Many factors can cause the enlargement of male mammary gland tissue, a condition known as gynecomastia or male breast enlargement. Frequent marijuana use, some medications and an imbalance of hormones are all potential culprits.

Fortunately, Dr. Joshua Greenwald, a New York City plastic surgery provider, can help. By performing male breast reduction in New York, Dr. Greenwald helps his male patients feel more confident and virile.

However, many of Dr. Greenwald’s patients wonder if their “man boobs” will grow back after male breast reduction surgery. Generally, gynecomastia surgery affords patients with long lasting results, but in some cases, gynecomastia can return after male breast reduction surgery.

Factors That May Cause Your Man Boobs to Reoccur

If the initial cause of male breast enlargement was frequent marijuana use and the patient has not halted or drastically lessened the habit following their gynecomastia surgery, then their man boobs may return.

In addition, if the initial cause of gynecomastia was a medical problem such as an adrenal or pituitary tumor that has been left undiagnosed or untreated following male breast reduction surgery, then the patient’s man boobs may reoccur.

Another factor that may cause man boobs to reoccur is weight gain following male breast reduction surgery. Although removed fat cells will not grow back, significant weight gain may cause remaining fat cells to grow bigger. Significant weight gain may also cause new fat cells to form in treated and untreated areas.

Other factors, such as having a hormonal imbalance or taking certain medications, also may cause man boobs to reoccur. If you have additional questions or concerns regarding male breast reduction surgery, do not hesitate to call Dr. Greenwald at (914) 421-0113.

The post Will Your “Man Boobs” Come Back After Gynecomastia Surgery? appeared first on Greenwald Plastic Surgery.

One of the questions that Dr. Greenwald’s tummy tuck patients often have is, “How long do results from tummy tuck last?” The simple answer is that tummy tuck results are intended to be permanent. However, certain occurrences may detract from the aesthetic results of tummy tuck surgery. To find out how to ensure long-lasting tummy tuck results, read on.

Tummy Tuck 101

To learn how to ensure long-lasting results from tummy tuck surgery, it is important to understand the basics behind tummy tuck surgery first.

Often, the natural aging process, major weight loss or pregnancy can cause abdominal skin to lose its elasticity, leaving many people with loose, sagging skin throughout the midsection. Pregnancy can also cause abdominal muscles to weaken severely or even separate. Fortunately, Dr. Greenwald provides tummy tuck surgery to correct these issues. He can also perform liposuction during tummy tuck surgery to remove stubborn pockets of fat from the abdominal area.

To begin tummy tuck, Dr. Greenwald first makes a horizontal incision in the pubic area that extends from hipbone to hipbone in an area that can be concealed by an underwear or bikini line. Dr. Greenwald then removes drooping excess skin before repairing the stomach muscles with internal sutures. If liposuction is needed, the New York City plastic surgeon performs this step next. Dr. Greenwald then re-drapes the remaining skin and repositions the navel to align with the new abdominal contour. He finished the abdominoplasty procedure by closing the incision with sutures and applying a bandage to the treated area. In general, tummy tuck surgery takes approximately 1-2 hours.

Maintaining Your Results After a Tummy Tuck

Tummy tuck results are considered permanent in that the skin and fat cells that Dr. Greenwald removes during the procedure cannot grow back. Likewise, any internal sutures that he places to repair stomach muscles are designed to remain in place indefinitely.

However, significant weight fluctuations can cause the remaining abdominal skin to lose additional elasticity and start to sag again. Also, substantial weight gain can cause remaining fat cells in both the treated area and other areas to grow larger, and it can even cause the body to produce new fat cells in these areas. Pregnancy after tummy tuck can also have negative effects on the treated area, including causing further damage to stomach muscles.

Thus, to ensure that your aesthetic results from tummy tuck are long lasting, it is crucial to be at a stable weight (that you feel you can maintain after surgery) prior to undergoing tummy tuck surgery. If you are a woman, you should wait until you are finished having children before pursuing tummy tuck surgery. By maintaining a stable weight, following a healthy diet, exercising consistently and not smoking, you can ensure your aesthetic results from tummy tuck are long lasting.

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#1: Never Go to Bed Without First Washing Your Face

You should always wash your face before bed. Period. Over the course of each day, dirt, makeup and pollutants accumulate on your skin. If you don’t wash your face before bed, all this debris can clog your pores, leading to acne.

#2: Apply Sunscreen Every Day

Many people mistakenly believe that they do not need to apply sunscreen when the sky is cloudy. However, the sun emits damaging ultraviolet rays every day, regardless of whether it is overcast. To achieve or maintain healthy skin, it is imperative that you apply a broad-spectrum sunscreen with an SPF of at least 15 each morning before you leave the house.

#3: Manage Your Stress Levels

Not only can you get wrinkles from constantly frowning or furrowing your brow when you suffer from chronic stress, but feeling stressed can actually activate the body’s production of cortisol. Cortisol, the stress hormone, causes inflammation, which in turn damages collagen. Collagen is a naturally occurring protein that is necessary for healthy skin. Without ample amounts of collagen, your skin can become rigid and / or start to sag.

That is why managing stress levels will help you maintain healthy skin. You can manage stress by taking a walk, meditation, practicing deep breathing techniques, practicing yoga, taking a warm bath, laughing with a friend or asking for a hug, among many other options.

#4: Follow a Nutritious Diet

Yes, we’ve all heard the adage, “You are what you eat.” Well, this is true in certain ways, especially in regard to skin health. For instance, eating nutritious foods can help fight inflammation, support cellular function, provide antioxidant-related benefits and more. On the other hand, consuming too many sugary foods activates a physiological process known as “glycation,” during which proteins — including healthy skin-essential collagen — become rigid. This can lead to dull, hard skin.

#5: Don’t Be Afraid to Ask for Help

If you have tried the tips above for several weeks but are not noticing an improvement in your skin health, don’t hesitate to reach out to a skin health expert, such as NYC plastic surgeon Dr. Joshua A. Greenwald, for help. He can evaluate your skin health and suggest an appropriate skincare routine or nonsurgical cosmetic procedure to help get your skin back on track.

To schedule a consultation with Dr. Greenwald to learn about the available skincare treatments, contact his practice by calling (914) 421-0113.

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Am I too old for breast implants?

Dr. Greenwald is happy to inform his patients that breast augmentation does not have an age limit. Women in their fifties and sixties can enjoy the benefits of larger, fuller breasts the same way that younger women can.

In fact, it’s common for an older woman to have breast implants placed — especially mothers that have experienced pregnancy-related changes in the breast area. Breast augmentation as a stand-alone procedure, or as part of a mommy makeover, is a good way to celebrate a new stage in life, a career change and even a return to the dating scene. There are many valid reasons to pursue breast augmentation, and a woman’s age will not disqualify her from surgery!

Benefits of Breast Enhancement

A study published in Plastic and Reconstructive Surgery, the medical journal of the American Society of Plastic Surgeons, found that women with breast implants are happier and enjoy more sexual satisfaction after surgery. According to the study, breast augmentation improves women’s overall quality of life, including their psychosocial and physical well-being.

Dr. Greenwald often hears from happy New York breast implants patients that they wish they would have had surgery sooner. They could have avoided years of feeling embarrassed or self-conscious of naturally small or asymmetrical breasts. Breast implants provide the aesthetic improvement some women need to feel confident and comfortable with their bodies. The results can lead to a variety of opportunities for personal growth.

Ideal Candidates for Breast Augmentation

When evaluating a possible candidate for breast augmentation, age is not a determining factor. The more important criterion, Dr. Greenwald says, is the health of the patient.

Women who are physically and psychologically healthy, and do not have any uncontrolled medical conditions that could increase the surgical risks, are likely good candidates for surgery.

Dr. Greenwald evaluates all candidates one-on-one during consultation. He takes down a detailed medical history of the candidate, including previous surgeries and current medications. He may request that a candidate undergo a mammogram before scheduling surgery so that he can verify her breast health.

Schedule a Breast Implants Consultation

To schedule a personal consultation with Dr. Greenwald and learn more about breast augmentation, please contact his practice by calling (914) 421-0113.

The post Am I Too Old for Breast Implants? appeared first on Greenwald Plastic Surgery.

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• Are you certified by the American Board of Plastic Surgery?
• What is your experience with rhinoplasty — how long have you been performing nose surgery and how many rhinoplasty procedures have you completed?
• What percentage of your practice focuses on rhinoplasty?
• How long has it been since you last performed rhinoplasty?
• What is your patient-satisfaction rate?
• What is the revision rate among your own patients?
• What is your policy on revision nose surgery if needed?
• In situations that are similar to mine, how long does it take you to perform rhinoplasty?
• What are the potential risks and complications for nose surgery?
• What type of rhinoplasty technique do you recommend for me? Why?
• What type of anesthesia do you recommend? Why?
• Where do you operate; is your operating facility accredited?
• May I see before-and-after photos of rhinoplasty patients that are similar to me?
• Do you feel confident that you can deliver the aesthetic results that I have discussed with you?

If your prospective plastic surgeon cannot answer all of these questions or does not answer them to your satisfaction, choose a more qualified rhinoplasty surgeon who makes you feel comfortable and confident about your procedure. That is the only way to ensure that you receive optimal results from rhinoplasty.

To schedule a personal consultation with Dr. Greenwald to learn more about nose surgery, please contact his practice by calling (914) 421-0113.

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Follow All Dr. Greenwald’s Instructions – You were meticulous about following all Dr. Greenwald’s preoperative instructions. Don’t stop, now that you have moved into the postoperative phase! The instructions you received from the NYC plastic surgeon are designed to encourage proper healing over the long term and to minimize the chance of experiencing postsurgical complications that could compromise your results.

Keep Scars out of the Sun – To minimize the appearance of your scars, keep them completely out of the sun for at least one year — this is how long it takes for scars to fade so they closely match the color of the surrounding skin. Even 20 minutes of sun exposure can cause a scar to become red and raised from the surface of the skin. Once this happens, it is incredibly difficult, if not impossible, to reverse. Cover scars with clothing or sunscreen with an SPF of at least 15 (preferably higher), and make sure to reapply the sunscreen frequently.

Make Healthy Lifestyle Choices – If you consistently eat unhealthy, highly caloric foods and gain a substantial amount of weight (about 10 percent or more of your total body weight) following your liposuction or body contouring procedure, you could compromise the aesthetic results of your cosmetic surgery. In addition, practicing unhealthy lifestyle habits, such as smoking or sunbathing without the proper UV protection, can inhibit proper healing and counteract the aesthetic results of procedures such as facelift surgery.

Get Routine Massages – This tip is one that most of us will enjoy practicing. Not only do massages help relax tight muscles, they also stimulate the lymphatic drainage of toxins from your body as well as promote good blood circulation, both of which are beneficial for maintaining your plastic surgery results.

To arrange a personal consultation with Dr. Greenwald to learn more about the plastic surgery procedure of your choice, contact his practice by calling (914) 421-0113.

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These days, however, many female high school graduates are choosing to forgo the gift of a car or vacation in favor of a trendier gift: breast augmentation surgery with breast implants. Dr. Joshua Greenwald, a leading New York City Board Certified plastic surgery specialist, discusses the advantages and possible disadvantages of providing 18-year-old females with the gift of breast enhancement.

Good Timing

One of the perks of giving the gift of breast implants right after high school graduation is that breast augmentation patients have the summer months before starting college to recuperate fully. Although the aesthetic effects of breast augmentation surgery are apparent almost immediately after surgery, it does take a few months for any residual swelling throughout the treatment area to subside and for the breast implants to settle into a more natural position. By gifting breast implants at the beginning of summer, patients can feel assured that their new figure will be ready to debut by fall registration.

Also, the summer break between graduating high school and starting college marks a new beginning for many patients who may not know anyone at their new school. This gives breast enhancement patients a chance to make an entirely new impression at the start of the university school year.

A Lifelong Commitment

However, enhancing the breasts with implants is a lifelong commitment. Breast implants should generally be replaced every 10 to 15 years. Thus, anyone who undergoes breast augmentation surgery should be prepared to commit to the periodic breast imaging exams and maintenance that having breast implants entails.

A board-certified plastic surgeon such as Dr. Greenwald can properly determine whether someone understands the potential risks, rewards and commitment associated with breast augmentation and is therefore a suitable candidate for the procedure. To determine if your daughter could benefit from breast enhancement surgery, it is best to make a consultation appointment for her to discuss the procedure in detail with an experienced plastic surgeon.

To schedule a consultation with Dr. Greenwald, please contact his practice by calling (914) 421-0113.

The post Breast Implants as High School Graduation Gifts? appeared first on Greenwald Plastic Surgery.

Why the FDA Requires U.S. Manufacturers to Provide Serial Numbers

The U.S. Food and Drug Administration (FDA) requires that all breast implant manufacturers include identification information with each implant. This is so the vast number of implants produced can be tracked, helping to monitor patients’ long-term safety.

Every breast implant has a lot number and a serial number associated with it. The lot number reflects the batch of breast implants (including the filling material) produced at a certain time. In addition to the lot number, a unique serial number is also associated with each breast implant. This information is either imprinted directly onto the breast implant or printed on the box in which the implant arrives, as well as on a tracking label inside the sealed package. After breast augmentation surgery, the cosmetic surgeon’s office is responsible for submitting the proper documents to the manufacturer, which include the name of the patient, additional identification information, and the lot number and the serial number of the implant. The manufacturer compiles this information into a data registry that can be accessed in order to track down and inform the patient of a safety concern or product recall.

Another Way Implant Serial Numbers Have Been Useful

Although looking up someone’s dental records has long been an effective way to identify certain deceased individuals that are unidentifiable through other means, police can now also use breast implants to help identify individuals. In 2013, police in China were able to solve a homicide case when they successfully identified the victim involved — by her breast implants. Police who were investigating the case noticed the unique serial code on the woman’s exposed silicone breast implant. They used it to track down the manufacturer of the product, who was then able to supply the name of the patient who purchased the implants.

Although both these scenarios in which serial numbers might be helpful may appear grim, it is extremely rare for an implant manufacturer to have concerns about their products. They take every precaution possible to minimize the chance of implant-related complications. It is also extremely rare for authorities to turn to implant serial numbers to help identify an individual.

To schedule a consultation with NYC breast augmentation surgeon Dr. Greenwald to learn more about your breast implant options, please contact his practice by calling (914) 421-0113.

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