia resolve spontaneously. When it does not resolve, the enlargement can be embarrassing and for some painful.
Adult Gynecomastia: Adult Gynecomastia is unlikely to resolve on its own. Male Breast Reduction Surgery can help restore normal proportions and enhance the masculine chest.
The most common form of Gynecomastia is adult Gynecomastia. This group includes men with adolescent Gynecomastia that did not go away by itself, and those that develop Gynecomastia in response to weight gain or side effects of many popular prescription medications.
Male Breast Enlargement = Gynecomastia
Everyone seems to know about Female Breast Reduction, but I am surprised that so many well educated men have not heard about Male Breast Reduction. Some men have been wearing loose shirts since adolescence, while others stop wearing tight shirts later in life to hide their discomfort.
While the issue is personal, it becomes harder to ignore after we have children. In California, where the weather is good and the pools and beaches are plentiful, children like to go swimming, and swim trunks leave daddy’s man boobs (moobs) exposed.
Male Breast Reduction = Gynecomastia Reduction
There are several solutions to the problem. Many men stay covered up, and may even wear multiple layers to hide their breasts. This limits fashion, activities and makes for a hotter summer, especially in the East Bay Area. However, there are discrete, surgical remedies to reduce the male chest, and provide smoother contours both in and out of clothing.
One of the most most frequently employed techniques used to remove excess breast tissue and fat from the chest is Liposuction. This works great for enlarged breast with disproportionate fat and tight skin. It can be used alone or in conjunction with Gynecomastia Excision, as described below.
When the breast tissue is hard, Liposuction may not be able to remove it. In these cases, a small incision is made around the lower edge of the nipple/areolar complex, and the tough glandular tissue is directly removed. This can be the sole treatment for discrete areas of gynecomastia located beneath the nipple, as is often seen in body builders. Gynecomastia Excision can also be used to complement Liposuction, in cases where Liposuction provides incomplete correction of the breast’s contour.
The Timing of Gynecomastia Treatment
If you are pre-teen or a teenager who just developed Gynecomastia, see your doctor, or see a plastic surgeon, to be certain it is a benign condition. Gynecomastia can be caused my medications, steroids, marijuana and rarely is in response to testicular cancer, so be sure to check them too. If the problem is benign gynecomastia, give the problem a year or two to resolve on its own.
But What if it Won’t go Away?
If your Gynecomastia has been present for years, or is getting worse, Plastic Surgery may be a good option. Gynecomastia Reduction is a procedure I perform year round. More Male Breast Reduction is done in the Spring and Summer months when the problem is most annoying, but the Winter is the best time to do it. It is easier to keep your shirt on in the Winter, and you will be better healed by the time the Spring weather rolls around.
Schedule a Gynecomastia Reduction Consultation Today
If you would like to learn more about Male Breast Reduction, call (925) 943-6353 and schedule your personal consultation appointment. I can evaluate your options, explain the best choices for treatment and answer all your questions, at my San Francisco Bay Area Plastic Surgery Office in Walnut Creek, California. You can also send your questions via the contact form in the margin.
When Amy Robach agreed to a public mammogram for ABC’s Good Morning America, she did not know she had not one, but three foci of breast cancer to worry about. Amy announced the results of her breast cancer surgery, and it seems she again made a wise and fortuitous decision. Amy elected to undergo bilateral mastectomies and immediate breast reconstruction to treat the breast cancer found on her very first screening mammogram performed shortly after her 40th birthday. As it turns out, this was another fortuitous decision for her and her family.
Amy Robach, Host of ABC’s Good Morning American, is a role model for women fighting breast cancer.
Amy Robach’s Breast Cancer was treated by a General Surgeon with Bilateral Mastectomies and sentinel lymph node biopsy, and then her breast were reconstructed by a Plastic Surgeon. Since her breast cancer was detected early, it was small, and Immediate Breast Reconstruction could be performed after her mastectomies, during the same operation.
General Surgery Before Plastic Surgery
Many people don’t know that all Plastic Surgery residents are required to have at least three years of general surgery training prior to beginning their plastic surgery fellowship. These three years must be completed at the same general surgery training program, and a letter of recommendation from the Chairperson of Surgery must be included with every application. These prerequisites help assure the best quality applicants, and eventually the highest quality Board Certified Plastic Surgeons.
Rather than completing the three year minimum, I had the privilege of completing a full General Surgery training program, and becoming Board Certified by the American Board of Surgery, an honor I continue to maintain via Maintenance of Certification (MOC) and recertification examinations.
Experience With Breast Cancer
While I had vicarious experience with Breast Cancer within my and friends’ families, during surgery training was where I learned the big picture. The book learning and clinical rotations at the University of California, Davis, School of Medicine helped lay the ground work for the disease; however, as a surgery resident I diagnosed, treated and followed up with individual patients. I can remember my chairmen F. William Blaisdell, MD, the father of modern trauma care, and Nathaniel Matolo, MD, stressing the importance physical examination and making the diagnosis of breast cancer. The short version of what they imparted to me is, if you feel a lump in the breast, the only way to be certain of what is there is by looking at it under the microscope.
Screening Examinations for Breast Cancer
The best single test we have for breast cancer is the Physical Examination of the breasts. Yearly physical examinations and monthly self examinations are still the most important interventions for early detection of breast cancer. Unfortunately, not all breast cancers can be felt. Some are deep within the breast and many breast are firm, fibrous and lumpy enough to make detection more difficult.
The next most important screening test is the Mammogram. While it is true that mammograms cause emotional stress, can sometimes be painful and cause many breast biopsies for what turn out to be benign tumors, they have also been shown to statistically increase the early detection of breast cancer and prolong lives. The medical community recommends beginning mammograms at age 40, much as Amy Robach reluctantly did.
The Findings of Amy Robach’s Breast Cancer Treatment
I will let Amy tell you in her own words:
Amy Robach’s Thank-you Letter to her Extended Family.
Amy was very fortunate that she had a screening mammogram at age 40. She has no family history of Breast Cancer, nor many Breast Cancer Risk Factors. She was also very smart in weighing the risks and benefits of her available treatment options. She elected to have a mastectomy with sentinel lymph node biopsy to treat her tumor, and to have a prophylactic mastectomy on the other side (preventative removal of the normal breast).
Mammograms are Good … but not Perfect
While mammograms are good, they are not perfect. Since Amy elected to have bilateral (both sides) mastectomies, all the breast tissue could be examined under the microscope. A second breast cancer was found in the removed breast tissue. This tumor was not seen on mammography, ultrasound or MRI. It is situations like these that make the practice of medicine humbling. It is an art rather than pure science, and there are many exceptions to every good rule.
Good medical care is teamwork between patients and doctors. I am a fan of guidelines based on sound science, but realize this is not enough. Listening to and examining a patient provides more information than any test can. Additionally, the combination of a focused medical history and directed physical examination are required to frame the results of every test result.
On the other hand, recommendations that limit the options a doctor can provide for their patients should be condemned, especially when the conclusions are not supported by the data. In this case, I am specifically referring to the government panel’s recommendation that screening mammography should begin at age 50. The recommendation is not supported my the data. Another problem with this recommendation, is that the next step will be denial of mammography services by insurance companies, and unless you can afford to pay for you own mammograms, the result will be delayed breast cancer diagnosis, and an increase in breast cancer deaths.
Amy Robach, host of ABC’s Good Morning America, did the story of her life last month, literally. You see, Amy Robach turned 40 this year. Her producers and co-anchor, Robin Roberts, encouraged her to do a story about screening mammograms. In fact, Robin Roberts told her that if the story saved one life, it would be worth it. While reluctant to undergo a less than private mammogram for a news story, she agreed.
Amy Robach preparing for her first screening mammogram at age 40.
Amy remarked that the exam hurt much less than she thought it would. For most women age 40, the initial concerns with mammography center around the expected discomfort and embarrassment of the breast cancer screening exam, and the fear of having breast cancer. Breast cancer in women under age 40 accounts for less then 7% of all breast cancers, but individual risks vary. An early diagnosis is key in curative treatment for breast cancer.
Mammogram Follow-up Views
The screening mammogram is a screening test. Two views are taken of each breast, one up-and-down and one side-to-side. For women who have had Breast Augmentation, there is no increased risk of breast cancer; however, a third oblique view is often added to maximize the amount of breast tissue visualized on the exam.
When the breasts are dense, which is more common in younger women, it can be more difficult to read the mammogram. Sometimes a woman is called back to the Mammography Center to have additional views to check areas not well seen. This happened to Amy. She returned to the center for additional view, likely magnification views. These usually rule out suspicious areas, but in Amy’s case the additional views confirmed a mass suspicious for breast cancer.
The Next Step Towards Diagnosis and Cure
Suspicious lesions on a mammogram are not always breast cancer. The next step is obtaining cells to study. This may be accomplished with a core needle biopsy, or an open breast biopsy. Once removed, the cells are prepared, stained and examined under the microscope by a pathologist. For many women, the specimen is not breast cancer, and life returns to normal after a short recovery period.
When the Diagnosis is Breast Cancer
Sometime the diagnosis is Breast Cancer. While no one wants the diagnosis, 1 in 8 women will develop breast cancer during their lifetime. The difference between survivor and casualty is early diagnosis. Since breast cancer is not painful, it can grow silently. Breast Cancer screening has made a tremendous difference in surviving breast cancer. Early Diagnosis means smaller tumors, a reduced chance of the breast cancer spreading outside the breast and fewer complications with proper treatment.
How to Cure Breast Cancer
After making the diagnosis, removing the cancer cells provides the best chance for cure. We have many options today ranging from lumpectomy to mastectomy, and even prophylactic mastectomies like Angelina Jolie. Additionally, options for Breast Reconstruction provide comfort and a sense of completion for many women.
Amy Robach and the Mammography Machine that Helped Save her Life.
Double Mastectomy with Breast Reconstruction
Amy Robach decided to have a double mastectomy to cure her Breast Cancer and to reduce the risk of developing another Breast Cancer in the future. What started as an informational segment for Good Morning America has become a life extending turning point. The importance of Screening Mammography cannot be stressed enough. I cannot say it any better than Amy Robach did. “I got lucky by catching it early. I can only hope my story will … inspire every woman who hears it to get a mammogram, to take a self-exam. No excuses. It is the difference between life and death.”
Trans Fat made the headlines yesterday in the US, as the FDA announced it was taking steps to further reduce trans fats in processed foods. Most of us know Trans Fat is bad, but we may not realize the extent of the health threat, and how far behind fixing this the FDA’s current action is.
Trans Fat: What Me Worry?
What is the problem with Trans Fat? In the simplest terms, Trans Fat:
increases bad cholesterol
decreases good cholesterol
increases the risk of cardiovascular disease, infertility, endometriosis, gallstones, Alzheimer’s disease, diabetes and some cancers
What is the Alternative to Trans Fat?
A dilemma, by definition, has to have at least two choices. In this case there are three:
Trans Fat and Cis Fat are both unsaturated fatty acids. Trans fat is rarely found in nature. Trace levels can be found in meat and dairy products from ruminants, like sheep and cows, but these tiny amounts are tolerated in a normal diet. The majority of unsaturated fat found in nature is Cis Fat.
It turns out that the two types of fats have different shapes, and this may be the problem. The enzymes we use to metabolize fats fit like a lock and key with the fat molecules. When the fat molecules don’t fit, they gum up the entire operation.
The Shape of Fat
The shape of fat that I treat in my San Francisco Bay Area Plastic Surgery office is macroscopically globular. My Liposuction cannulas work equally well to remove disproportionate Trans and Cis Fat. On a microscopic level, however, the difference is obvious.
Saturated Fat: Octadecanoic Acid (Stearic Acid or Stearate) has a carbon backbone completely filled with hydrogen atoms. All carbon bonds are single bonds, and the backbone can rotate freely.
Saturated Fat: When we think saturated we think soaking wet. When fat is saturated, its carbon backbone is saturated with hydrogen atoms. Since all the carbon bonds are single bonds they can rotate, and the molecule remains flexible. While saturated fats are not the healthiest fats, they are found naturally, and our body can metabolize them.
Cis Fat (Oleic Acid) is a monounsaturated fatty acid found naturally in both vegetable and animal fat.
Cis Fat is an unsaturated fat. Since the carbon backbone is not saturated with hydrogen, at least one double bond is found in the carbon chain. Oleic Acid, shown above, is a monounsaturated fatty acid, and has only one double bond. Oleic Acid is more specifically an Omega-9 fatty acid. This means the double bond is the ninth bond from the methyl end (the red end) of the fatty acid. In the picture above, the double bond causes the obvious bend in the molecule at its midpoint.
A Cis molecule has both long chains attached to the same side of the double bond. Nature “hand-makes” each molecule with enzymes that form the Cis configuration exclusively, and these are the fat molecules our bodies have evolved to digest. Like a key in a lock, the bent Cis Fat fits the enzymes in our metabolic pathways, and efficiently releases it’s energy.
Trans Fat (Elaidic Acid) is also monounsaturated, but this shape is found in only trace amounts in nature.
When fats are partially hydrogenated in a laboratory, the hydrogen atoms are added randomly to polyunsaturated fats, fats with many double bonds. Unlike enzymatic production, which produces only Cis Fat, chemical production forms both the Cis and Trans Fat orientations.
Trans Fat is straight across the inflexible double bonds, and this “unnatural” shape no longer fits well in the enzymes we use to digest it. The result is a corruption of fat metabolism, causing an increase in bad cholesterol and a decrease in good cholesterol.
World Wide Response
This is not new information, and many countries around the world, and local municipalities have banned the high levels of Trans Fat in processed foods. In September of 2011, the World Health Organization (WHO) published a systematic review of public policies designed to reduce dietary trans fat. The study showed that the policies were effective. Bans were much more effective than labeling requirements, and national bans were more effective than local ones.
US Reduction in Trans Fats
The health benefits of avoiding Trans Fat are well documented. After mandatory US labeling requirements, there was a 58% reduction in TFA levels in blood plasma of volunteers. This is a testament to informed self-regulation. With a mandatory ban, the levels should drop to zero without another thought.
Heidi Montag doesn’t need my approval, and that is not why I am writing this weeks post. Heidi’s decision to have More Plastic Surgery is between her and her Board Certified Plastic Surgeon.
Heidi Montage as she appeared in January 25, 2010 issue of People Magazine
Ten Procedures in One Operation
Four years ago, Heidi underwent ten plastic surgery procedures in one day. I mentioned this in my May 25, 2010, post about Choosing the Best Breast Implants. I am supportive of combining procedures to combine recovery periods, as long as they can be performed safely and predictably. Some of Heidi’s procedures were not major, but I would have a thoughtful discussion before proceeding with any patient considering so many changes at once. Heidi’s motivation seemed to be in response to her competitive occupation.
Heidi’s Plastic Surgery Laundry List
Topping the list was an “Entertainer Sized” Breast Augmentation, but here is the full list of the three Body Shaping Procedures and seven Facial Plastic Surgery procedures she had performed:
Breast Augmentation Revision (Increased to DDD)
Liposuction of the Waist and Thighs
Nose Job Revision (Secondary Rhinoplasty)
Mini Brow Lift (most likely an Endoscopic Brow Lift)
Liposuction of the Neck
Fat Injections to the Cheeks and Lips
Ear Pinning (Otoplasty)
She’s Back … But You Knew She Would Be
So, I was a little concerned when ET and Fox News announced last night: Heidi Montag Gets More Plastic Surgery. And after reading the article, I was more than a little supportive of her decision.
Breast Reduction for Neck Pain
As is turns out, Heidi had Breast Augmentation Revision to downside to a D-cup from her previous extra large size. The surgery was not performed just to make her more proportionate, but to relieve the neck and back pain that many Breast Reduction patients complain about. This is also something I discuss with all women considering larger Breast Implants.
Heidi Montag Before her Extra Large Breast Augmentation.
Thank You Heidi Montag
I end this post with a short Thank You to Heidi Montag for sharing her story. Disproportionate Breast Implants do not always lead to problems, but they are more likely to cause complications than Breast Implants that are selected to be more proportionate to a woman’s frame. It takes a lot of courage to share this type of story with the public. It will help other women, with similar problems find a solution. Hopefully, Heidi’s story will help other young women to avoid this problem altogether.
Cheek Augmentation is not the most frequently requested cosmetic plastic surgery procedure, but it is an excellent procedure for the right person. In cases where the cheeks are flat, narrow or even recessed behind the front of the eyeball, cheek enlargement can create a more harmonious balance for the face overall.
Allergan Announces a New Cheek Filler
Voluma XC – Allergan’s new entry into the cheek enhancement arena.
This week, Allergan released their latest answer to flat cheeks: Voluma XC. The XC stands for eXtra Comfort and alludes to the fact that Voluma is manufactured with a local anesthetic (Lidocaine) in it.
Voluma is related to Juvederm, another Hyaluronic Acid (HA) based filler. Where Juvederm is approved for filler facial wrinkles around the mouth, Voluma is FDA approved to provide volume to the apex, apple of the cheek and the hollow inferior to these. Like Juvederm, Voluma is injected into the area where augmentation is desired right in the office. The results are immediate, and the down time is minimal. Common side effects as listed on the Allergan website include temporary reactions at the treatment site such as: tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.
Other Methods of Cheek Augmentation with Fillers
For years, HA’s have been used for Non-surgical Cheek Enlargement. The off-label use of Juvederm, Perlane and Restylane has been common practice. Voluma is the first HA that is FDA approved specifically for the cheeks.
Radiesse is not an HA filler. It is made of calcium hydroxyapatite (CaHA). Radiesse is FDA approved for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, and it is also intended for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus. Radiesse has also been used off label as a cheek filler for people without HIV also. I have used it for both cosmetic and reconstructive patients with good results.
Cheek Implants are the only “permanent” cheek fillers, and have been around longer than any of the facial fillers. The insertion of Cheek Implants is a surgical procedure and requires meticulous attention to detail and sterile technique. I use cheek implants to balance the face when a long term solution is desired.
Frequently, I combine Cheek Implants with lower eyelid lifts in patients with a recessed cheek, to help prevent ectropion (drooping of the eyelid). Cheek implants also can improve the results of a Facelift when the volume of the cheek is deficient, as seen below.
Facelift with Cheek Implants to balance the more youthful face.
I’ve had the opportunity to discuss Abdominoplasty on television before. Below is the latest installment, with the latest news and innovations. In addition, I want to introduce you to a new scar treatment that provides a clinically significant improvement in the appearance of the Tummy Tuck Scar.
Embrace – A novel scar treatment for Tummy Tucks, and more, is now available in our San Francisco Bay Area Plastic Surgery office.
Dr. Joseph Mele appears on KRON4′s Body Beautiful to talk about Tummy Tucks.
This month, I had the opportunity to discuss many popular Plastic Surgery procedures like face lifts, eyelid lifts and Breast Implant Revision Surgery on KRON4‘s Body Beautiful with Janelle Marie. Links for the other segments are located at the end of this post. Unfortunately, like the breast revision segment, we ran out of time during the Abdominoplasty segment to show the before and after pictures. I include some in last week’s post, and many more before and after photos are available on my main website: DrMele.com.
Tummy Tuck Video Details as seen on KRON4 TV
The (415) number displayed in the video was for viewers to call in during the live show. If you have questions, call my office directly at (925) 943-6353, or send us an email via the contact form in the margin.
Frequently Asked Tummy Tuck Questions
Many of the commonly asked questions about Tummy Tucks and abdominal tightening are answered in the above Abdominoplasty Video Presentation including:
What is a Tummy Tuck?
What is a Mommy Makeover?
Who is a candidate for Abdominoplasty?
What are the options for tightening the belly?
What is the difference between a Mini Tummy Tuck and a Full Tummy Tuck?
Can Liposuction be combined with a Tummy Tuck
How is the Tummy Tuck performed?
What are “Dog Ears”?
Can a Tummy Tuck help after weight loss?
Can the muscle and skin be tightened?
What is a Body Lift?
Embrace Scar Reduction Research
Neodyne Biosciences announced the latest in scar management just before the annual national meeting of the ASAPS — Board Certified Plastic Surgeons dedicated to the Cosmetic aspects of our profession.
Evidence for clinically significant scar reduction was collected by several Board Certified Plastic Surgeons, including my office in the Bay Area. The study was performed on volunteers undergoing Tummy Tucks. On one side the usual scar treatments were performed: meticulous surgical closure, steri-strips, scar massage, topical silicone creams and sun avoidance. On the other side, once the steri-strips were removed, the Embrace scar patch was applied. The Embrace scar patches were changed weekly, for a total of twelve weeks of treatment. When the results of the 100 volunteers were pooled, clinically significant reduction of redness and scar appearance were noted by patients and plastic surgeons alike. The research should be published early next year.
More Abdominoplasty Information
More information about Tummy Tucks and many other Cosmetic Plastic Surgery Procedures is available by clicking on the headings under “Categories” in the column to the left.
Other Segments from This Month’s Body Beautiful
To view other plastic surgery video segments from this month’s Body Beautiful show, click on the following links:
Mommies and Tummy Tucks fit like hand and glove. I am not saying that men don’t have abdominoplasty, but they don’t have as many. There are two reasons for this. The most obvious is that men don’t get pregnant, the second is that men and women store abdominal fat differently.
Tummy Tucks After Pregnancy
Tummy Tuck Before and After Photos: After pregnancy the abdominal skin and muscles can remain stretched out of shape. Abdominoplasty fixes it.
Pregnancy can take a toll on your belly. The muscles get stretched out of shape, and can separate down the middle. This separation is called diastasis. The combination allows the abdominal contents to push forward, maintaining a pregnant appearance. If loose skin and fat are also present, the muscle laxity exaggerates the problem. The Abdominoplasty reverses the process. It tightens the abdominal muscles, restoring a flatter foundation, and removes the excess fat and skin from the lower abdomen. The result is a smooth, firm belly, that belies the fact that you have had children, and enhances the fit of your clothing.
Abdominoplasty Before and After Pictures
Abdominoplasty Before and After Pictures: Before Tummy Tuck on the left, the before belly looks like baby is still in there. After Tummy Tuck, the belly is flat. The faded scar, seen on the right, is low enough to hide below the belt line.
Abdominoplasty After Weight Loss
Tummy Tuck Before and After Pictures – Another common reason for Abdominoplasty is to smooth the belly after weight loss. Here the skin is easily hidden.
Another common precursor to Tummy Tuck is weight loss. This is true for both women and men. Since men tend to store fat inside the abdomen, the same stretching can occur with weight gain as with pregnancy. When the weight is lost, the abdomen may remain loose. Women, on the other hand, store more fat in front of the muscle. While this spares the muscle stretching, it still stretches the skin. Abdominoplasty can remove the lower abdominal fat when it is in front of the muscle, giving women and advantage.
Tummy Tuck Before and After Pictures
Abdominoplasty Before and After Pictures – Before the Tummy Tuck the abdomen is full and loose skin folds over the belly button and lower belly. After the Tummy Tuck, the abdomen is flat and the skin is tight. The placement of this early scar is seen on the right. The red color is present for a few months and then fades.
Abdominoplasty is often combined with Liposuction to reduce the love handles and keep the trunk proportionally slim all the way around. Liposuction can reduce a muffin top when the skin is tight, without the need for a tummy tuck scar.
More Tummy Tuck Frequently Asked Questions
I had the opportunity to talk about Tummy Tucks on KRON4′s Body Beautiful with host Janelle Marie. In fact, we talked so much, there was not time for the Abdominoplasty Before and After Pictures shown above. I will post a link to the Tummy Tuck Video next week, and include some exciting information about a new FDA approved product that is clinically proven to help fade tummy tuck scars faster.
Breast Augmentation remains the most popular Cosmetic Plastic Surgery Procedure performed in the US year after year. According to the FDA, Breast Implants are not considered lifetime devices. Breast implants may require maintenance, with as many as 25% percent of women with breast implants having Breast Augmentation Revision Surgery by 10 years post-op. With breast implants being around for over fifty years, and millions of Breast Implants placed, Breast Implant Revision Surgery has become its own specialty.
Breast Implant Revision Surgery Video Presentation
Dr. Joseph Mele appears on KRON4′s Body Beautiful to talk about Breast Augmentation (Breast Implant) Revision Surgery.
This month, I had the opportunity to discuss many popular Plastic Surgery procedures like face lifts, eyelid lifts and Breast Implant Revision Surgery on KRON4‘s Body Beautiful with Janelle Marie. Unfortunately, we ran out of time during this segment to show the before and after pictures, so I have include some below. More before and after photos are available on my main website and my San Francisco Breast site.
Why Breast Augmentation Revision?
There are many reasons for Breast Augmentation Revision Surgery. The most frequent is to change size, but sometimes the reason is not purely elective. Here are a few of the more common reasons:
Breast Augmentation Revision After Breast Implant Deflation
The dramatic asymmetry above was caused by deflation of the left breast’s saline filled breast implant. While the saline is quickly and safely absorbed, its exit rapidly returns the breast to its pre-augmentation size. The after photo shows the result after breast implant replacement surgery.
One common reason for Breast Augmentation Revision is to correct Breast Implant Deflation. A deflation can significantly change the shape of the breast, and this is most dramatic for saline filled breast implants. A deflation can, within a few hours, return the breast to its pre-augmentation volume. Breast Implant Replacement Surgery is usually quick and simple, because the breast implant’s pocket is already made. The recovery is also quicker with much less discomfort than the first time around.
Breast Augmentation Revision For Capsular Contracture
Capsular contracture is the term used for when the scar the encapsulates the breast implant tightens around the implant. This can make the breast feel hard and move the implant. Breast implant malposition of the right breast is seen above. The capsular contracture has pushed the breast implant upward, causing an obvious asymmetry both in and out of clothing. The after picture shows improvement after a capsulotomy and capsulectomy to correct the breast implant malposition and soften the breast.
Capsular Contracture can make the breast feel hard and move the breast implant. Usually, the breast implant’s capsule is soft and provides important and necessary support for the breast implant. In some cases, the capsule thickens or becomes tight, making the breast firm and moving the breast implant. When an obvious distortion, like that seen above occurs, Breast Augmentation Revision Surgery can help. By opening up the capsule with a capsulotomy, or removing a thick capsule with a capsulectomy, the breast is softened, and the breast implant is returned to a more natural position.
Breast Augmentation Revision For Surface Scar Revision
The before pictures show a wide-spread, irregular, pale scar within the pigmented areolar skin, distracting from the otherwise beautifully shaped breasts. The after picture shows what can be accomplished with scar revision. The scars are now thin, smooth and hidden along the edge of the areolae.
Capsular Contracture is the result of the internal scar becoming thick or tight. When the surface scar becomes thick, tight or wide-spread, scar revision surgery may be able to help. As a Board Certified Plastic Surgeon, my goal is to always get the best scar possible. Sometimes, despite meticulous technique, the skin does not cooperate. Scar revision gives us another chance at getting the scar to heal nicely. While no surgical procedure is perfect, scar revision can help smooth the contour of many scars and provide a more aesthetic and pleasing result. The scar above was widespread and pale, making it an obvious distraction. By moving the scar to the edge of the areola, smoothing out its contour and slimming its width, the scar can be made to blend into the normal anatomy.
There Are Many Breast Revision Surgeries
Breast Augmentation Revision Surgery encompasses a wide range of Aesthetic Breast Procedures, the procedure that will work best for you will vary, so be certain to consult a Board Certified Plastic Surgeon, experienced in both primary and revision breast surgery, before making any medical decisions.
Body Beautiful is a live show, so anyone watching could call in and have their questions answered. The (415) number shown during the broadcast is only for the live show, but if you have Breast Augmentation (Breast Implant) Revision Surgery Questions, call my San Francisco Bay Area Plastic Surgery office directly at (925) 943-6353.
Breast Implant Revision Surgery as seen on KRON4 TV
Frequently Asked Breast Augmentation (Breast Implant) Revision Surgery Questions
The Breast Implant Revision Surgery Video embedded above answers many of the most frequently asked questions about Breast Augmentation Revision. Some of the information covered includes:
When is Breast Augmentation Revision indicated?
Change in Breast Implant Size?
Breast Implant Deflation?
Breast Implant Malposition:
Breast Implants Too High
Symmastia or Uniboob
Breast Implants Too Far Apart
Breast Implants in the Axilla (Armpit)
With Breast Implant Removal, is a Breast Lift Necessary?
Can a Breast Implant be Moved Under or Over the Muscle?
How can I Pick a Good Breast Implant Size?
How is Breast Implant Revision Surgery performed?
What is the Recovery Time of Breast Implant Replacement/Exchange?
How do I Know if I Need Breast Augmentation Revision?
Who can perform Breast Implant Revision Surgery?
What is the More Common Breast Implant Revision, Increasing or Decreasing the Size?
More Breast Implant Revision Surgery & Breast Augmentation Revision Information
More information about Breast Implant Revision Surgery and other Breast Augmentation Revision Surgeries is available by clicking on the headings under “Categories” in the column to the left, or by visiting my San Francisco Breast website’s Breast Implant Revision Page
Other Segments from This Month’s Body Beautiful
To view other plastic surgery video segments from this month’s show, click on the following links:
Heavy eyelids droop, making us look disinterested or tired. In the extreme, a sagging upper eyelid can block upward and lateral vision. Baggy lower eyelids, on the other hand, won’t block your vision, but they do make us look tired, and can add years to an otherwise youthful face.
Every Blepahroplasty is Different
When it comes to eyelids, Plastic Surgeons are here to help. By removing excess eyelid skin and fat, the Blepharoplasty can reduce the skin folds and open the eye. Every Cosmetic Plastic Surgery, requires specific techniques for individual anatomy. This is particularly important for eyelid surgery.
Male Eyelid Surgery (Blepharoplasty)
Men have differently shaped upper eyelids than women, and require specific attention to the masculine details for the best results. Overcorrecting, or worse over elevating the brow above the, male eyelids leads not only to a surprised look, but also a feminization of the male upper face. Most men do not look better with feminized eyes. Male Blepharoplasty must be performed carefully to get rid of the tired look and maintain the masculine anatomy.
Asian Eyelid Surgery
Asian Eyelids require different techniques than caucasian eyelids. The Asian eyelid attachments and the location of the upper eyelid fat pads are different than the Caucasian equivalent. While eyelid surgery can be used to open the eyelids, it may not be desirable to round the eye opening too much. Julie Chen recently made headlines when she disclosed that she had eyelid surgery to change the shape of her eyelids, after she was told by an agent that she looked bored and disinterested when interviewing a guest due to the heaviness of her upper eyelids.
Blepharoplasty aka Eyelid Lift Surgery Video Presentation
Dr. Joseph Mele appears on KRON4′s Body Beautiful to talk about Eyelid Lifts (Blepharoplasties).
This month, I had the opportunity to discuss popular Facial Plastic Surgery procedures like face lifts and eyelid lifts on KRON4‘s Body Beautiful with Janelle Marie. Before and after pictures were provided, as well as many of the options available for today’s San Francisco Bay Are Eyelid Lift patients. Caucasian and Asian Eyelid lift techniques used to restore more briliant looking eyes are reviewed.
Body Beautiful is a live show, so anyone watching can call in and have their questions answered. The (415) number shown during the broadcast is only for the live show, but if you have Blepharoplasty (Eyelid Lift) Questions, call my San Francisco Bay Area Plastic Surgery office directly at (925) 943-6353.