Hi. 50y.o. male, 5'10" 170#. Believe it or not, I actually workout, and have workout on a regular basis for most of my life. always had issues with abdominal fat as well as gynecomastia. Gyno thought is was just fat, but incidentally found to have breast tissue on CT scan. Would like to consider these procedures, but am concern about loose/sagging skin post procedure. How likely is that to occur? anything else I should be aware/ask at consult.
Answer: Gynecomastia surgery and abdominal liposuction Based on your description of the problem, your height/weight ratio and your photos you are an excellent candidate for these procedures. It appears that you do have a bit of loose skin already on your chest and abdomen, however it is unlikely that these surgeries will impact that to a great deal. For example, I can see that your belly button is more horizontal than round, so I know that there is a bit of extra skin there. Having said, that, it does not look like you have too much extra skin to do the procedures. This is where an in person evaluation is helpful, as the skin can be examined in person and a surgeon can show you before and after photos of similar patients. At a consultation, your past medical history will be reviewed, a physical exam will be conducted and a surgeon will let you know if you are a good candidate for the procedures, as well as give you a quote for the procedures. The other things that will be discussed are surgical details (scar position, length of surgery etc), expected outcomes, recovery time and a good description of what recovery is like as well as risks of both procedures. Other questions you may have may be specific to your lifestyle, such as questions about getting back to your particular line of work and your specific sports. All the best to you, Dr. Nancy de Kleer
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Answer: Gynecomastia surgery and abdominal liposuction Based on your description of the problem, your height/weight ratio and your photos you are an excellent candidate for these procedures. It appears that you do have a bit of loose skin already on your chest and abdomen, however it is unlikely that these surgeries will impact that to a great deal. For example, I can see that your belly button is more horizontal than round, so I know that there is a bit of extra skin there. Having said, that, it does not look like you have too much extra skin to do the procedures. This is where an in person evaluation is helpful, as the skin can be examined in person and a surgeon can show you before and after photos of similar patients. At a consultation, your past medical history will be reviewed, a physical exam will be conducted and a surgeon will let you know if you are a good candidate for the procedures, as well as give you a quote for the procedures. The other things that will be discussed are surgical details (scar position, length of surgery etc), expected outcomes, recovery time and a good description of what recovery is like as well as risks of both procedures. Other questions you may have may be specific to your lifestyle, such as questions about getting back to your particular line of work and your specific sports. All the best to you, Dr. Nancy de Kleer
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May 24, 2023
Answer: Fat injection to prevent sagging Hello from Istanbul! According to your pictures, there actually is some skin laxity. In cases like yours, we remove the breast tissue, decrease the fat tissue but inject some fat tissue into the upper part of the chest to prevent a saggy appearance and create a tighter, more natural look. Best of luck to you.
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May 24, 2023
Answer: Fat injection to prevent sagging Hello from Istanbul! According to your pictures, there actually is some skin laxity. In cases like yours, we remove the breast tissue, decrease the fat tissue but inject some fat tissue into the upper part of the chest to prevent a saggy appearance and create a tighter, more natural look. Best of luck to you.
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Answer: Reducing Post-Surgery Sagginess: Techniques and Technologies Certain techniques/technologies can reduce the probability of sagginess post-surgery: plaster technique (gynecomastia), Vaser/Ultrasonic liposuction, and compression garments. Proper skin assessment is a must.
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Answer: Reducing Post-Surgery Sagginess: Techniques and Technologies Certain techniques/technologies can reduce the probability of sagginess post-surgery: plaster technique (gynecomastia), Vaser/Ultrasonic liposuction, and compression garments. Proper skin assessment is a must.
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November 17, 2023
Answer: Gynecomastia surgery Thank you for your question and for sharing your photographs! I would need to examine you to best answer your question. Gynecomastia is often an inherited condition that cannot be improved without surgery. Fortunately, the condition can be treated with liposuction. With this technique, I make a small hidden incision in the areola (the colored area around your nipple) and use a combination of liposuction techniques with very fine cannulas to recontour the chest. This combination of liposuction techniques also helps to tighten the skin and create a smooth contour. I perform gynecomastia surgery in our office's fully-accredited operating room with IV sedation administered by board-certified anesthesiologists. For patients with more skin laxity, I sometimes combine liposuction with Thermage, a non-invasive, radiofrequency (RF) treatment that is clinically proven to help smooth, tighten and contour skin and can be done at the same time as surgery or during an office visit. I recommend you meet with a fully-trained plastic surgeon to discuss your goals and treatment options.
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November 17, 2023
Answer: Gynecomastia surgery Thank you for your question and for sharing your photographs! I would need to examine you to best answer your question. Gynecomastia is often an inherited condition that cannot be improved without surgery. Fortunately, the condition can be treated with liposuction. With this technique, I make a small hidden incision in the areola (the colored area around your nipple) and use a combination of liposuction techniques with very fine cannulas to recontour the chest. This combination of liposuction techniques also helps to tighten the skin and create a smooth contour. I perform gynecomastia surgery in our office's fully-accredited operating room with IV sedation administered by board-certified anesthesiologists. For patients with more skin laxity, I sometimes combine liposuction with Thermage, a non-invasive, radiofrequency (RF) treatment that is clinically proven to help smooth, tighten and contour skin and can be done at the same time as surgery or during an office visit. I recommend you meet with a fully-trained plastic surgeon to discuss your goals and treatment options.
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August 17, 2023
Answer: Gynecomastia treatment Thank you for sharing your pictures! Gynecomastia is often an inherited condition that cannot be improved without surgery. Fortunately, the condition is often easily reversed with liposuction just by making a small incision under the nipple reducing the size of the breast using virtually a scarless technique. Liposuction with ultrasound and fine laser beams liquefy the fat and glandular tissue recontouring the breast around the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible. Our office also offers a treatment called Thermage. Thermage® is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime, and can be done at the same time as surgery or in an office visit. Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort. While you will see an improvement immediately, Thermage® usually takes up to 6 months to see the maximum result and this improvement is said to last approximately 18 months. Often patients repeat Thermage® more often to get additional tightening. Seek examination from a board-certified plastic surgeon familiar with these improved approaches to discuss the best options for you.
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August 17, 2023
Answer: Gynecomastia treatment Thank you for sharing your pictures! Gynecomastia is often an inherited condition that cannot be improved without surgery. Fortunately, the condition is often easily reversed with liposuction just by making a small incision under the nipple reducing the size of the breast using virtually a scarless technique. Liposuction with ultrasound and fine laser beams liquefy the fat and glandular tissue recontouring the breast around the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible. Our office also offers a treatment called Thermage. Thermage® is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime, and can be done at the same time as surgery or in an office visit. Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort. While you will see an improvement immediately, Thermage® usually takes up to 6 months to see the maximum result and this improvement is said to last approximately 18 months. Often patients repeat Thermage® more often to get additional tightening. Seek examination from a board-certified plastic surgeon familiar with these improved approaches to discuss the best options for you.
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