Wonderful New Device Has Been Invented to Improve Liposuction Results

Have you heard of the abrasive cannula that is used by all the advanced liposuction surgeons these days? This cannula helps us spread the fat around and make the surface much more even after liposuction. What we do is at the beginning of the case, we use this special instrument in order to abrade and loosen the fat after insertion of the local anesthetic. Then the fat is suctioned and the patient is checked while standing. Any areas that are improper or irregular are marked with a sterile Sharpie marker and the patient is then put back on the operating table and sedated again so they don't remember or feel anything during the case.

The special cannula is again used and sometimes a bit more suctioning is performed. After this, foam and the specially designed compression garment is applied and the patient is allowed to wake up and given fluid to recover. 

We hope this detail isn't too technical for you. Some patients would rather not hear about it, but we think that this helps some people learn more and understand more and have a better feel for what is happening during surgery.

X Marks the Spot:  A New Gynecomastia or "Man Boob" Removal Technique

Dr. Yoho recently attended a medical conference for advanced cosmetic surgery in Buenos Aires, Argentina. There he learned an excellent technique for improving the results in gynecomastia surgery. Dr. Blugerman, just like Dr. Yoho, aggressively liposuctions the area around the problem using a special local anesthetic. After this is performed, instead of making an incision in the lower part of the nipple of the areola right at the junction of the skin, an X is incised right through the middle of the nipple areolar area. Oddly enough, these come together and look fantastic after the surgery, rarely causing problems of any kind, and in most cases making much smaller incisions and leaving no scars.

That said, remember that fluid buildup and sometimes a little bleeding into the area is not that uncommon with gynecomastia surgery. Be prepared to follow up closely with Dr. Yoho when you have your "man boob" improvement procedure, because occasionally this fluid needs to be removed postoperatively in order to get the best result possible and avoid complications such as infection.

“ MAN BOOBS” OR GYNECOMASTIA REPAIR FOR LOS ANGELES COSMETIC SURGERY

While this may be a joke for a lot of people, it is no joke for the people who have the problem. These men wear t-shirts and extra layers on their upper body to conceal themselves and won’t go to the beach and make excuses their whole lives. This problem is easily surgically fixed and no one should hesitate because it is not that expensive and not a complicated procedure. Generally, the patients have an excess of the male hormone testosterone when they are entering maturity at 14 to 16 years of age. This excess of the male hormone is altered by the body into female hormone. This is just the way the hormone is removed by the body. When the female hormone appears on the scene, it has the ability to stimulate breast tissue development in the male just like the females. Sometimes even lactation or milk production occurs in small quantities. In any case, this breast tissue tends to persist throughout life. An additional component of the problem is the surrounding fat, which really can almost look like a female breast.

These patients are very shy and hesitant to show us their chests, but we are used to the issue and do our best to put everybody at ease. Our Pasadena/Los Angeles Cosmetic Surgery technique is as follows. First, the patient is given relaxation medicine so they are not aware of what is going on. Second, local anesthetic is inserted underneath the skin. Third, liposuction is performed to remove any surrounding fat. Fourth, we make a half-inch incision in the crease below the breasts in order to go in and remove the breast gland tissue. Since there is lots of local anesthetic, the area usually does not bleed much. Careful attention is required by the surgeon to be sure that everything is removed in an even fashion and also that the muscle underneath the breast tissue is not damaged, because this can cause bleeding. We attempt to make the area not too thick and not too thin in order to produce a normal skin texture and skin fold when the area heals. After this is done, we attempt to stop any bleeding with an electric needle, and the skin is closed very carefully in order to conceal the incision.

This incision may be made through the areolar area, but we found that over the years the areolar area is more susceptible to distortion and scarring then than the skin underneath the breast in the crease between the breast and the abdominal skin. This incision that we like may take 6 to 12 months to fade but generally does better and is less noticeable than an areolar incision. Men like nice nipples too just like women!

A common complication of this surgery is fluid formation in the area where the fat and breast tissue was removed. Not to worry, at 1 to 3 days after surgery, if this happens, we will remove this fluid from the cavity where the breast tissue was taken, and then we replace the elastic wrap. Generally this solves the problem. Often this is done using light relaxation medication and takes just a few minutes. All of these are included in the price of the procedure as well as all your followups, your elastic wraps, and so on and so forth.
NOTE: a few rare conditions may make individuals grow gynecomastia or “man boobs”, and you should speak with your physician about the possibility that you need blood testing for this possibility.

Dr. Yoho has patients come from Los Angeles, Orange County, Inland Empire and all of Southern California to have their “man boobs” or gynecomastia improved with our special surgical technique. Dr. Yoho's Cosmetic Surgery offices include Pasadena, Palmdale and Visalia local to Lancaster, Fresno and Bakersfield. His Cosmetic Surgeon Los Angeles website has over 1500 pages of detailed information including breast augmentation in Los Angeles, liposuction surgeon in Los Angeles, tummy tuck Los Angeles Los Angeles facelift surgeon, Forehead Lift, facial liposuction Los Angeles, Los Angeles Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Cosmetic Surgeon. Dr. Yoho has passed the boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options to his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills.