Breast Augmentation in South Jersey and Voorhees

Man Boobs? Consider Male Breast Reduction

The term ‘man boobs’ has come to negatively refer to excess breast tissue on a man. For some men, this is not caused by excessive weight gain, but instead by a medical condition known as gynecomastia. Gynecomastia occurs when a hormone imbalance causes a man to develop enlarged breasts. This can be uncomfortable and embarrassing and many men are reluctant to discuss this sensitive issue with their doctor. However, a breast reduction surgery may help you feel confident again. Here’s what you need to know about male breast reduction. A man before and after male breast reduction surgery

What Happens During a Male Breast Reduction?

Dr. Franckle will begin by making an incision around the nipple or in the creases of the chest, through which fat and glandular tissue can be removed. This is an outpatient procedure done either under local anesthesia with sedation or general anesthesia. After the procedure, most patients experience some soreness and swelling but can return to normal activities in about a week and exercise within two weeks. A compression garment is worn for two to three weeks post-procedure to help reduce swelling and facilitate healing.

Gynecomastia Surgery Results

The removal of excess breast tissue can help create a more masculine chest with a more sculpted appearance. While weight gain can cause a recurrence of the enlargement, in most cases surgical results are permanent when a healthy weight is maintained.

Am I a Candidate for Male Breast Reduction?

Male breast reduction is safe for most people who experience gynecomastia. Unless breast growth is severe, this procedure is not typically used for adolescents. You should be in good health and at a healthy weight before undergoing this surgery. Weight gain, steroid use, and medication that contains testosterone can cause gynecomastia to recur.

Up to 50 percent of men experience gynecomastia at some point, and it’s typically not a serious health concern. However, if you’re bothered by the appearance of ‘man boobs’ or large breast tissue and avoid activities where your bare chest is shown, consult with Dr. Franckle, an experienced plastic surgeon who can determine whether you are a candidate for male breast reduction.

 

Which Breast Implant Is Right for You?

When you’re considering a breast augmentation, it’s important to understand your implant options. Here’s what you need to know about saline, silicone, gummy bear, and fat grafting breast augmentation.

Saline Breast Implants

Saline implants are filled with a sterile saltwater solution and have a uniform shape and firmness. Many saline breast implants have a structured interior that helps them keep their shape, giving them a more natural appearance. If and when a saline implant ruptures, the loss of volume in the breast is immediate and usually quite noticeable. Because the filler is simply salt water, when a rupture occurs it is simply absorbed by the body and disposed of naturally. They are FDA-approved for use in women 18 and older.

Silicone Breast Implants

Silicone implants are filled with a soft, silicone gel and are available in a range of shapes, allowing for a more natural look and feel, depending on the patient’s body type. Silicone implants do require regular follow-up visits, and they are FDA-approved for use in women ages 22 and older.

“Gummy Bear” Implants

Photo of a woman who has received Gummy Bear Implants from William C. Franckle, MD, FACS

The 410 cohesive silicone gel implants, commonly referred to as ‘gummy bear implants’ feature a silicone gel that is thicker and firmer than that in traditional silicone implants. This allows them to maintain their shape even if the shell breaks. It has been said that these are most natural feeling implant available at this time. The use of gummy bear implants is relatively new in the U.S., but they have been used internationally since the early 1990s.

Autologous Fat Transfer

A fat transfer procedure involves injecting the breasts with fat cells removed from another area of the body through liposuction (commonly the abdomen, thighs, or hips). Women looking for a relatively small change in breast size (within one cup size) have been seeing great results from this procedure. It is a relatively new procedure, and experts aren’t sure exactly how long the results will last. However, many women prefer this option because it removes a small amount of unwanted fat while enlarging the breasts, uses their own tissue instead placing a foreign object (implant) into the body, and results in a very natural-feeling result.

To learn more about the types of breast implants and consider which is your best option, consult William Franckle, MD at Premier Plastic Surgery Arts. With 3D imaging technology available at the practice, you can truly experience a before and after view of the results to assist in your decision.

 

Timing Is Everything When Getting Plastic Surgery

No matter what type of plastic surgery you are considering, timing is a big consideration. How far ahead should surgery be scheduled? Are some procedures better undergone during certain seasons?

Here are a few tips for choosing the right time for your cosmetic surgery procedure, taking into account recovery time, maximizing comfort, and common schedule constraints.

Autumn and Winter

The cooler weather and more overcast conditions make autumn and winter ideal times for scheduling more intensive procedures. Not only is recovery more comfortable during this time, but the weather also calls for bulkier clothing—big sweaters, scarves, hats—that can more effectively hide the signs of recent breast procedures and other body contouring surgeries.

You may be surprised by some of the other benefits of scheduling during autumn and winter months. There are a handful of holidays like Thanksgiving and Christmas that provide ample vacation time, perfect for recovery from a procedure. Also, consider the “wow” factor of getting a procedure done toward the end of the year. Who wouldn’t want to start a new year off right?

Spring and Summer

A woman on a beach after plastic surgery

The warmer months are often a popular time for cosmetic procedures because it’s the time of year when “beach bodies” are on our minds. Spring breaks and long summer vacations can provide the time needed for healing from major procedures without raising questions from friends or co-workers. If summertime is ideal for your situation, keep in mind the hot, humid weather. Be prepared to resist going out into the heat and limiting your sun exposure for the entire recovery period.

Timing a plastic surgery procedure is ultimately left up to you. Consider our suggestions above and take a close look at your day-to-day life. The most important thing to consider is finding enough time for healing and recovery, a topic best discussed with a board-certified physician, like Dr. Franckle, at a consultation.

 

How to Recognize Capsular Contracture

Results from capsular contracture by William Franckle, MD, FACS in Voorhees, NJFor most patients, a breast implant surgery involves minimal complications. A common occurrence (which is becoming less common with advanced techniques and modern technology) is a capsular contracture, which is when scar tissue forms in and around the implant. The feeling of a hardened breast, with or without pain, is a reason to further investigate for a capsular contracture.

What Causes a Capsular Contracture?

Currently, there is no hard evidence as to why a capsular contracture happens, but it is believed to be an immune response. When a foreign object is placed in the body (i.e. an implant), a capsule is formed around that object. For most, this capsule remains thin and does not affect the implant. For some, this capsule tightens around the implant, causing it to feel very firm and look distorted.

Identifying a Capsular Contracture

As mentioned earlier, the most obvious sign of a capsular contracture is a tight-feeling breast. This can occur in one breast or both, and can happen soon following the procedure or 10 years after the surgery. Universally, plastic surgeons use a grading scale to determine the condition of the implant.

– Grade I: The breast is of natural shape, size, and softness.

– Grade II: Slight firmness in the breast, however it appears normal in shape.

– Grade III: The breast is firm and there are abnormalities.

– Grade IV: The breast is hardened, may be painful, and has obvious abnormalities.

For patients that have had a breast augmentation, it’s important to pay attention to your body. Self-checks for firmness and symmetry in the breasts should be added to your routine following the operation.

Preventing Capsular Contracture

Modern advancements in plastic surgery, including sub-muscular positioning of the implants, higher quality implants, and a better understanding of capsular contracture, help surgeons take steps toward preventing capsular contracture.

Treating Capsular Contracture

The most common reason for a breast revision procedure is capsular contracture. There are non-surgical options available, depending on the ‘grade’ of the situation and the patient. An in-person consultation is needed to determine the best solution. If a breast revision surgery is recommended, both the capsular contracture and the affected implant are removed and a new implant is placed in the body.

 

5 Tips For an Easier Breast Augmentation Recovery

For some women undergoing a breast augmentation, the recovery is more worrisome than the procedure itself. Whether considering silicone or saline implants, the thought of ‘downtime’ and side effects can be nerve-wracking. The reality is, there will be some level of discomfort after a surgical procedure. Your body will need time to heal. The good news is, paying attention to your post-operative instructions and taking extra care of your body will make the road to recovery much easier.

1) Don’t go alone!

There is no denying that breast augmentation takes a toll on the body. It is extremely valuable to have a friend or family member by your side to assist before and after the procedure. It will be difficult to perform normal activities independently for 24 to 48 hours following the surgery.

2) Rest, rest, rest

During a breast augmentation patients are given general anesthesia and are prescribed pain medication following the surgery. These medications will help the body relax but can lead to drowsiness. Recovery time can vary from person to person, but all patients should allow themselves to rest as much as possible for several days following the surgery.

3) Hydrate!

Aside from the drowsiness that medications can cause, they may leave you feeling very thirsty. It is important to have plenty of water ready—and within arm’s reach—for the time spent resting.

4) Avoid lying horizontally

To ensure not to overexert the body, a recliner or upright seating positionis recommended when you first arrive home from surgery. For a few days to a week, it may be difficult and uncomfortable to lie down horizontally.

5) Stay positive!

It is important to remember that discomfort is temporary and completely normal. Patients recovering from breast augmentation will often be surprised at how soon they feel able to get back on their feet, with some short-lived physical limitations.

6) Take the doctor’s advice in the weeks and months to come

The weeks and months after the surgery are a crucial time to ensure proper healing. Following the post procedure instructions we give you will lead to a more comfortable and more successful recovery. To avoid scar tissue buildup and maximize recovery, Dr. Franckle may  recommend certain exercises and massaging methods so that the implant falls into place appropriately. Any questions about your recovery should be directed to Dr. Franckle or our office staff. We are just a phone call away!