Male breast reduction is often considered for gynaecomastia where there is an excess of skin. Only be excising the skin can one reduce the volume, take away the excess fat and make the chest flat. One of the best ways to flatten the chest is to remove the nipples areolas as a graft, remove the tissue and then graft the nipple areolas back into place. It does take some time for the scars to settle but over time the scars fade and this result is seen after 4 years when the scars have completely faded.
Archives: Case Studies
Abdominoplasty Case Study 49
Having completed her family and having been unhappy with her contour this lady underwent a full tummy tuck with liposuction, tightening of the abdominal wall with relocation of the umbilicus. The scar is shown at 6 months postop when the scar has started to fade. Massage helps the scar to further fade from the pink colour at this stage and one would expect the scar to fade to a white line in the coming 6 months.
Breast Augmentation Removal Case Study 13
This lady had a breast augmentation elsewhere and after having implants for many years opted to have the implants removed. She had developed capsular contracture and palpability of the implants. She was worried that she may not have enough volume to achieve a good result however the postop images show an aesthetic result that is superior than the preop picture. The pictures are taken at 6 weeks when the swelling has settled.
Gynaecomastia Case Study 7
This gentleman has had a gynaecomastia reduction. He has shaved his chest preop and the postop images are taken at 3 months when his chest hairs have grown back. He had significant breast volume with excess skin and in this scenario direct excision is the best method of removing the excess tissue and giving a flat appearance. In this scenario the nipple areola complex has been removed and grafted into a new position and in essence a mastectomy has been performed of the breast tissue. Results of this operation can be dramatic and patients tolerate the resultant scars very well. The pros and cons of this type of operation need to be discussed with a surgeon with experience in all the various techniques of gynaecomastia surgery.
Body Liposuction Case Study 25
With pregnancy, the layers of the abdominal wall are stretched. Following child birth the layers do not go back into the same position and the abdominal wall is often weakened. The muscles that once sat together in the midline are often split apart and this leads to the formation of a gap. The shape of the abdominal wall is dictated by this and also the fat overlying the abdominal wall. Liposuction can be considered an option for patients to reduce the fat although it will not improve the abdominal wall. This lady is 6 weeks postop following liposuction only. She has achieved a result that she is happy with
When considering abdominal rejuvenation surgery it is important to consider all the various options which may include abdominoplasty, liposuction or as part of a mommy makeover package.
At a consultation It is important to run through all the pros and cons and the various options of abdominal rejuvenation surgery so that you can be empowered to proceed.
Gynaecomastia Case Study 10
For men the chest area can be a very sensitive area aesthetically. In a tee shirt and light clothes some men feel that the presence of man boobs (MOOBS) which is the presence of excess breast tissue hinders there quality of life. Some patients lives are affected greatly by this and wish to have the excess tissue removed so that they are flat. The direct removal of tissue with free nipple grafting is an excellent means of removing the excess tissue in severe cases and guarantees a flatter appearance. The downside are the scars and this gentleman’s scars are seen at 6 months postop. The nipple areola scar has healed but the inframammary scar is still visible. Silicone therapy and massage are important to reduce the scars and often these scars will fade into white lines. For patients that are concerned about how they appear in clothes will still have an improvement in quality of life even with visible scars. For patients wishing to have surgery in order to take their top off in public and feel less self-conscious, they need to consider whether having a visible scar may make things worse for them before considering this form of gynaecomastia surgery.
It is important to run through all the pros and cons and the various options of gynaecomastia surgery so that patients can be empowered to proceed.
Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS(plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS, ABS and BAHNO. . Mr Ross was the first surgeon to receive certification by the Royal College of Surgeons for breast and body rejuvenation techniques including gynaecomastia surgery.
Facelift Case Study 74
This lady wished to improve the jowl area and redefine her jaw. Mr Ross believes that for one to be able to access the neck and the jaw sufficiently that often a full-face incision is required. Elevating the skin away from the underlying tissues allows access for the platysma muscle to be tightened directly. The repositioning of this muscle allows the jaw to be better defined and then the midface lifted higher using the SMAS tissue to give extra volume. The results are shown at 6 weeks and the scars will continue to improve over the coming months. AT 6 weeks, the scars are pink and these can be specifically seen in front of the ear. The scars that run into the scalp have healed extremely well in this case and there is no disruption of the hairline. It does take 6-12 months for the sensation to return following face lifting and massage is a very important part of the aftercare.
When considering facelift surgery patients need to consider the options of neck lifting, liposuction, autologous fat transfer, brow lifting and facial implants. The commonest operation performed in combination with a facelift is a blepharoplasty.
At a consultation, it is important to run through all the pros and cons and the various options of facial surgery and non-surgical techniques so that you can be empowered to proceed. Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected.
Mr. Ross is a plastic, aesthetic and cosmetic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and BAHNO. Mr Ross has written many articles and book chapters in relation to head and neck surgery and will be able to individualise your surgery to give you the optimal outcome.
Facelift Case Study 75
This lady wished to improve the jowl area and redefine her jaw and improve the appearance of her neck. Elevating the skin away from the underlying tissues allows access for the platysma muscle to be tightened directly via a lateral platysmaplasty. The repositioning of this muscle allows the jaw to be better defined and then the SMAS lifted higher to give extra volume to the midface. The results are shown at 6 weeks and the scars will continue to improve over the coming months. At 6 weeks, the scars have healed very well and have faded considerably. The scars then run into the scalp with no disruption of the hairline. The scars will continue to improve over the coming weeks.
When considering facelift surgery patients need to consider the options of neck lifting, liposuction, autologous fat transfer, brow lifting and facial implants. One of the commonest operation performed in combination with a facelift is a blepharoplasty.
At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options of facial surgery and non-surgical techniques so that you can be empowered to proceed.
Mr. Ross is a plastic, aesthetic and cosmetic surgeon that underwent specific training in plastic surgery and has a vast experience in the head and neck region. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and BAHNO. Mr Ross has written many articles and book chapters in relation to head and neck surgery and will be able to individualise your surgery to give you the optimal outcome.
Breast Augmentation Removal Case Study 3
This lady has had three previous breast augmentations and had started to find the implants more painful. She first had implants over 25 years ago and had decided that she would rather have them removed. She was concerned about what the result would look like but was overjoyed after surgery. She could not remember how much breast tissue she had herself and was relieved to have the implants removed
Breast Augmentation Removal Case Study 4
This lady has had her breast implants removed. This was a very difficult decision for her and after many years she has struggled without the implants postop. She did not wish to have a lift and 6 months has been able to adapt to life without implants. She is happy with the size on the right and we will await to see whether she wishes to have any further surgery. Often removal is an option few patients are willing to take but often can be the best option and lets patients have the opportunity to see how things are without. If they decide to have further surgery the results will always be more predictable.
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