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You are here: Home1 / Men

Archive for category: Men

November 3, 2023/in Men /by Dr. Matthew Schulman

A procedure that is growing in popularity is the Gynecomastia in NYC. Many men are self-conscious of their chests. They feel like their chests are too big and resemble small breasts. This can be a significant source of anxiety for them, especially if they are young men or teens. Breast tissue growth is not something young men want to see on their bodies. It is not uncommon for men who suffer breast enlargement to avoid taking their shirts off in public.

This causes them to avoid situations like going to the beach or pools, or changing in a locker room. Men who suffer from enlarges chests often wear baggy shirts, or even multiple layers of shirts to cover themselves up.

What is Gynecomastia?

Gynecomastia, is the enlargement or swelling of breast tissue in males. This undesired breast enlargement can be startling. Gynecomastia can be present in one or both breasts. Both males and females have breast tissue. Females, obviously have more, but in some males, the breast tissue can grow, and with this breast enlargement it can give the appearance of small breasts. In fact, reports indicate that pubertal gynecomastia can be seen in up to 80% of young adolescent boys. 

This is likely the result of some hormonal changes and issues in the pituitary gland. Most of the time, the breast tissue in one or more breasts shrinks as hormones continue to change during puberty and male hormones like testosterone increase. 

What Causes Gynecomastia

There are several causes for this breast enlargement on the male chest. The vast majority of cases are just simply normal hormonal changes of development that cause gynecomastia and unwanted breast growth. These hormonal changes are common during three phases of a male’s life: just after birth, during puberty, and later in life. Early in life, as a baby, there are high amounts of female hormones (estrogen) in the body, and this is from the mother. This is why newborn male babies often have puffy breast tissue. 

This shrinks as the mother’s estrogen is naturally removed from the body. Again, male chest enlargement can occur during puberty as the normal hormones are changing and regulating themselves. This can cause gynecomastia. As males age, testosterone levels tend to drop. So men between the ages of 50-80 also commonly experience chest enlargement. This is a common reason that many develop gynecomastia. 

Normal hormonal changes are by far the most common reason for male chest enlargement, but other things may cause gynecomastia as well, some other less common causes include:

  • obesity
  • liver or kidney disease
  • tumors (testicular cancer, breast cancer)
  • prescription medications (for hair loss, anxiety, depression, bipolar disorder, acid reflux)
  • alcohol
  • marijuana
  • anabolic steroids
  • calcium channel blockers

What to do if you have Gynecomastia:

If you suffer with gynecomastia, the first thing you should do is visit your doctor. Talk to them about your unwanted breast growth. He or she will examine you and take a detailed history. They will also likely do some routine blood tests. You will be able to get your gynecomastia diagnosed properly. This will help them determine the cause for your gynecomastia and help develop a surgical treatment plan.

Treatment for Gynecomastia:

Gynecomastia SurgeryThe medical treatment for your male breast enlargement will depend on what the cause is. If the cause is a medication or drug, then the treatment is to stop the offending thing and see what happens with your chest. If the cause is an underlying medical problem, then that problem should be addressed. If the cause is a hormonal issue, the treatment would be to adjust your hormone levels so that your testosterone increases and your estrogen decreases.

However, since the majority of cases of gynecomastia have no identifiable cause, the treatment would be surgical correction of the chest enlargement. This would also be true if the cause of the chest enlargement was treated, but the enlargement still remained.

Surgical Correction of Gynecomastia:

The first step is an evaluation by a Board Certified Plastic Surgeon, experienced in a male chest reduction procedure. During your evaluation, your surgeon will take your medical history and perform a physical examination. He or she will specifically examine your chest, looking carefully at the amount of excess skin, the quality of that skin, underlying breast tissue, and signs of asymmetry.

Your surgeon will also review your medical evaluation to make sure there is no underlying cause that should be addressed before surgery. Your plastic surgeon will also discuss the required incisions and resulting scars for your chest reduction.

These incisions in the male breast tissue will depend on exactly what needs to be done for you and whether you require only breast tissue removal or also some skin removal. In general, if you are young, you likely only require removal of the underlying breast tissue that has enlarged. If you are older, or obese, you may also require some extra skin removal which would require additional incisions and scarring. Your plastic surgeon will be able to discuss with you which surgical approach is best.

Breast Tissue Removal:

The removal of male breast tissue can be done either using liposuction or making a small incision and directly removing the densest part of the breast gland. When liposuction is performed, it can be done through tiny hidden punctures on the chest. These puncture holes are very tiny and often require no more than a single stitch. This is a good technique for removing the majority of breast tissue. However, breast tissue can be very dense, especially directly under the nipple.

This is why is is common to also make a small incision around the areola to directly pluck out the thick gland. If this incision needs to be made, it is small and well-hidden around the edge of the areola.

Skin Removal:

In cases of excess skin, the skin would need to be removed as well, in order to get the best results. This is most common if you are overweight or have lost a lot of weight, or if you are older and have normal skin laxity that comes with aging. Sometimes the skin can be removed from just around the areola. Other times, more incisions need to be made down the chest or in the breast fold.

Where is the Procedure Performed?

A chest reduction is a surgical procedure that needs to be performed in an accredited surgery center or hospital. These are regulated facilities with the appropriate safety standards and appropriately trained staff. The procedure is usually performed using intravenous sedation or general anesthesia.

It is usually an out-patient procedure, meaning you are able to go home the same day. In situations where other procedures are being done at the same time, you may be required to stay overnight for monitoring.

Gynecomastia Recovery

After a few hours in the recovery room, you will be discharged home. You will have pain medication and antibiotics. This procedure is very well tolerated and the pain is significantly less than with other procedures like a tummy tuck. You will wear a chest compression garment.

After about a week, most people feel pretty good and you will be cleared to return to normal activities, including work and school. You will be restricted from heavy exercise for about 3-4 weeks while you are healing. It may take several months for swelling to go away and your appearance will improve during this time.

Questions and Answers

Can gynecomastia go away?

Pubertal gynecomastia often self-resolves, but persists in 20% of adults. For severe cases, tamoxifen therapy may be considered. In men, gynecomastia can stem from health issues or medication use.

How to fix gynecomastia?

The procedure to eliminate breast tissue typically comprises liposuction to remove excess fat and surgical excision of surplus glandular breast tissue through an incision near the nipple-areolar complex, with skin removal for larger male breasts if necessary.

Is gynecomastia a serious problem?

Gynecomastia can occur naturally in newborns, pubescent boys, and older men due to hormonal fluctuations. While often not a severe issue, it can be emotionally challenging to deal with. It is important to remember that in rare cases breast cancer can also be found in patients with gynecomastia. In other cases the culprit can appear as estrogen excess. It is also important to note that gynecomastia has been known to appear in men who are receiving certain treatments for prostate cancer.

Will increasing testosterone reduce gynecomastia?

While a higher testosterone-to-estrogen ratio can aid in gynecomastia prevention, using testosterone replacement therapy (TRT) to boost testosterone might inadvertently elevate estrogen levels, potentially causing gynecomastia as a side effect.

Recurrence of your chest enlargement

In general, this surgical procedure will permanently correct your chest enlargement. However, if your chest enlargement is due to things like recreational drug use or prescription medications, and you continue to use those things, then certainly your chest enlargement may recur. In some cases, chest enlargement may come back, simply because it is just way your body is programmed.

If you would like to learn more about reducing your male chest and correcting your gynecomastia, contact New York City Board Certified Plastic Surgeon, Dr. Matthew Schulman. During your consultation, you can find out if a male chest reduction is right for your and specifically which surgical technique is most appropriate.

References

https://www.mayoclinic.org/diseases-conditions/gynecomastia/symptoms-causes/syc-20351793

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706045/

November 2, 2023/in Men, Plastic Surgery /by Dr. Matthew Schulman

What is an “attractive dad bod,” you ask?

According to the term’s original source:

“The dad bod is a nice balance between a beer gut and working out. The attractive dad bod says, ‘I go to the gym occasionally, but I also drink heavily on the weekends and enjoy eating eight slices of pizza at a time.’ It’s not an overweight guy, but it isn’t one with washboard abs, either.”

While this isn’t exactly an all-out criticism, it’s also not a glowing review of the dad bod body type. Furthermore, if you yourself have what someone might describe as an “attractive dad bod,” you’re probably looking for solutions, rather than just accepting the dad bod fate.

The good news is that there is absolutely no reason for men to settle for dad bods if they don’t’ want it. Body positivity is important while there is no reason for men to be unhappy or afraid to strive for their preferred body type. If men want to eliminate the beer guts, love handles, and dad bods, they have that option with several plastic surgery procedures.

So, when you’re ready to say “so long!” to the attractive dad bod life, here are the top procedures that will help achieve the body type you are hoping for.

Top Procedures for Tackling an Attractive Dad Bod

Male Liposuction

Male Liposuction New York CityWhen you look in the mirror, you want to see what your mindset reflects: Confidence and strength. When you don’t see this, however, discouragement is inevitable. Our physical appearance has a large impact on our lives and dad bods have a tendency to make men feel less confident. They aren’t good for the body image most men want to have. And it’s even more discouraging when you’ve been putting in long hours at the gym and you still aren’t seeing results or the body type you are aiming for. All men aren’t going to be muscular men, some are thinner. But even if all men aren’t going to be muscular men, it doesn’t mean they can’t achieve the preferred body type they dream of. 

When this is the case, male liposuction is the best procedure that can help. Any man with a healthy BMI (Body Mass Index) and with good skin elasticity and muscle tone can be a strong candidate for liposuction.

Remember that liposuction is not a weight loss tool – it is a body contouring procedure. It is designed to help the specific areas that are resistant to your diet and exercise. These are the areas that so often characterize dad bods.

The liposuction procedure removes stubborn fat from common fatty areas that men struggle with: abdomen, arms, chest, thighs, neck/chin, and flanks. This is achieved through the insertion of a hollow stainless steel tube, called a cannula, into the skin through very small incisions.

Once the cannula is inserted, Dr. Schulman will suck out the excess fat cells by a combination of back-and-forth motions and suction. This trusted procedure is highly effective and can be performed as an outpatient. In fact, from start to finish, you’ll generally only have to spend a few hours in our office for liposuction. Liposuction is a key procedure for tackling dad bods. Many women have turned to liposuction when they need a little extra help, now it’s time for dads to do the same.

Male Tummy Tucks

Male Tummy Tuck New York City Many men assume that procedures like tummy tucks are only for women. Many women prefer to get a tummy tuck after pregnancies. Men complain of dad bods which are easily identified by excess abdominal skin that occurs with aging or with weight loss.

The truth is, men are just as likely to get a tummy tuck as women are. Likewise, tummy tucks performed on men are just as effective as they are with women. Finally, men are just as satisfied with the results.

Whereas the liposuction procedure only removes fat deposits beneath the skin, the tummy tuck procedure (abdominoplasty) tightens up the ab muscles and also removes excess skin.

This is often a good procedure for those who have recently lost a large amount of weight as it can help remove stretched out skin and stretch marks, especially on the lower abdomen.

In some cases, male liposuction is used in tandem with male tummy tucks — in effect, removing small deposits of excess fat while at the same time tightening the excess abdominal muscles, and removing excess skin. The entire result will give you a flatter, firmer, decidedly less “attractive dad bod” abdomen.

Male Breast Reduction

It’s not uncommon for fullness in the male chest (gynecomastia) to develop over time. This may be caused by normal aging, hormonal factors, recreational drug use, prescription medications, weight fluctuations, or a genetic predisposition. Some men develop enlarged chests during puberty and it never improves.

Regardless of the cause, wanting to get rid of this excess tissue is completely natural, so many men attempt to reduce on their own. However, even with rigorous exercise and dieting, these efforts often prove futile.

This may be because the glandular breast cannot be reduced with diet or exercise, because the fullness is actually caused by stretched skin, or because genetic factors make slimming in this area on your own simply impossible.

Fortunately, the male breast reduction procedure performed by Dr. Schulman is the ideal solution for men who are unhappy with their dad bods.

In a male breast reduction (or gynecomastia surgery) New York City Dr. Schulman removes the excess glandular breast tissue and lifts and firms the area in order to get rid of droopiness and sagginess. Because everyone’s experience with gynecomastia is unique, Dr. Schulman will cater your procedure to you, specifically.

In this way, your procedure may involve liposuction, physical tissue removal, and/or skin removal. The scars and recovery will depend on exactly what needs to be done for you.

Botox for Men

In the non-surgical realm, many men are looking for quick and effective solutions to facial rejuvenation. This means the reduction or elimination of wrinkles and lines — often, most troublesome at the corners of the mouth, between the eyebrows, on the forehead, and at the outer corners of the eyes (crow’s feet).

As a man, you may also want to combat unfortunate natural facial expressions that can sometimes make you appear angry, worried, or tired — even when you aren’t.

The best solution for these challenges is — time and again —Botox.

Botox provides fast and highly-effective solutions to wrinkles and the appearance of unwanted expressions. It can also slim bulky or unattractive jawlines, and it can even reduce excessive sweating on the hands and feet or beneath the underarms.

Furthermore, Botox will not only reduce and get rid of wrinkles, but it will actually prevent further wrinkles from forming as you age.

Possibly the best news about Botox is that the process is fast, and simple. Discomfort is extremely minimal, and there is no downtime involved.

Chemical Peels or Laser Treatments

When you’re after improvement for skincare issues such as scarring, hyperpigmentation, fine lines, or uneven texture, chemical peels and lasers are simple, noninvasive procedures that can help.

Dr. Schulman uses a variety of chemical peels of varying strengths. These peels may treat the outermost layers or go even deeper into the skin.  Recovery from chemical peels is minimal, but will depend on the depth of the treatment. It may involve several days of redness, followed by several days of peeling.

In the end, you’ll enjoy smoother, tighter, more even skin.

Laser treatments are also a great option. Dr. Schulman has a variety of lasers available to you. These lasers may resurface the outer layers with minimal downtime, or he may recommend a deeper laser treatment to reduce lines, wrinkles, and old acne scarring.

For optimal effectiveness, many patients opt to combine their chemical peels and lasers with procedures such as neck lifts and eyelid surgery.

Questions and Answers

Do people find dad bods attractive?

A recent online survey showed that 7 out of 10 women prefer the dad bod, finding it attractive, and associating it with confidence and happiness. Whether it is related to body positivity or simple preference, more women find the dad bod attractive. 

What do dad bods look like?

The dad bod refers to the physique of middle-aged men, characterized as relatively slim but not highly toned. Recently, it has gained significant attention, boosting the confidence of men dealing with concerns like aging and hair loss.

Why do guys have dad bods?

Recent research reveals that new fathers undergo significant hormonal and neural changes resulting in dad bods. As they prepare for parenthood, they become more attuned to parental stimuli, showing a decrease in testosterone levels and an increase in plasma oxytocin. Dad bods don’t come about for no reason.

Ready to Start Working on That Attractive Dad Bod?

Dad Bod AttractiveDr. Schulman a New York City Plastic Surgeon offers the type of male plastic surgery New York City guys can get on board with: Straight-forward, effective procedures with straight-forward, effective results.

From Botox and chemical peels to male liposuction and breast reduction, Dr. Schulman will help you say goodbye to the attractive dad bod lifestyle and hello to a body type you can be proud to strut at the beach or gym.

To achieve the perfect dad bod, schedule your “attractive dad bod” consultation with Dr. Schulman today, give our office a call at (212) 289-1851, or send us a message and we’ll be in touch with you soon!

References 

https://www.theodysseyonline.com/dad-bod

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