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What Are the Best and Worst Exercises After Your Mommy Makeover?

3 Minute Read: 

Following your Mommy Makeover surgery, you want your results to be long lasting so that you can enjoy many years of renewed self-confidence.

To keep your sexier curves looking, so you need to maintain your weight through exercise and eating right. With the right maintenance, your results can last a lifetime.

Young mother wrapping her arms around her young daughter, sitting on bed

Maintaining Your Mommy Makeover Results

An active and healthy lifestyle in the long term is the best way to preserve your Mommy Makeover and maintain good health. 

Being active not only helps you maintain a healthy weight but also keeps your muscles strong and defined. Major weight fluctuations can impact your results, which is why it is recommended to keep up with a consistently healthy lifestyle that includes a proper diet and a regular workout routine.

But like any major surgery, your body needs some time to recover before your start to exercise. 

What Happens if I Start Exercising Too Soon?

Working out too soon after surgery can lead to injuries, infections, and other complications that can diminish your results (by separating incisions) or lead you back to the operating room. Therefore, it is important to wait until you are fully recovered, and your doctor has cleared you to exercise.

Even with clearance, introduce your body to the appropriate exercises in a gradual manner without pushing yourself too hard. 

No strenuous exercise (of any kind) is permitted for at least six weeks.

After this point, lower body exercises are recommended. So, bodyweight squats, lunges, walking, and light cardio are good choices. Just make sure to avoid any exercises that involve the upper body area or bouncing-type motions until you have fully recovered (if you have undergone breast procedures like breast augmentation).

As the old saying goes, walk before you can run. That way, you will build endurance while keeping your enhanced contour looking fit and toned.

Best Exercises to Consider When Fully Healed

To keep your entire body in good shape, consider aerobic exercises that stretch your entire body. Set aside time to do some walking, running, biking, or jogging daily to keep those extra calories off and keep your body lean.

You will also need to focus on area-specific exercises that include:

Tummy Strengthening Exercises

If you had your abdominal muscles repaired along with your tummy tuck, core exercises can help strengthen the muscles. 

For instance, planks and crunches are a good way to work your midsection.

Crunches place a lot of tension on your healing abdomen. Be sure to check with your plastic surgeon before starting any sit-up routine.

Breast Tightening Exercises

To keep your breast firm and lifted, you will need to develop the muscles underneath your breasts. 

Exercising your chest muscles through pectoral exercises such as chest press, dumbbell bench press, dumbbell chest fly, or push-ups can develop your muscles and maximize your chest appearance over time.

Interested in Learning More?

To learn more about the Mommy Makeover procedure or how best to maintain your results, don’t hesitate to get in touch with us at 202-966-9590 or fill our online form to schedule a consultation.

Which Procedures Should I Undergo as a Part of My Mommy Makeover?

3 Minute Read: 

Many women wish to undergo a Mommy Makeover after childbirth to regain their pre-pregnancy body and feel like themselves again. Since the surgery is a combination of various procedures, it is important to determine which procedures will benefit you the most.

Mother walking along the beach with her children.

It is expected that the specifics of the surgery will change depending on a patient’s needs. While some mothers want to get rid of their bulging belly or eliminate excess skin, others want to enhance the shape and volume of their sagging breasts.

What Are the Most Common Mommy Makeover Procedures?

Both pregnancy and childbirth have a significant impact on a woman’s body, so a Mommy Makeover tends to include breast enhancement and a range of body contouring procedures. Individuals can also choose to have additional procedures to address their unique concerns.

Remember, the goal is to create a youthful, more toned appearance, so individuals can look and feel their best in every aspect. Having multiple procedures performed in a single session allows a patient to enhance different areas of the body with a single recovery. 

The most common procedures to consider as part of your Mommy Makeover include:

Breast Augmentation

It is common for breasts to droop and lose much of their overall volume and firmness, especially after breastfeeding. As part of your Mommy Makeover, your surgeon may recommend breast augmentation with implants to restore volume and shape and create the more attractive cleavage women desire.

Breast Lift

A lift focuses more on trimming away the excess skin and tightening the underlying breast tissue to address the effects of sagging breasts.

Tummy Tuck

A Mommy Makeover can include tummy tuck surgery to tighten the stretched-out abdominal muscles and remove excess skin for a firmer and smoother midsection.

Liposuction

Liposuction’s purpose is to slim a specific area, such as your arms, thighs, abdomen, buttocks, etc., by eliminating unwanted fat and improving body proportion.

Fat Transfer

Those undergoing liposuction may also benefit from fat transfer by enhancing other areas of the body that lack volume.

Vaginal Rejuvenation

Vaginal rejuvenation may include labiaplasty (reduction of the labia minora) and monsplasty (fat and skin reduction of the mons pubis) to improve the aesthetics of the vulva region.

Increasingly, women are also including non-surgical treatments in their Mommy Makeover treatment plan. This approach can still achieve significant improvements when performed on the right patients.

When it comes to recovery, no two individuals are the same. Generally, the more the procedures, the longer your recovery will be, with the most extensive procedure dictating how long it will take to fully recover.

How Do I Tell Which Procedures Work Best for My Situation?

The best way to determine which procedures will be most beneficial is to schedule a consultation with a board-certified plastic surgeon for an assessment of your problem areas. We will work together to create a surgical plan that takes your unique goals into account for the best outcome. 

Contact us today at 202-966-9590 or fill our online form to get started.

Am I Too Old to Have My Ears Pinned?

3 Minute Read: 

For men, women, and children with large or overly prominent ears, everyday life can feel frustrating, especially if they are victims of cruel taunting and bullying by their peers. Fortunately, otoplasty (ear pinning) can offer a relatively simple solution to the problems associated with the size, shape, and prominence of the ears.

Doctor touching a woman's ear that they are about to pin back.

The ear pinning surgery is commonly performed on children of ages six to 14. By the time a child is six, the ears are almost the size they will be as adults. That means they are ideal candidates for the procedure.

While there are significant benefits to otoplasty as a child (children tend to heal well and quickly, and because they are getting the treatment at a young age, there is less opportunity for others to criticize their ear appearance), adults can also benefit.

Can I Get Otoplasty as an Adult?

Adults are often interested in the procedure for the same reasons parents seek cosmetic ear surgery for their younger children.

Perhaps your parents never explored otoplasty surgery for you and are wondering if you might be too old for the procedure. Well, it is never too late to have the ears you have always wanted. 

Many adults have successful otoplasty surgeries each year, helping them gain more confidence and express themselves more freely.

What Are the Benefits of Otoplasty as an Adult?

One of the most significant benefits of getting otoplasty done as an adult is you will be more careful with the aftercare, reducing the likelihood of developing a post-operative infection. A headband-like bandage must be worn for a short time during recovery, and proper aftercare must be observed. 

An adult is more diligent about post-operative care, which helps facilitate a better outcome of the procedure.

The procedure also provides a number of psychological and physical benefits for adults with abnormalities in the structure of the ear. Many adults with large, misshapen, or protruding ears spend most of their lives feeling self-conscious about their appearance, so it helps to finally get that out of the way and enjoy a life-changing transformation with increased self-confidence.

Further, an adult patient is better suited to make an informed choice and understands why they would need the surgery, instead of a young child who may have the procedure performed because it is their parent’s choice and not entirely theirs.

How Long Is My Otoplasty Recovery?

Recovery is unique for every patient, though most individuals can expect to return to work and light activity in about seven to 10 days. Full recovery can take up to six to eight weeks as the swelling subsides.

Interested in Learning More?

If you are dissatisfied with the look of your ears and want to transform your appearance with an otoplasty procedure, don’t hesitate to contact us at 202-966-9590 or fill our online form to schedule a consultation

It is extremely important that you choose a highly skilled surgeon in adult otoplasty. At DAVinciPlastic Surgery, we work with each patient individually and recommend a customized surgical plan to help achieve your ideal results.

Monsplasty Vs. Labiaplasty: What Is the Difference and Who Can Benefit?

2 Minute Read: 

It’s not uncommon for women to choose genital cosmetic surgery to enhance or rejuvenate their intimate area’s appearance or alleviate symptoms and feelings of extreme self-consciousness. 

Childbirth, aging, trauma, genetics, or weight gain can take a cosmetic and functional toll on a woman’s genital area.

Close up image of woman's abdomen with her hands over her white underwear.

Monsplasty and labiaplasty are some of the most commonly performed procedures that seek to address a less than satisfactory genital area. It’s important to understand the difference between the two procedures since they correct different conditions.

What Is Monsplasty?

Monsplasty is a procedure designed to reduce bulging of the mons by tightening the underlying muscles and tissues. Many women with an enlarged mons pubis (the area between the lower abdomen and the pubis) find shopping for clothes very difficult due to the bulge of excess skin and fat that can show through certain types of clothing or during certain activities. The excess skin may interfere with normal vaginal function and urination as well.

What Does Monsplasty Do?

Having a monsplasty procedure performed can help you achieve a flat abdomen, leaving you with a more aesthetically pleasing contour and improved vaginal function. This is done through a small incision below the bikini through which the excess fat is suctioned and sagging skin is sculpted and tightened to enhance the pubic mound.

What Is Labiaplasty?

Infographic showing the differences between labiaplasty and monsplasty.Many women may experience enlarged inner or outer labia or develop excess labial tissue, particularly after childbirth. Large labia may interfere with regular activities like exercise or sexual intercourse or create an undesirable appearance in certain clothing choices, e.g., fitness leggings or swimsuits. This can cause discomfort as well as hygiene challenges, skin infection, and friction as a result of the protruding labia.

What Does Labiaplasty Do?

These concerns can be addressed with a labiaplasty procedure, which aims to reshape and reduce the size of the labia, making it more natural-looking and functional.

Depending on the specific needs and goals of a patient, your surgeon will use various techniques to guarantee the best possible outcome. The trim technique reduces the size of the labia minora while the wedge procedure removes a wedge of tissue from both sides of the labia, and then the remaining edges are stitched together.

Interested in Learning More?

If you are looking for ways to enhance your mons pubis area or want to reduce the size of large or sagging labia, we can help. Both procedures are very delicate and will require the best surgeon’s hands. Our surgeons will work with you through each step to deliver the results you desire.

Contact us today at 202-966-9590 to schedule a consultation and determine what procedures will be needed to help rejuvenate your female genitalia.

What Are the Best Hairstyles for You While Recovering From Otoplasty?

3 Minute Read: 

One of the many benefits of otoplasty surgery is being able to wear your hair up with confidence. Recovering from otoplasty surgery is an exciting time as you excitedly wait to show off your new ears. 

Woman with long, wavy, and healthy hair covering her ears.

However, some patients may wish to conceal their ears during their recovery. Keep reading for some helpful hairstyles that you can rock as you heal.

What Is Otoplasty?

Otoplasty is the medical term for cosmetic ear surgery or ear pinning surgery. This procedure is meant to improve the contour, shape, position, or size of a person’s ear. While it’s not the most well-known plastic surgery procedure, otoplasty can help people regain their confidence and self-esteem after dealing with ear-related insecurities.

Typically, people get otoplasty because:

  • They have overly large ears
  • They have ears that protrude significantly
  • They are unhappy with the results of a previous ear surgery

What Are the Best Hairstyles While Recovering From Otoplasty?

While otoplasty offers a fresh beginning that many individuals are excited about, the patient first must recover from the procedure. Some patients may wish to conceal their ears during the recovery process. 

To help, we have identified four cute hairstyles that women recovering from otoplasty can wear to cover swelling and fresh scars.

Half-Up Half-Down Updo

The beauty of the half-up half-down updo is that it gives you the best of both worlds. Half of your hair is pulled up to reveal your face, while the part that is down can be arranged to cover your ears. This hairstyle is also super quick to do, so you can opt for it even when you are in a rush.

Side Braid

A loose side braid looks chic and fits both a casual or a formal event. Not only is this look easy to pull together, but it also allows for your hair to cover the upper half of your ears. In fact, your entire ear will be covered on the side of your face that has your braid.

The Low-Low Ponytail

You can arrange a low ponytail (or a ballerina bun) where your hair still encompasses your ears. This hairstyle does envelope your face, so it’s generally recommended for women who don’t have an overly round face.

Front Bangs Updo

If you have been paying attention to fashion trends recently, you have likely noticed this look already. It’s when you take a simple updo and then pull out long pieces of hair on either side of your face. This gives you the false appearance of “bangs” and, luckily, happens to cover your ears.

What About Men Recovering From Otoplasty?

Unfortunately, it isn’t always as easy for men after otoplasty. Most men have shorter hair that doesn’t extend past the tops of the ears. 

If this is the case for you, discuss when you can start wearing loose-fitting hats after your surgery with your surgeon. Any garment worn over or around the ears should be very loose (as you don’t want a constricting hat, such as a baseball cap).

If you are concerned about the appearance of your ears while recovering, consider growing your hair out prior to your otoplasty. 

Interested in learning More About Otoplasty in Washington, DC?

You don’t have to live with ears that you are unhappy with. Book your otoplasty consultation with Da Vinci Plastic Surgery by calling 202-966-9590 or contacting us online.

 

Give Yourself the Gift of Confidence

3 Minute Read: 

It is finally the holiday season! With Christmas coming up, you may be trying to figure out what gifts to get the important people in your life, but what about yourself? You deserve to feel confident in all areas of your life. Give yourself the gift of confidence by finally undergoing the plastic surgery procedure you have always wanted. Many procedures work to correct the common insecurities among men and women. 

Christmas gifts in boxes sitting under a fir tree.

Use this guide to determine which plastic surgery procedures you will benefit your confidence levels the most this Christmas. 

What About Breast Augmentation? 

Large, firm breasts are often considered to be a sign of femininity. Women with small breasts often feel self-conscious and unhappy with their breast size. Breast augmentation surgery uses implants to enhance the size and shape of your breasts, giving you the appearance you have always dreamed of. If your unhappiness with your breasts’ size is holding you back, breast augmentation surgery can give you the confidence to achieve anything. 

What About Breast Reduction?

If you have naturally large breasts, you understand the struggles that come along with them. Women with overly large breasts often experience chronic body pain and unwanted attention. Additionally, overly large breasts can make you appear bigger in some clothing. By gifting yourself breast reduction surgery for Christmas, you can increase your quality of life by eliminating body pain and allowing yourself to feel confident in all of your favorite clothes.  

What About Gynecomastia Surgery? 

Gynecomastia is a medical condition where boys and men develop excess breast tissue, giving off the appearance of breasts. For men, the appearance of enlarged breasts can be embarrassing and emasculating. Gynecomastia surgery removes the excess breast tissue in men to provide a more masculine, defined chest. If you suffer from gynecomastia, you have the opportunity to increase your confidence with gynecomastia surgery. 

What About Liposuction? 

After losing a significant amount of weight, you may notice that the stubborn fat left on your body seems impossible to remove. Some fat is just resistant to diet and exercise, no matter how hard you try. After working hard to lose weight, the leftover fat can be discouraging. You have worked hard to lose all this weight—give yourself liposuction surgery for Christmas to help eliminate stubborn fat, contour your body, and increase your self-confidence. 

What About Rhinoplasty? 

The nose is directly in the middle of your face. This is frustrating for people who are insecure and unhappy with the size of their nose because there is no way to hide it. Rhinoplasty surgery can help you feel confident with your facial appearance by resizing and reshaping the nose. If you are insecure about your nose, start the new year right by giving yourself rhinoplasty surgery as a Christmas gift. 

Want to Learn More About Plastic Surgery in Washington, DC? 

If you are interested in learning more about how you can benefit from plastic surgery procedures this holiday season, call our office at 202-966-9590 or fill out our online contact form

How to Properly Recover After Rhinoplasty

3 Minute Read: 

The nose is the focal point of the face and is often one of the first things people notice. Rhinoplasty surgery can give patients unhappy with their nasal contour the confidence to achieve anything. However, a successful recovery is necessary to obtain ideal results. 

Woman recovering from rhinoplasty while wearing bandages on her nose.

Since the nose is difficult, if not impossible, to conceal, it is important to accept that changes will need to be made; however, if you follow these five easy steps, you will be on your way to a successful rhinoplasty recovery. 

1. Rest 

One of the most important aspects of a successful recovery is a significant amount of rest. When you undergo plastic surgery, your body goes through a lot (even if your surgery was localized to your nose). 

Your body will also use a large amount of energy to heal. It is important to relax in order to gain the energy your body needs to heal and recover properly. 

Resting can mean many different things. It can mean getting extra sleep, but it can also mean taking a break from normal daily activities that require energy, such as cleaning, driving, and taking care of your kids. Think of your rhinoplasty recovery as an opportunity to catch up on some well-deserved relaxation. 

2. Keep Your Head Elevated 

While recovering from rhinoplasty surgery, it is crucial to rest and sleep with your head elevated. This will not only increase comfort, but it will also help minimize bruising and swelling. Elevating your head promotes circulation and reduces fluid buildup. 

Unfortunately, your head may fall without you realizing it when you are sleeping. This is why it is important to prop your head up with pillows. Also, if you sleep with a partner, ask them to wake you up if they notice your head is no longer elevated. 

3. Wear Your Splint and Bandages 

After your surgery, your nose will be bandaged and held in place with a splint. It is important to leave the nose protected for several days. The splint will keep your cartilage and bone in place while they heal. The splint will also help you remember not to touch your nose and prevent any accidental trauma, which will negatively affect the healing process. 

4. Use Ice 

Icing your face after rhinoplasty surgery can help reduce swelling around the eyes and promote proper healing. It is important to apply ice several times a day, for around 20 minutes each time, for maximum effects. 

5. Follow all Post-Operative Instructions

In addition to all of these tips, you will be given instructions on how to properly recover from rhinoplasty. It is important to follow all instructions given to you by your surgeon to ensure proper healing. Feel free to contact your surgeon at any time during your recovery if you have any questions or concerns. 

Interested in Learning More? 

If you are interested in learning more about rhinoplasty recovery, please give us a call at 202-966-9590 or fill out our online contact form

Which Breast Reduction Incision Type Is Right for Me?

2 Minute Read: 

Breast reduction is a popular procedure that reduces large breasts’ size and weight for an improved breast contour that is better proportioned to a woman’s body.

Illustration showing the various breast reduction incision types.

When it comes to breast reduction surgery, there are many different incisions options. The technique used depends on the patient’s breast anatomy, the amount of tissue to be removed, and the patient’s specific wishes and desired outcome.

What Are Your Breast Reduction Options?

The most popular breast reduction incision techniques include the donut, anchor, and lollipop.

Donut Method

As implied in the name ‘donut,’ this technique requires two concentric incisions made around the perimeter of the areola. As an added benefit, patients will only have one short scar that can somewhat be hidden by the areola’s dark skin.

The downside to this is that it offers limited access to the breast tissue. The procedure is acceptable for a minority of patients with mildly enlarged breasts.

Vertical or Lollipop Method

As for the lollipop technique, an incision is made around the edge of the areola, and another vertical incision is made from the areola down to the bottom of the breast.

Your surgeon will then remove excess tissue and fat and tighten the surrounding skin. This is a variation of the anchor method and is ideal for patients with mild to moderately large breasts. Therefore, if you have extremely large breasts, this will not be a good option as it offers less control than the anchor pattern reduction.

Many patients prefer the vertical breast reduction technique because of its less invasive approach combined with its long-lasting effects. It also offers a shorter recovery time, considering it is less invasive to the body.

Inverted-T or Anchor Method

This is one of the most common techniques, suitable for more substantial breast adjustments. An incision is made around the nipple with the second incision running vertically down from the areola and another along the crease of the breast for a distinctive T-shape pattern.

The excess breast tissue and skin is removed through the incision, and breasts are reshaped and lifted into a more aesthetically pleasing position.

The anchor method allows for a maximum degree of tissue removal, making it ideal for patients who have considerable sagging or asymmetry to correct.

The major drawback to this technique is that it produces the largest scars, so if scarring is a significant concern for you, your doctor may recommend a more preferable technique.

Which Incision Is Right for Me?

During your initial consultation with our board-certified plastic surgeons, you will get a professional recommendation for the best breast reduction technique depending on your breast anatomy, amount of reduction required, and desired outcomes.

Interested in Learning More About Breast Reduction?

Contact us today at 202-966-9590 or fill out our online form to schedule your breast reduction consultation.

Top 5 Ways to Reduce Scarring After Plastic Surgery

3 Minute Read: 

Many women are hesitant to undergo plastic surgery because of the fear of noticeable and unwanted scarring. While scarring is typically inevitable with any plastic surgery procedure requiring incisions, such as breast augmentation surgery, tummy tuck surgery, or facelift surgery, there are many ways to conceal and reduce the look of scarring. 

Young girl enjoying vacation, sea and warm breeze, summer vacation

By following these easy tips, you can enjoy your plastic surgery results with minimal scarring. 

1. Using a Concealer or Color Corrector 

We all know that a concealer or color corrector can be used on your face to conceal blemishes and other skin imperfections, but did you know they can also be used to eliminate or reduce the look of scars on the breasts or body? It’s simple—find a concealer that matches your natural skin color and put it on your visible scars. 

By blending concealers on scars, you can reduce the redness, so the scars blend better with your skin.

2. Scar Treatment and Moisturizer 

Scars naturally fade over time; however, you can speed up this process by investing in a high-quality scar removal cream. While scar removal cream does not reduce the look of scars immediately, as concealers would, it helps reduce the appearance of scars over time. 

3. Avoiding Exposing Scars to Direct Sunlight 

This tip to reduce the look of scars after breast augmentation or tummy tuck surgery does not involve any additional purchases. Your new scars are extremely sensitive. Exposing your scars to direct sunlight can cause them to burn and blister, resulting in darker and more noticeable scarring. 

It is important to cover your scars with clothing when exposed to direct sunlight, or if you are unable to cover up, use a broad-spectrum sunscreen. 

4. Massaging Your Scars 

This tip may seem odd, but massaging your scars after your wound has healed can actually help reduce the appearance of scarring. Massaging your scars can help increase collagen production and help your scars heal faster and better. You must massage your scars when they are new for optimal results; scar massage will not work to reduce the look of scars more than two years old.  

5. Scar Revision  

Another way to reduce the appearance of scars is to undergo a scar revision procedure. It is important to know that scar revision cannot eliminate scars. Scarring is permanent; however, the look of scars can be reduced. 

Scar revision works to reduce the appearance of scars on your breasts, body, or face. The type of scar revision you undergo will be based on your needs and the severity of your scarring. Some scar revision procedures include: 

  • Dermabrasion 
  • Tissue expansion 
  • Skin grafts 
  • Dermal fillers 
  • Steroid injections 

Schedule a consultation with Dr. Davison to determine which scar revision technique is right for you. 

Want to Learn More? 

Plastic surgery incisions are also made in discreet locations to minimize visible scarring; however, they are still visible to you and may show in particular outfits.

If you would like to learn more about reducing the look of scarring after plastic surgery or are interested in scar revision, please call us at 202-966-9590 or fill out our online contact form

DAVINCI PLASTIC SURGERY ANNOUNCES NEW BREAST RECONSTRUCTION DC WEBSITE

2 Minute Read: 

The website focuses on breast reconstruction for women with breast cancer or a predisposing genetic mutation.

Image showing the homepage for the website breastreconstructiondc.com.

[WASHINGTON, D.C.] – DAVinci Plastic Surgery recently announced the launch of their new breast reconstruction focused website. The website was created as an educational platform for women with breast cancer and for referring doctors to offer as a resource to their patients in the Washington D.C. area. The website offers information regarding the stages of breast reconstruction, the multiple types of procedures offered, what patients can expect during their first consultation, and before and after photos of reconstructions completed at DAVinci.

The website will be a resource for breast cancer patients beginning their journey in reconstruction and looking for the right practice. “As a plastic surgeon who specializes in breast reconstruction, my role is to educate and guide my patients through this process.” states Dr. Ximena Pinell, a physician at DAVinci, “I do my best to be clear and comprehensive, but I recognize that those early conversations can be overwhelming… this website was designed to be a resource for women facing breast cancer or a genetic mutation that increases their risk of breast cancer.”

Breast Reconstruction DC describes several methods of breast reconstruction, including the benefits and drawbacks of each, what to expect throughout the process, FAQs, and a photo gallery to illustrate the results of surgery. Patients can read about DAVinci’s two plastic surgeons, who have extensive experience with breast reconstruction. Dr. Pinell completed her training at Emory University and is double-board certified in general and plastic surgery. She offers many options for patients including those that make use of a woman’s own tissues, novel approaches using breast implants, and breast reshaping techniques at the time of lumpectomy. Dr. Steven P. Davison is a triple-board certified plastic surgeon with decades of experience, including expertise in revision breast surgery. 

The new website is accessible at www.breastreconstructiondc.com.

ABOUT DAVINCI PLASTIC SURGERY

DAVinci Plastic Surgery opened in 2011 and provides plastic and reconstructive surgery to the Washington, DC area. Their core mission is to provide a “patient-centric” environment with a team approach to ensure that patients are ideally looked after.

Gynecomastia: The Under Armour Effect

Steven P Davison, MD, DDS, FACS | Ximena Pinell, MD | Katherine Long Lijoi, MS

5 Min Read

 

In recent years there has been a tremendous surge in interest in contouring of the male chest. Gynecomastia, or male breast tissue, is a common medical condition that affects a third of men in their lifetime. Why the sudden interest for such a prevalent condition? Clothing patterns are to blame, the Under Armour or compression workout fashion that projects a vision of health and vitality. A trip to any mall will have the senses assaulted with images of buffed bodies with defined peck muscles sheathed in tightest fitting workout shirt or less. For the not-inconsiderable population with male breast tissue, this has driven the question of what can be done! 

Before and after image showing the results of a gynecomastia surgery on a 25-year-old male in Washington, DC.

Gynecomastia, or male pattern breast tissue, is a medical condition with excess contour to the chest. It can be fat, true breast gland tissue, or a combination of both. Paradoxically, losing weight will improve a fatty male chest but will accentuate one caused by breast gland. In no way is male gland tissue a feminine trait or symptom; it is just an exaggeration of the natural breast that every man, as a mammal, has.

There are generally considered to be three causes of Gynecomastia. They can be independent or combine to make the condition more prominent. The first is a hormonal imbalance, most common in puberty. The most common time to develop gynecomastia is the worst emotional burden: while in middle school. Occasionally an endocrine or hormonal tumor can cause gynecomastia, but they are rare. The second cause is medication. Any medication that interferes with hormone balance, decreases testosterone, or increases estrogen byproducts are common culprits. Spironolactone, Propecia, Saquinavir, and cimetidine are examples of such medications. Paradoxically, some of these are medications used to reverse other psychologically traumatic conditions like male pattern hair loss. Marijuana in significant doses can cause male breast tissue to enlarge¹. The final cause is weight gain. Obesity or weight gain can cause fat to infiltrate the breast and distort the man’s chest. This is the simpler problem to address with weight loss or liposuction. Unfortunately, the stretch of the chest skin can leave a less than ideal contour. 

The good news is that after a patient has been ruled out for a major medical condition by history or exam, excellent options for treatment exist. The interest in surgical solutions has taken off with Gynecomastia surgery being one of the hottest growing procedures in the field. In fact, Gynecomastia surgery increased 22.6% from 2012 to 2017². Before recommending a surgical solution, the surgeon must first determine the underlaying composition and contour of the male breast. 

Size and Shape: Is the breast mostly fat or is there a pronounced presence of breast tissue located under the nipple? Is the problem of fullness alone or is there excess skin? The excess skin is much more of a problem than bulk of breast tissue. It requires contouring of the skin envelope often with additional scars. How big is the man’s areola? Is it normal sized (19-23 mm) and oval or is it bigger like a woman’s at 40+mm in size? Does it need to be reduced or reshaped into a more oval areola located lower and more to the side of the breast than that of a female patient?

Treatment Options: 

Weight loss: This will only work for obesity-related, fat-infiltrated chest contour. True Gynecomastia or male pattern breast tissue will be made worse as the man’s body fat decreases. The Breast bud doesn’t reduce and with weight loss, becomes more prominent as a bump.

 Liposuction: Various Liposuction techniques can contour the breast. Some deal only with fat. Other modalities such as ultrasonic accentuation (Vasar) can manage to reduce mild breast glands without open surgery. 

Debridement: Mechanical debridement or rotary tools can reduce breast tissue from limited incisions. The limitation of this is completeness of the treatment and managing extra skin. 

Open or Direct Surgery: This is when a limited incision around the nipple is used to remove the breast mound. Liposuction is often added to smooth out the edges. 

Skin Removal: This is a more extensive treatment to address an oversized areola, drooping breast, or a severe female pattern gynecomastia, where the breast looks like a woman’s. It uses skin excision to better shape the breast to that of a man’s. The scars are usually longer but well worth the change in shape and size. 

Surgery: It takes 1-2 hours based on how much is required. Unless very limited, it is more comfortable with IV sedation or general anesthesia. Most plastic surgeons use some form of tumescent fluid to reduce discomfort and decrease bleeding. The recovery is a week or so with potential for drains to collect fluid and old blood. 

Scar Care: With silicone sheeting, lotions, and occasional injections scars can be softened to enhance the results. The use of a compression chest not unlike the workout shirts that started this whole conversation are common for up to a month after surgery. As the male breast is vigorously supplied with blood vessels, the risk of post-operative bleeding or hematoma is not insignificant. The very desire to have the best chest shape, that drives the request for surgery, fuels a not insignificant demand for minor revision of the chest. These should not be considered a failure, but almost an expected sequel to gynecomastia treatment. 

In Conclusion: Gynecomastia, or male pattern breast tissue, is very common and nothing to be ashamed about as it affects a third of men at some time in their lives. Treatment is highly successful with excellent patient satisfaction as long as the patient and surgeon appreciate there may be tweaks to achieve the final result. It is one of the fastest growing surgical requests and most Board-Certified Plastic Surgeons will be happy to consult with you in depth on the solution that would suit you best. 

Interested in Learning More?

If you would like to learn more about gynecomastia surgery in Washington, DC, contact DAVinci Plastic Surgery by calling (202) 966-9590 or by filling out our online contact form.

 

References:

  1. Thompson DF, Carter JR. Drug-induced gynecomastia. Pharmacotherapy. 1993;13(1):37–45
  2. American Society for Aesthetic Plastic Surgery (2017). Cosmetic Surgery National Data Bank Statistics. [ebook] New York, NY: American Society for Aesthetic Plastic Surgery, p.10. Available at: https://www.surgery.org/sites/default/files/ASAPS-Stats2017.pdf [Accessed 4 Feb. 2020].

Kissable Lips for the Month of Love

February is known as the “Month of Love” with thoughts of pink hearts, chocolates, wine, flowers and… sweet kisses…but the weather this time of year can be rough on your lips. Harsh cold, windy and dry climate can make lips very uncomfortable. Whether you received a Davinci Plastic certificate for Valentine’s day or not, one of the easiest, fastest ways reverse the signs of aging is to choose kissable, full lips. Get those luscious lips by taking extra care of them and giving them that sexy boost of fullness with JUVÉDERM®. Here are some ideas for keeping your lips kissable for Valentine’s Day and through the rest of the winter weather.

Exfoliate

Dry lips can crack and get flakey. This is not only makes for a self conscious kisser, but can be very uncomfortable. A simple homemade honey sugar scrub can gently remove the rough skin. At the beginning of your lip repairing regimen, every night gently rub the mix on your lips then rinse. Once the damage is under control, this can be used once or twice a week for maintenance.

Here’s why you should use sugar as the exfoliator:

  • It has rounder granules that are more gentle.
  • Sugar is less drying than salt.
  • It contains a natural form of glycolic acid, which is alpha hydroxy acid to help smooth the fresh new skin once the rough top layer is removed.

Restore and Protect

After exfoliating, you may still need to repair or reinforce the health of your lips. You do this many ways:

  • Rest a green tea bag on your lips to revitalize your skin. Steep the bag in hot water, squeeze out the extra water, let it cool a little and then hold the warm bag against your lips for about three to five minutes. The high antioxidant levels in green tea make it a great choice.
  • Use a vitamin enriched moisturizer on your lips. Moisturizers aren’t just for the rest of the body, they’re good for all skin. The essential vitamins A, B and E can help you retain moisture in your lips. As an alternative you can directly apply vitamin E to sore, cracked lips, but even though it has great healing power, be warned that it doesn’t taste or smell great. Alternatively, both almond and coconut oil can help moisturize your skin and they have a pleasant taste and smell.
  • Staying hydrated is one of the best ongoing ways to restore and maintain the health of all your skin, including your lips. Pale and dry lips are often a tell tale sign of not drinking enough water.
  • Protect your lips from sun and wind burn with an SPF and wind guarding clothes like a scarf. This can help maintain the daily preparations you’ve made to make sure you have soft, smooth lips.

Fill

Along with the environment, age can take its toll on your lips. Everyone wants full, plush, kissable lips. Fortunately, I can help with that part of the lip rejuvenation. JUVÉDERM® is an injectable filler that can replenish the fullness of your youthful lips or even add volume you’ve always wanted but never had. With an expert eye for lip proportion and facial balance, we can help give you gorgeous lips for sexy, confident kissers.

Let us help you love your kissable lips during this “Month of Love.” Contact our office by calling 202.966.9590 or fill out our online contact form to schedule your appointment today.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Schedule Your Consultation With Dr. Davison

The initial consultation with your surgeon is critical! It should always be face to face with your surgeon during which time he/she listens closely to your concerns. Dr. Davison believes this time spent with you is critical to both you and to him. It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the treatment plan thats right for you. Dr. Davison invests the time to sit down and talk to you face-to-face.

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3301 New Mexico Ave. Suite 236

Washington D.C.

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