Chest reduction: Males need it too

Who says chest reduction is for women only? While this procedure is sought by and done primarily for women, there is a growing number of men who need it, too.

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Forty to 60 percent of men are affected by gynecomastia, says The American Society for Aesthetic Plastic Surgery. Gynecomastia came from the Greek words “woman-like breasts.” Big male breasts are caused by certain medical conditions such as cancer and liver impairment. It is also caused by certain drugs, such as anabolic steroids, and medications containing estrogen.

Chest reduction is commonly performed through surgery or in combination with lipoplasty where a suction device passes through existing incisions to remove excess fats. Results are permanent; only obesity can induce gynecomastia-like effects in the future.

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Because machismo is a highly priced character in men, chest reduction is a life-saver for those who have enlarged breasts. It improves the appearance of the chest by making it flatter, firmer, and better contoured. It also increases self-confidence, and lessens anxiety.

It is still best recommended for men suffering from gynecomastia who are healthy and emotionally stable, and for those who have firm and elastic skin that can easily follow the new contour of their body. Obese and overweight men who have not tried dieting and weight loss are discouraged to undergo chest reduction.

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Dr. Loren Borud is head of Borud Consulting, a consulting firm that specializes on plastic surgery. Gynecomastia is among the specialties worked on by Dr. Borud from his study and stint Assistant Professor of Surgery at Harvard Medical School. More information on cosmetic surgery can be found at this page.

REPOST : Cellulite got you down? There might finally be a solution

This article from Surgery.org talks about Cellulaze, a new treatment for cellulite. 

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Does the term "cottage cheese" make you cringe? If you're worried about the appearance of cellulite on your body, then the answer is probably "yes." Cellulite refers to the dimple-like skin texture that some people develop on their thighs, hips or buttocks. It's more common in women than in men, in part because of the way that fat and muscle are distributed in women's skin. Cellulite is caused by fat deposits that push against the connective tissues underneath the outer layer of skin and is not caused exclusively by obesity or weight gain.

So what can be done about this pesky and unsightly problem? Many companies have toted creams, massages, therapies and other topical ways of dealing with cellulite. All of them have been relatively ineffective for curing the condition; most might improve it for a short time but require continual maintenance.

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A New York Times article earlier this year highlighted a new and increasingly popular procedure that deals specifically with cellulite, known as Cellulaze. The treatment is aimed at people who have tried diet, exercise or other methods to treat cellulite to no avail. The procedure requires local anesthesia and involves making small incisions in your skin so a small pen tip laser can be passed underneath to break up the connective tissue that creates the dimpling effect.

While Cellulaze is approved by the Federal Drug and Food Administration to treat cellulite, like any other plastic surgery procedure, there are limitations to the treatment. The article featured three women who had the procedure – two had excellent results with no more signs of cellulite coming back, but the third woman is still dealing with complications like bruising and swelling. They all underwent the procedure as part of a study to test the safety and efficacy of the device.

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The plastic surgeon running the study told the NY Times, “Do too much, you’ll get a seroma (fluid build-up).” The woman with complications had a large amount of cellulite and loose skin; not the ideal candidate. He stresses the importance of going to a board-certified plastic surgeon with liposuction experience or someone with “a tactical sensing of what’s happening and whether you need to do more.”

As with any new technology, it’s best to do your research and get advice from experienced physicians before making any decisions. 

This Dr. Loren Borud Facebook page contains the latest developments in cosmetic surgery.

SIEF: The new option for breast augmentation?

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Breast augmentation involves using implants for fuller breasts. In this type of procedure, implants such as silicone and saline are used. However, these days, new trends are beginning to replace the practice of using such implants. A new technique being used by some plastic surgeons is SIEF or Simultaneous Implant Exchange with Fat.

SIEF, according to the Journal of American Society of Plastic Surgeons is the method of implant exchange using recipient-site pre-expansion followed by autologous fat transplantation. Generally, this new method is used for patients who want to change their implants and those with recipient-site soft tissue problems. In addition, this method benefits those with excessive upper pole thickness, capsular contracture, implant malposition, and parenchymal thinning.

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Before a SIEF procedure, the patient should undergo baseline three-dimensional breast imaging to analyze and quantify the breast volume. Breast imaging is done to establish a “goal” expansion volume. During the pre-expansion process, the patient is fitted with an external expansion device which creates the “goal” expansion volume. By interpolating between baseline volume and final goal volume, interval goals are derived and compared with the actual weekly measures. The patient, by the third week of the process, should have successfully achieved the goal volume.

After the pre-expansion process, the autologous fat is suctioned from the abdomen, thighs, and flanks via liposuction. The suctioned fats are used as implant exchange for silicone and saline.

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Injection of the fat implant requires two processes: Phase I, which involves injection of the implants over existing implants and Phase II, which involves injection of the supplemental implant after existing implants are removed. During the first stage, a syringe is used to inject the fat implant to the breast while the old implants are still intact. Extra care is observed in injecting the fat to the expanded breast subcutaneous space so as not to injure the existing implant. After the initial stage of the injection process, the implants are removed, resulting to the collapse of the breast. This allows an effective transplantation of the supplemental fat to the breast space.

The advent of the simultaneous implant exchange with fat (SIEF) has opened new avenues for those who want to remove their breast implants. While it is a relatively new method, studies, such as those published in the Journal of American Society of Plastic Surgeons, prove that it is a viable option for those seeking new methods of breast augmentation.

Read more about Dr. Loren Borud and plastic surgery on Blogger.

Online Information On "Designer Vagina" Procedures Misleading And Inaccurate

This MedicalNewsToday.com article cautions readers about the possibility of gathering inaccurate and false information on designer vagina procedures from the Internet. 

Internet information regarding "designer vagina" procedures for women is often poor and sometimes inaccurate, suggests a new report published in the Obstetrics & Gynecology edition of the journal BMJ Open.

The findings encourage researchers to urge that guidelines be created to improve criteria in order for women to make educated choices about an increasingly growing trend that has hardly been investigated as of yet.

Previous research states that in recent years, vaginal cosmetic surgery as become more popular, with little to no clinical or scientific evidence to help guide surgeons on how to perform safe procedures.

Cosmetic procedures are now readily available to women who don't particularly like the way their genitals look. These surgeries include "G-spot amplification" and "vaginal rejuvenation", as well as modifying the shape of the external lips of the vagina.


The researchers used Google to identify private providers offering female genital cosmetic surgery and wrote about the first five US and UK websites that showed up in the search results.

The content of the information offered by these websites was examined using sixteen different criteria starting from what, and how these surgeries are performed, to possible risks, and success rates.

Language was also examined, including the use of phrases such as "labial hypertrophy", suggesting that the procedure is used as treatment for a medical issue.



The authors say that the lack of standard terminology on these websites makes it difficult to interpret exactly how many procedures are being offered. There are around 72 procedures referred to on 10 separate sites with terms like "labioplasty", "liposculpting", "hoodectomy", and "hymenoplasty".

On all the sites, concern about the appearance of genitals were touched upon, as well as the visibility of vaginal labia through tight clothing, and consciousness of larger than normal labia.

Many sites endorsed labial reduction for a "youthful vulval appearance." One website even described this as: "a woman might have a face lift and look really young until she goes to bed and a partner can see the evidence of aging there."

Procedures were often suggested to make the labia "more appealing" or "sleeker." Even though natural variation of labia shape and size was referenced, three sites still recommended surgery. All sites said it would improve vulval appearance.

Hymen intactness, which indicates virginity, can be achieved by hymen repair surgery and was often recommended for improving "the woman's hidden aesthetics". They claimed this would ensure a woman would be "pure" on her wedding night.

Three websites said that labial surgery can improve personal hygiene and eliminate the risk of infections, which investigators say may strengthen negative emotions towards the vagina, known as "pudendal disgust."

Nearly half of the websites suggested that surgery would enhance sexual pleasure.

Just two websites demonstrated success rates of 95 or 100 percent, but what was measured as success was not clearly specified. Restored confidence and self-esteem were also mentioned as part of unproven psychological and social advantages mentioned by all websites.

Every site touched upon risks, but they were made to appear less important than they actually were; four sites did not say what the risks were; and just one gave information on revision rates. Three websites mentioned "botched" surgeries that might cause disfigurement and need correction done by other providers.

None of the websites suggested a minimum age limit for surgery, which the researchers found quite troublesome, because the human anatomy changes throughout a woman's lifespan.

The authors realize that this study just offers a small picture of the information available at a single point in time. But they do recognize this is the first time this subject has been methodically examined.


The researchers conclude that designer vagina surgeries take advantage of women's fears and that any uneasiness they might have could be better addressed by psychological therapy, creams, or moisturizers rather than surgical procedures.

Source:
http://www.medicalnewstoday.com/articles/253194.php

Dr. Loren Borud: A rundown on the new technologies and procedures in surgery

This latest Dr. Loren Borud article will discuss the latest technologies and procedures in the field of surgery.

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The technological advancements in recent years paved way to more convenient methods of doing a variety of things. These developments have been beneficial in so many ways, particularly in areas that deal with life-and-death such as medicine.

In the field of surgery itself, these technological growths have helped save and improve lives. Reconstructive surgery, which is intended for non-vanity caprices, helps correct facial deformity and skull damage, among others, which result from trauma injuries, accidents, and other unfortunate events. Through the now prevalent 3-D computer modeling that some institutions use, helping patients recover and live a better life becomes more possible.

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Dr. Loren Borud assists institutions that conduct different types of surgery in identifying the suitable equipment and methodologies for various surgical procedures.

Aside from reconstructive surgery, there is also cosmetic surgery that helps both men and women find a renewed sense of confidence. Some of the new products, procedures, and technologies that are making waves in cosmetic surgery, as shared by the American Society of Plastic Surgeons are:

AccuSculpt/AccuLiftTM Laser Lipolysis System. This is a laser-assisted liposuction procedure that can be used in all areas of the body.

Focused Ultrasound Body Contouring. It is a non-invasive body contouring method that aims to be complementary to liposuction.

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GFX Nerve Ablation System (Glabellar Furrow Relaxation). The device emits minimally invasive radiofrequency energy that helps control the muscles of the forehead, preventing frown lines. This method is an alternative to Botox, and is especially intended for people who are having second thoughts about injections.

For more discussion on plastic surgery, visit this Dr. Loren Borud blog.

Dr. Loren Borud: Further education for continued success

With fresh and modern ideas in plastic surgery emerging almost every day, it’s essential for cosmetic surgeons like Dr. Loren Borud to further their education to stay updated with the latest trends and technologies. Continuing education is vital in providing the highest level of care to patients.

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Although Dr. Borud is no longer a practicing surgeon, he still uses his experience and education to serve several healthcare companies in providing the safest and most effective procedures and techniques, and getting the best equipment in surgery. Currently, he acts as a consultant to companies in the healthcare industry, especially in the surgical sector.

He is presently completing an executive MBA program at Northwestern University's Kellogg School of Management in Evanston, Illinois. Aside from getting formal education, Dr. Loren Borud has also taken advantage of his travels abroad to learn new concepts and expand his professional horizon. He meets with foreign investors to learn new business disciplines.

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Experts agree that education is important in becoming successful and in achieving one’s career goals. A higher education qualification provides individuals with the needed skills and confidence that will open up new opportunities in their professional life.

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Dr. Loren Borud is also an educator who had been to several states across the US and abroad for speaking engagements. Read more about him by visiting this Facebook page.

Dr. Loren Borud: When women’s breasts become their own nemeses

This latest Dr. Loren Borud blog will discuss one reason why some women undergo breast reduction surgery.

Not all women are endowed with a full bosom. Those living with smaller cups resort to plastic surgery to have their breasts enhanced. While they might think that those with bigger breasts live an extremely comfortable life, a lot of women with big breasts may beg to disagree.

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Although physically attractive, having big breasts has its cons, especially for women suffering from the conditions called hypertrophy of the breast. Macromastia and gigantomastia are two different cases under this condition. Between the two, macromastia may be regarded as the ‘more normal’ condition.

Dr. Loren Borud is the author of the book Plastikonomics, wherein he explained the two sides of the coin in the plastic surgery industry. Currently focusing in business consulting, Dr. Borud is trusted by numerous companies in giving advice about the latest technology to efficiently carry out procedures like breast reduction surgery.

Back pain and neck pain are two of the discomforts felt by women with macromastia. They also feel conscious about their breasts, which affects their self-esteem and how they deal with people. Also, these women are having difficulty looking for clothes that fit.

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With these effects, some women choose to undergo breast reduction surgery. Breast reduction surgery uses general anesthesia and usually takes up to three to five hours. The procedure involves making cuts in the breasts to remove tissues and skin. In some cases, the dark skin around the nipples is enhanced to look smaller, or the actual nipple and areola are repositioned.

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For more of Dr. Loren Borud, visit this blog.