Dr. Linder's Blog
Category: Male Body Contouring
Over the past year, I have seen an increase in the procedure gynecomastia. Gynecomastia surgery is a procedure to reduce enlarged male breasts. I believe the stigma for cosmetic surgery for men has disappeared, and men are excited to correct the size and shape of their breasts.
For men who feel self-conscious about their over sized breasts, this procedure can help restore self-confidence and appearance. For more information, contact our office at 310-275-4513 or fill out our online contact form.
There are quite a few things you can do before and after a liposuction procedure to ensure you get the best results. Start with selecting a qualified surgeon who is board certified by the American Board of Plastic Surgery, be sure to eat a healthy diet and exercise regularly for optimum health, and do not smoke or take any anti-coagulant medications for about two weeks before the procedure. The best liposuction candidates are not markedly overweight and do not have a significant amount of loose, sagging skin. After the procedure, lasting results can be achieved with liposuction if you follow these tips:
Wear Your Compression Garment
After liposuction, your body’s natural response is to fill the treated area with fluid. Wearing a compression garment will reduce the pain and swelling that results from surgery, and it will also help the body take on its new and improved shape. Most patients wear their garments constantly for at least two weeks or until the swelling has gone down, and some prefer to wear them much longer for comfort. I prefer that my patients wear their garments for six weeks after the procedure.
Maintain a Healthy Diet
Right after the procedure, it is important to drink plenty of liquids to stay well hydrated. The body swells for several days, which is why more liquids are necessary to prevent dehydration. Restricting your fat and calorie consumption later after surgery can significantly improve the long-term outcome of liposuction. While you won’t gain fat in the treated areas as easily, it is still quite possible if you are not careful. A healthy diet can help maintain your results and possibly enhance them. Remember that liposuction is not a substitute for weight loss, and it is not a safeguard against weight gain.
It is important to avoid being sedentary early on during recovery. Walking at a comfortable pace will help reduce the risk of blood clots, which is a complication that can occur after any surgery. It will also help you to feel better and more “normal” after the procedure. You should not become a “couch potato” after the procedure, but strenuous exercise also must be avoided for four weeks. With less fat after liposuction, many patients tend to see results from exercise more quickly, and this motivates them to continue with a healthier lifestyle. Looking better helps to make it easier and more fun to exercise.
Some people heal more quickly than others, so it is difficult to generalize when your best results from liposuction will appear. Initial swelling goes down over the first few weeks. A smaller amount of swelling can last for a few months. The skin may also gradually tighten somewhat over several months, which is why the final result takes several months to become complete. No matter how long it takes to fully recover, the long-term results of a slimmer, more proportionate body from the procedure are generally the same for all patients.
STATUS POST MASSIVE WEIGHT LOSS
The patient to the left presents with massive weight loss, weighing over 340 pounds, having had a laparoscopic banding procedure (gastric bypass surgery), lost over 140 pounds, now weighs 200 pounds even. He has massive amounts of skin from the chest area extending to the lateral breast and extending down to the pannus. He will undergo a partial subcutaneous mastectomy with tumescent lipectomy, lipo-sculpting of the lateral chest area as well as a full panniculectomy or large abdominoplasty with umbilical hernia repair with our general surgeon as well as lipo-sculpting of the hip region.
The second photograph shows the patient undergoing a partial mastectomy. Tissue is being removed in the retroareolar plane, extending to the fascia over the pectoralis major muscle. Once this tissue is removed, complete lipo-sculpting of the rest of the chest from the infraclavicular, parasternal, inframammary into the lateral anterior axillary line was performed. Subsequently, at this time a mastopexy or lift will not be performed. We will determine how much skin tightening occurs and then on a separate stage several months from now a breast lift may be required in order to tighten up representative skin. Looking at the pannus, there is a massive overhang. He does have an umbilical hernia on examination and the general surgeon will be repairing this. In the operating room he was found to have rectus diastasis. The muscles were plicated. The hernia was repaired.
The postoperative photo here on the operating table shows the chest is softened immensely. There is great smoothing out of the chest wall as well as reduction of the lipodystrophy of the lateral breast chest area. Notice the incision is hip-to-hip and there are three drainage tubes in. The abdominal wall is now flat. The patient has done extraordinarily well.
Patients present after massive weight loss laparoscopic banding procedures for tummy tucks, paniculectomies and gynecomastic surgeries or possible breast lifts. This is an excellent example.