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By admin on October 30, 2009
We have many requests for chin augmentation for those with “weak” or small or retrusive chins. When looking at a profile of a person, the chin should protrude to about the vertical level of the lower lip, or slightly behind. When the chin is set back from that position, it is hereditary and the result is an improper jaw/neck ratio. This often makes the neck look fatty or droopy and the lower lip protrude too much. The symmetry of the face and neck is off balance. Oddly, many of these patients also have a large nose, and reducing the size of the nose while augmenting the chin makes a remarkable improvement.
Chin implants are usually made of silicone and are inserted through an incision just under the chin. They must be sized before hand so they protrude in relation to the defect. Many times the implant must be longer than usual, extending much further to the sides. This is why the planning stage must be carefully performed. The procedure can be done under local anesthesia or a light general anesthesia. Recovery requires a light dressing and one can expect significant swelling for two to three weeks. Because of the swelling, the final appearance will not be seen for at least 3-4 months, although at one month the appearance will be much better than prior to surgery.
An easier, faster, but temporary alternative is injection with a product like Sculptra, Juvederm, or other injectables. Sculptra will last about two years and the others about a year, and injections require no anesthesia. The injections also give you an idea of whether you like the new appearance. If you want something permanent at a later date the implant can be inserted.
By admin on October 28, 2009
Gynecomastia, a medical word from the Greek words for “women-like beasts” affects one out of every ten men. Enlarged breasts on young boys last only a few years and are generally resolved by age 18. Enlarged breasts on a man; however, can be uncomfortable, as well as socially and psychologically embarrassing. They often won’t ware T-shirts of go swimming because of exposure to their deformity. Gynecomastia may be associated with obesity, hormonal imbalance, liver disease or certain medications may cause the problem. The most common medicines are anabolic steroids which elevate testosterone or testosterone itself, which is being prescribed more frequently, as it should be. Some of the testosterone converts to estrogen and that is what causes the enlarged breasts. Other medications causing gynecomastia are Avodart, Pepsid, Tagomet, Lanoxin, Prozac and others found on Google. For those on testosterone, Arimidex may be taken, which reduces the conversion of testosterone to estrogen. Blood tests are necessary by your physician to determine your estrogen levels.
Male breast reduction can be performed as an outpatient surgical procedure under local or general anesthesia. If the gynecomastia is primarily caused by fatty tissue, liposuction is usually the procedure of choice. However, if gynecomastia is the result of a glandular disorder and consists of an actual breast gland, liposuction alone is not likely to be adequate. This can be identified by feeling a firm core just under the nipple. If this is the case, and it often is, surgical excision of the core will be needed. Usually, liposuction is also needed to remove any excess fat surrounding the core.
If the patient’s breast is very large and aging, then an entirely different procedure is necessary, removing both breast and skin. This is a much more involved procedure and can be discussed in another blog.