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Male Chest Surgery – Gynecomastia

Gynecomastia is a medical term that originates from the Greek words for “women-like breasts.” This condition is far more common than many realize. Gynecomastia affects an estimated 40 to 60 percent of the male population. It may affect only one breast or both. Certain drugs such as anabolic steroids, alcohol, marijuana,  as well as medications containing estrogen may cause enlarged male breasts. Certain medical conditions including cancer and impaired liver function may also be a contributing factor. It is widely accepted that a large percentage of cases derive from unknown sources.

[Warning: video contains a graphic surgical procedure]

Men of any age who are healthy and emotionally stable are considered good candidates for Houston male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. In some instances, surgery may be discouraged for overweight men who have not tried an exercise and diet regimen prior to surgery.

Enlarged male breasts can be reduced by liposuction and/or by cutting out excess glandular tissue. The procedure for male breast reduction takes an average of two hours, usually on an outpatient basis, using general or local anesthesia. If excessive glandular tissue, fat and skin are present, it will be removed.

Surgery may be performed alone or in conjunction with liposuction, where the suction device will typically be inserted through the existing incisions. For the removal of excess fatty tissue alone, liposuction may be all that is needed; in such cases, scars will be small and barely visible.

Results are permanent, although subsequent obesity can create a gynecomastia-like effect. Some of the benefits of surgery include a firmer, flatter, more contoured chest that may give the male patient a boost in self-confidence. There is little downtime, and you may return to work within one week usually, unless you are involved in strenuous activities.

There will be scarring around the nipple of the breast (areola) from this procedure but it will fade over a period of time and be less visible. There will be some post-operative bruising, swelling, and burning sensationthat may occur. To assist with the healing process, the patient will wear an elastic pressure garment for 3-6 weeks and must avoid exposing scarred areas to the sun for at least six months.

Other considerations include temporary numbness or a lack of sensation that could last up to a year. Infrequent complications may include infection, skin damage, fluid accumulation, bleeding, and scarring or pigment changes.  While rare, post operative asymmetry is always a possibility.  A second procedure may be needed to remove additional tissue.

See examples of Houston Male Breast Reduction in our Photo Gallery.

Is Liposuction Surgery The Right Solution For You?

lowerbodylift Liposuction Surgery (Abdominoplasty) is one option to treat areas of excess fat in the stomach, buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts (including male breast enlargement), back, arms and neck. Liposuction is equally effective in both men and women.

The basic technique of Liposuction involves the removal of fat via a hollow metal tube (Cannula) that passes through your body’s fatty tissue. One of the most common types of Liposuction involves the aspiration of fat by attaching a pump that generates a vacuum. This is known as Suction Assisted Liposuction (SAL).

Understanding The Risks of Liposuction

Liposuction surgery is one of the two most common procedures generally performed by Plastic Surgeons (after Breast Augmentation). Fortunately, significant complications from Liposuction surgery are infrequent.

Risks and potential complications of Liposuction are best discussed directly with Dr. Moliver during your consultation and preoperative appointment because those risks will vary based on your personal health and body structure.

We stress to all patients that personal health is the place to start. We don’t remove fat from a person until they recognize the need for a healthy diet and lifestyle, which includes exercise, vegetables and kicking the cigarette habit.

Some  potential complications may include Hematoma (an accumulation of blood under the skin), infection, changes in sensation, scarring, allergic reactions, damage to underlying structures, need for revisions, unsatisfactory results possibly necessitating additional procedures. Other risks more specific to liposuction may include indentations and irregularities.

You can help minimize certain risks by following the advice and instructions we provide, both before and after your liposuction surgery.

The Liposuction Surgical Experience

liposuction

If you are a smoker, Dr. Moliver recommends that you quit well in advance of any surgery since smoking can impair the healing process. Certain medications that increase the risk of bleeding such as Aspirin, non-steroidal anti-inflammatory medications, and some vitamins/homeopathic regimens should be discontinued before undergoing Liposuction surgery. We will provide you with additional preoperative instructions during your consultation.Our goal is to make your surgical experience as easy and comfortable as possible.

Liposuction surgery is performed on an outpatient basis. You will need  to arrange for someone to drive you home after surgery and to stay with you for 24 hours.

Day of Liposuction Surgery

Your Abdominoplasty may be performed at our AAAASF accredited surgical outpatient facility.

Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing liposuction surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

Concerning postoperative pain, many patients state that the area feels sore, as if they underwent a vigorous workout.

Recovery from Liposuction Surgery

It is important to understand that recovery time varies greatly among patients.

The first few days after surgery, you should rest quietly. If you can elevate the body part, it is recommended to do so. Remember, you must not take Aspirin or certain anti-inflammatory medications.

During the first 48 hours following surgery, patients experience varying degrees of swelling and bruising, although the vast majority of patients have virtually no bruising. Stitches are usually removed within a week of surgery.

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within 10 days.

Call Today for a Free Consultation 281.282.9555

Learn More About Liposuction in Houston

Pinned-Back Otoplasty

Although we can’t control the body features we’re given at birth, we do have options to go back and make adjustments! Otoplasty or Pinned-Back Otoplasty, is a wonderful procedure we use to soften the appearance of large and/or protruding ears … a surgery especially popular for children.

Kids can be particularly cruel to those with large ears. That’s why we like to make adjustments and complete procedures before youngsters enter school, usually by the age of five-years-old. Other than helping with their mental and emotional development, when children are young the ear is much more supple to manipulate – and healing takes a fraction of the time. Although complications and recovery time for this type of surgery are very low for both children and adults.

We place an incision behind the ear with dissolve-able stitches that bends the ear back towards the head to look more natural. In this edition of our Video Blog, listen as Dr. Moliver describes the surgery, and tells success stories of the patients he’s helped.

 

 

The corrective goal of otoplasty is to set back the ears so that they appear naturally proportionate and contoured, because they are harmoniously set back, without evidence or indication of surgical correction. Therefore, when the corrected ears are viewed, they should appear normal, from the:

Front View – The ear (pinna) is viewed from the front, the helical rim should be visible, but not set back so far (flattened) that it is hidden behind the anti-helical fold.

Rear View – The pinna is viewed from behind, the helical rim is straight, not bent, as if a “letter-C” (the middle-third to flat), or crooked, as if a hockey stick” (the earlobe is insufficiently flat). If the helical rim is straight, the setback is harmonious; that is, the upper-, middle-, and lower-thirds of the pinna will be proportionately setback in relation to each other.

Side View: Contours of the ear should be soft and natural, not sharp and artificial.

Learn More About Otoplasty

 

Rhinoplasty Procedures

A large nose might be acceptable on a man, but it can be quite undesired by women. Today we do Rhinoplasty procedures completely different from 20 years ago. Our whole goal is natural. At one time, nose jobs would leave the nose at a pronounced pointed tip on the end. We want to gently shave away the unwanted ridges and bumps to leave a soft shape that people say just looks nice! If you look at models, they don’t necessarily have “tiny” noses. It’s more about clean lines and gentle ridges. During Rhinoplasty surgery, we make a tiny incision between the base of the nose and the top of the lip.

The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features. Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touch up may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation.

For more information about Houston rhinoplasty, you can request a complimentary consultation online or call 281.282.9555 to schedule your visit.

Learn More About Rhinoplasty

 

Breast Enlargement

Tubular Breasts

If you’re a baby boomer like me, you might remember exclaiming excitement through the word tubular. I know this word was once, or maybe still is, a part of many of your vernaculars — even if you aren’t a surfer dude. You may be surprised, I know I was, to learn this word shows up in many a medical book too.

Needless to say, if you are a woman who’s accustomed to this word medically, it takes on a much different meaning.

Women with small and narrow breasts that have large, pointed nipples and areolas have a condition known as Tubular Breasts. The breasts are usually far apart, typically sag — even at a very young age, and can occasionally be asymmetrical.

Tubular Breasts form during puberty. The tissue that gives women nicely-formed, cone-shaped breasts doesn’t fully develop. The term tubular in this case clearly does not mean awesome, but comes from the tube-like appearance of the breasts.

Many women become so embarrassed by this condition that they’ll even refuse to remove their bras when they come into the office. Please know that this condition is not strange or weird. This is not a condition where one’s physical well-being suffers, but rather a condition that results in the deflation of confidence. Many women suffer from this condition, and are just as perplexed as to how they can attain the body they want and deserve.

breast shapes new Tubular breasts can be treated through plastic surgery, which includes breast implants and tissue expansion methods. Seventy to 80% of the time, Tubular Breasts can be corrected without scars on the front of the breast by doing a breast augmentation. Special work is done to improve the roundness of the lower pole of the breast. This along with how we manage the patient post operatively is the key to our success.

The results will be totally tubular … and this time we do mean awesome!

 

 

Traveling out of the U.S. for Plastic Surgery is like Betting in Vegas

Guest Post Courtesy:  PlasticSurgeryChannel.com

 

 

Medical tourism is like betting in Vegas.  Plastic Surgeons with ThePlasticSurgeryChannel.com warn Americans that leaving the U.S. for lower priced plastic surgery could end up costing them much more in the end.

IMG 3080 682x1024 Traveling out of the U.S. for Plastic Surgery is like Betting in VegasLured by exotic locations and discount prices more and more Americans are leaving the U.S. and traveling abroad to undergo plastic surgery.   The new trend is called medical tourism, and according to a recent study, some of these tourists are finding out their trip was not worth the  price.

Dr. Mark Elliott, a board certified surgeon and medical advisory board member for ThePlasticSurgeryChannel.com says, “Usually people going abroad are not going abroad to the world’s expert on a procedure; they are going to have something done cheaper.  If you have any complications at all, it could end up costing you four to five times the amount if you would have if you just stayed here in the first place.”

 

What does the science say about the safety of medical tourism?

Recently researchers at the Nassau University Medical Center in New York conducted a survey of the American Society of Plastic Surgeons (ASPS).  The findings showed that 80 percent of the 2-thousand respondents said they had to treat patients with complications following cosmetic procedures conducted abroad. The majority of those patients had come home with serious complications due to infection.

The study also claims, more than half of the medical tourists who underwent breast augmentation or body contouring procedures required multiple operations to correct issues that developed after they returned home.

Board certified surgeon and medical advisory board member, Dr. Lou Bucky, with ThePlasticSurgeryChannel.com says, “There aren’t many procedures that I would encourage patients to travel long distances right after surgery. Just think if something happened on the flight on the way home within 24 hours. I can’t imagine that would be a good idea.”

Board certified plastic surgeon, Dr. Jason Pozner, with ThePlasticSurgeryChannel.com says it’s extremely important to stay close to home when considering surgery. In addition to the risk of infection, patients need to consider the other more serious risks after surgery such as blood clots and bleeding.

Dr. Bucky says, “The process of surgery really encompasses a good analysis, a carefully done operation, and very careful post operative care. To give up post-operative care you’re assuming you won’t have questions, problems, or any complications afterward. And quite frankly, I think its naïve and unsafe.”

These surgeons are quick to point out that there are many qualified surgeons everywhere, but you need to do your homework. It may be more difficult to research and find references on surgeons in other countries. So while medical tourism may sound like a good idea, in order to get the best outcome and reduce risk, it’s best to stay close to home and leave the sandy beaches and exotic places for vacation.

 

 

Stats show Upward Trends for Male Cosmetic Surgery

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The male grooming market in America is now worth $3.5 billion, telling us that men seem to be changing their attitude toward self-improvement topics traditionally deemed “women’s talk.” We think it’s about time that men get to talking about staying healthy and fit for life, and we welcome conversations about male cosmetic surgery.

Feeling the need to look and feel young well into their 40s, 50s and 60s has caused men to re-think their attitudes towards diet, exercise, face-care products and cosmetic surgery.

There is no reason why men, like women, increasingly want to change what they don’t like about their appearance.

ManSurgery 199x300 Stats show Upward Trends for Male Cosmetic Surgery

The Amercian Society of Aesthetic Plastic Surgery (ASAPS) reports that surgery is becoming increasingly popular as a way for men to deal with image maintenance and change. According to the ASAPS annual survey, over 800,000 cosmetic surgeries were performed on men in 2011, increasing the number by 121% from 1997.

Top 5 Cosmetic Surgeries for Men in 2011: 
1. Lipoplasty (Liposuction)
2. Rhinoplasty
3. Blepharoplaty (Cosmetic Eye Surgery)
4. Gynecomastia
5. Facelift

Sales show that American males spend billions on grooming products each year, but it’s not just over the counter options that men crave. In 2011 men underwent more than 1.1 million cosmetic procedures.

We encourage both men and women to consult with our office if you’re considering a change to your body. Our staff of aestheticians also welcome both male and female clients.

 

 

 

Symmastia is a Rare, but Fixable Complication of Breast Augmentation

symmastia 300x227 Symmastia is a Rare, but Fixable Complication of Breast Augmentation

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In very rare instances, Symmastia can occur as a defect of breast augmentation surgery. When implants are inserted too close to the midline of the body, it causes a lifting of the skin away from the chest, creating an unattractive connected appearance sometimes referred to as “breadloafing.”

Symmastia can also occur as a rare congenital defect in which soft tissue connects, or webs, both breasts together at the sternum (breast bone). Symmastia seems to be more prevalent among thin women, mostly due to the minimal tissue and/or fat covering the sternum.

In our experience, Symmastia generally occurs due to aggressively cutting open the chest muscle during an implant operation. In the early years of breast augmentation, surgeons would attempt to release some of the chest tissue in order to get the implants closer together, which can cause the defect as well.

I must give a kind word of caution to everyone reading this and having second thoughts about getting a breast procedure done. Symmastia is the least common of all cosmetic breast augmentation complications.

Today we take a much less invasive approach to altering the body. Our goal is to nip and tuck, not cut and stretch.

Symmastia can be due to malposision of the breast implant alone. In these cases one or both implants migrate across the midline lifting up the skin of the sternum. Or it can be a lifting of the skin only. Or symmastia can be both a lifting of the skin and shifting of the implant.  After carefully examining the patient to determine the caus eof the symmastia a plan is developed specific for that patient. These days I often use either Belladerm or Strattice for repair of implant malposition or symmastia.

In the following video, Dr. Moliver walks you through a procedure to fix a Symmastia case.

WARNING: The following video contains graphic surgical footage, and may not be suitable for all audiences. Viewer discretion is advised.

VIDEO: Let us Introduce you to the Smiling Faces of Dr. Moliver’s Office

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surgicenter1 VIDEO:  Let us Introduce you to the Smiling Faces of Dr. Molivers Office

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When it comes to choosing the right doctor for your cosmetic procedure, of course the focus is on the doctor. We do a lot of messaging on the qualifications, training, certification, beliefs, lifestyle and even diet choices of Dr. Moliver because it is important to know that he is one of the good guys here to help.  The Plastic Surgeon is justly placed in the hot seat because he or she will be the one wielding the knife, but what about everyone else involved in the process?

You can go to the best doctor in the world, but if your interaction with the receptionists, nurses, coordinators, Anesthesiologists and assistants is horrible, then your experience will most likely be remembered as horrible. To us, this is unacceptable.

We put as much focus into cultivating a knowledgeable, pleasant, dedicated staff as we do in promoting the talents of our doctor. That’s why we had Dr. Moliver walk around his office to introduce you to the wonderful faces that will be with you from consultation, to pre-op, to surgery, to the recovery room, to post-op care. These are the people that will get you back to feeling good after Dr. Moliver gets you back to looking good!

 

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Safe Aesthetic Plastic Surgery takes more than a Dermatology Degree

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The difference between an Aesthetic Surgeon and a Plastic Surgeon is one of perspective and degree. All Plastic Surgeons have the ability to do aesthetic work. However, many Aesthetic Surgeons do not have the training and experience to do reconstructive work like hand surgery, trauma correction, or breast / head / neck reconstruction after injury or cancer.

IMG 3045 200x300 Safe Aesthetic Plastic Surgery takes more than a Dermatology DegreeAbove all, I am a trained and certified Plastic Surgeon. We have many high profile doctors in the greater Houston area, and unfortunately, in Texas the rules for what a doctor – or Dentist for that matter – may describe themselves as, is unclear.  We have seen patients come in with many complications from aesthetic surgery done by dermatologists, oral surgeons, and even dentists!

The American Board of Plastic Surgery is the basic qualifier one should look for to determine if a doctor is certified. READ about the 11 things you should ask a Plastic Surgeon before surgery.

During a plastic surgery residency, doctors receive training in reconstructive plastic surgery for congenital defects such as:  cleft lip and palate; head and neck deformities; hand reconstruction; trauma reconstructive surgery; aesthetic surgery; etc, etc.

After this work, many go on to specialize in cosmetic or aesthetic surgery to become a well-rounded Aesthetic Plastic Surgeon.

Oh, and those transplant surgeons that can sew together a new face are all certified Plastic Surgeons – not talented dermatologists. Isn’t that what you should expect from someone putting you under the knife?

Sometimes people have the false impression that “Cosmetic Surgeons” are fake or superficial doctors – “beauty doctors” as some may call them. The disheartening truth is that far too many are. Unfortunately the public buys into the fluff that isn’t a great doctor, but a great PR campaign.

American Society for Aesthetic Plastic Surgery ASAPS  Safe Aesthetic Plastic Surgery takes more than a Dermatology DegreeThere is a very prestigious society called the American Society for Aesthetic Plastic Surgery (ASAPS) (www.surgery.org).  You only become a member by first being Board Certified by The American Board of Plastic Surgery (www.abplsurg.org), and then doing a large volume of only aesthetic surgery, followed by a recommendation from a current member.

I am a proud member of all the above boards and societies.

Unfortunately in America, anyone can call themselves a cosmetic, aesthetic or plastic surgeon. I call myself an Aesthetic Surgeon because I earned the right to do so in all of the ways that are respected by the most revered societies.

Aesthetic surgery may be my only focus now. However, for years I paid my dues as a Doctor of Plastic Surgery, making bodies function normally again. Now I make bodies young and beautiful once more.

There are people who want to be artists, and then there are artists. Not only must an excellent Aesthetic Surgeon be an experienced physician and technically proficient surgeon, he or she must have a good eye for balance and harmony.

There are intangibles that make a good doctor; like knowing when to operate, and when to say no. A doctor must know which procedure will produce a natural, pleasing result without looking fake or overdone.

A good Aesthetic Surgeon is an artist that places a few brush strokes, and suddenly the picture jumps off the canvas. However, a good Aesthetic Plastic Surgeon knows functionally how the body structure works best naturally.

And natural is beautiful.

 

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