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Gynecomastia Grading System

Friday, April 5th, 2013

In medicine, we use grading systems to be able to communicate how severe a condition is as well as what the potential best treatment is for that grade. Gynecomastia is no different and yes, there is a grading system for gynecomastia as well. There are several grading systems for gynecomastia. However, the American Society of Plastic Surgeons has adopted the following system which is clear ….

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Gynecomastia Surgery: What to Expect

Friday, March 29th, 2013

Gynecomastia surgery is becoming very commonplace. As a plastic surgeon specializing in gynecomastia surgery, I spend a considerable amount of time discussing the procedure and the recovery with my patients. In a previous post I discussed the different surgical options for gynecomastia based on how the patient presents. The surgical technique needs to be tailored to that specific patient’s form of gynecomastia. In this post, ….

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Gynecomastia Surgery Options

Friday, March 22nd, 2013

Gynecomastia is a condition that affects men of all body types. Once other causes of gynecomastia, such as medications, hormone imbalance, and other endocrine issues have been ruled out, surgery can be considered as treatment. There are different types of gynecomastia, and accordingly the surgical procedure should be tailored to treat the type of gynecomastia that patient has. In some men, their gynecomastia is all ….

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Causes of Gynecomastia

Friday, March 15th, 2013

Gynecomastia is a relatively common problem affecting males of all ages.  While some males who present with gynecomastia have no identifiable cause for their gynecomastia, it is not to say that there aren’t known causes of gynecomastia.  In fact, there can be many different causes of gynecomastia. In this entry I will categorize the main causes of gynecomastia. The broad categories of gynecomastia include endocrine, ….

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Puffy Nipples

Friday, March 8th, 2013

Gynecomastia comes in all shapes and sizes. One form of gynecomastia that is relatively common is referred to as “puffy nipples”.  This type of gynecomastia is typically present in normal or thin build males, but may occur in males of all body types. But what causes puffy nipple? To answer this one must have an understanding of what makes up the male chest. Every male ….

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Gynecomastia: Psychosocial Implications

Friday, March 1st, 2013

Gynecomastia is a relatively common occurrence in men. Males with gynecomastia can not only have physical symptoms, such as pain, but also psychological issues.  Most men who develop gynecomastia feel a sense of embarrassment. This is especially true in the adolescent population. A fair number of boys (40-65%) develop some form of gynecomastia during puberty.  In a majority of these boys the gynecomastia resolves.  However, ….

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What is Gynecomastia

Friday, February 22nd, 2013

Gynecomastia is quite literally defined as female breast (from the Greek words gyne and mastia).  It is a condition where males develop increased tissue in their chest. Gynecomastia can take on different forms and depending on the type of gynecomastia, the treatment will differ. One form of gynecomastia involves a firm mass centered underneath the areola. This is predominantly breast tissue and can be painful ….

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Physiologic Gynecomastia

Friday, February 15th, 2013

Gynecomastia is a condition where the male chest takes on a more feminine appearance. There are many causes of gynecomastia.  However, there are instances where gynecomastia is a natural part of a male’s life cycle. This is referred to as physiologic gynecomastia. Physiologic gynecomastia occurs in three phases of a male’s life.  The first phase is in the newborn period. Here the newborn still has ….

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Buyer Beware

Friday, February 8th, 2013

What is the difference between a plastic surgeon and a cosmetic surgeon? A plastic surgeon has trained specifically in the field of plastic surgery for a minimum of two years. This is in addition to three to five years of general surgery training. A cosmetic surgeon is not necessarily a plastic surgeon. Some dermatologists, gynecologists, or internists refer to themselves as cosmetic surgeons. The field ….

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Body Dysmorphic Disorder and Plastic Surgery

Friday, February 1st, 2013

The last eight years have seen a boom in cosmetic plastic surgery procedures. Patients of all ages, races, and genders have come into plastic surgeons’ offices in the search for self-improvement. There is a small, but real, subset of patients that are looking for more than what a plastic surgeon can deliver. These patients have body dysmorphic disorder. In short, this is a disorder of ….

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Over the Counter Scar Treatments

Friday, January 25th, 2013

Just walk down the aisle of your local pharmacy or grocery store and you will see no shortage of scar creams and treatments. Usually when there are multiple ways to treat something, it’s because there’s no one good treatment. But, there are some treatments that are better than others. So I am going to talk about some of the most common ones that patients bring ….

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Buccal Fat Pads – What are they and what can be done about them?

Friday, January 11th, 2013

Being in the heart of “Tinsel Town” there is an emphasis on image. When talking about the face, a chiseled look in men and a thinner look in women’s faces are requests that I have from certain patients. But what makes one face round and another face sculpted? Well, there are many things that contribute to facial shape, from bone structure, to the facial muscles ….

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Browlift or Upper Eyelids?

Friday, January 4th, 2013

Some patients who see me for upper eyelid surgery really need a browlift (or forehead lift). For the average person it’s sometimes hard to tell whether they need their upper eyes done, or their brow lift, or a combination. The position of our eyebrows is important in what kind of expression we show. If the inner part of our eyebrows goes downward, it gives us ….

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Botox vs Filler – Not All Lines Are Created Equal

Friday, December 28th, 2012

As a plastic surgeon who performs many injectable procedures, one of the most common sources of confusion is when Botox should be used for a line and when a filler is better. Some doctors only use botox on their patients, while my practice uses both. Regardless, the answer to this question requires knowledge of what caused the line in the first place. The line or ….

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Fillers – Just the Facts

Friday, December 21st, 2012

As a plastic surgeon, I perform non surgical procedures on a daily basis. One of the most popular procedures are filler injections. The most popular filler in my practice is Juvederm. Fillers are a great way to feel rejuvenated without breaking the bank or having significant downtime. But what is Juvederm and where is it used? Well, keep reading for the answers. Juvederm is a ….

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Botox for Scowl Lines

Friday, December 14th, 2012

Some of you may have seen advertisements for Botox on TV or in magazines. The ads typically talk about erasing the “elevens”. But what does that mean and how does Botox do this? There are many muscles in our face, each designed to perform certain functions. The corrugator muscles are mainly responsible for the scowl expression, the one that causes the vertical lines between the ….

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Botox – How does it Work?

Friday, December 7th, 2012

Botox has been used cosmetically for over 20 years and has been FDA approved for over 10 years for the treatment of scowl lines. But how does Botox work? Well, keep reading to find out! Botox works to reduce or eliminate lines that are caused by muscle contraction. Certain muscles in the face, when activated cause predictable lines in the skin. Over time with repetitive ….

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Botox – Some Historical Facts

Friday, November 30th, 2012

As a board certified plastic surgeon, one of the most common procedures I perform is Botox injections. Botox is synonymous with plastic surgery and has been around for a long time. But how much do you know about Botox and its history? Well, keep reading and to find out! Botox was first used cosmetically in 1989 after years of use for things such as strabismus, ….

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LipoDissolve – Just the Facts

Friday, November 23rd, 2012

Lipodissolve, also known as injection lipolysis, uses a mixture of emulsifying chemicals (lecithin and cholic acid) that is injected under the skin to the targeted fat areas. This is a non-FDA approved treatment method. Lipodissolve is certainly not a replacement or alternative to liposuction. It is best viewed as a fat removal technique when any form of liposuction is a bigger solution than the problem ….

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Thread Lifts – Just the Facts

Friday, November 16th, 2012

The mantra that “less is more” pervades our society. We are always trying to get maximum results with minimum effort. Plastic surgery is no different and as the trend towards less invasive techniques has grown, it is important to ask the question: Is less really more? Threads are basically barbed sutures attached to a needle. They are passed under the skin usually under local anesthesia. ….

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Thermage – Just the Facts

Friday, November 9th, 2012

In my review of non-surgical technologies I decided to write a blog about Thermage. What is it, what does it do, what does it not do, and who are good candidates for this modality? Thermage is a non-invasive procedure that uses radiofrequency waves applied to skin. This leads to heat injury to the deeper structures in the skin, which can then lead to tightening of ….

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Smart Lipo – Just the Facts

Friday, November 2nd, 2012

When I am doing a liposuction consultation, I frequently get asked about Smart Lipo; so much in fact that I decided to write a blog about it. Smart Lipo has been around in Europe for over 10 years. It was FDA approved in the U.S in October 2006. It is a laser (1064nm ND:YAG to be specific) that serves to rupture fat cells.  At the ….

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Endermologie – Does It Really Work?

Friday, October 26th, 2012

Endermologie is a non-invasive technique targeted to treat cellulite.  It was originally developed in the 1980′s as a non-surgical method to treat scars in burn victims. These patients began to notice improvements in their cellulite and soon endermologie was considered by the FDA the first cellulite treatment. Endermologie is a massage machine with two rollers that apply positive pressure to the skin while at the ….

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Silicone Breast Implants

Friday, October 19th, 2012

The FDA took silicone implants off the market back in 1992 amidst reports that the silicone product was causing a wide variety of ailments in women who had the implants and had them leak. Many studies were done to prove one way or another that the silicone was responsible for one or all of the ailments afflicting these women. There was no conclusive evidence that ….

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So What is a Bra Size?

Friday, October 12th, 2012

Our society is focused on bra size. It’s in the magazines, television ads, and movies. This has a not insignificant impact on women and their overall sense of femininity.  But how many people really know where the measurements come from and what makes the difference between one size and another? Let’s start off with a break down of the bra size. I’ll use 34B as ….

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