Many people consider having blepharoplasty, or eyelid surgery, in order to remove and tighten up their excess eyelid skin. Eyelid surgery helps patients achieve a more youthful, alert appearance. Eyelid surgery can also improve your vision by allowing more light to reach the eye as loose skin can act as a shade over the eye

Blepharoplasty routinely removes excess fat, skin, and muscle from the lower and upper eyelids. Some people only require skin to be removed during eyelid surgery but this is rare. You may also need to have the surgery done on both lower and upper eyelids. Dr. Azouz performs blepharoplasty at various facilities in Dallas and Plano, providing patients with a youthful appearance while keeping the eyelids functional.

What is Cosmetic Blepharoplasty?

This procedure is not a medical necessity and is done for cosmetic purposes only. As we age, our upper and lower eyelids can begin to droop or become baggy. If this occurs, your eyebrows may even sag or droop down. The skin of the eyelid stretches, the muscles weaken, and fat pockets can start to appear more prominent.

These conditions can detract from the beauty of the eyes and face. They can also cause a person to look older than they actually are. A board-certified plastic surgeon like Dr. David Azouz can perform a blepharoplasty to improve the appearance of the eyes, which helps to improve the overall look and youthfulness of the face.

When is Eyelid Surgery Necessary?

A functional blepharoplasty occurs when there is a medical necessity for it. One of the most common reasons why this surgery may be necessary is when loose skin drooping down low enough that it severely impairs vision. This can cause problems with driving and other daily tasks.

Other conditions that require functional blepharoplasty include:

• Irritation that occurs from eye lashes rubbing the eye
• Discomfort or pain in the forehead from overworked muscles that severely and constantly strain to lift up the sagging eyelid skin with severe headaches

Dallas plastic surgeon Dr. David Azouz has decades of experience performing this type of procedure and routinely provides his patients with world-class results.

Am I a Good Candidate for Eyelid Surgery?

If you are experiencing sagging or drooping skin around your eyes, you may consider eyelid surgery. Remember, this problem is usually normal with ageing and is often due to genetics. Sagging and puffy skin may also be exaggerated if you have other medical issues that irritate your eyes, such as edema or allergies.

Dr. Azouz offers a comprehensive exam of the face and eyes and can guide patients as to what eyelid surgery is best for them. Many patients elect to combine eyelid surgery with a facelift, neck lift or liposuction of the neck.  Some patients elect to combine eyelid surgery with breast augmentation, breast lift, gynecomastia or liposuction surgery.

If you’ve begun to notice the signs of aging, it’s likely that you’ve noticed loose skin around the eyes. Loose skin around the eyes is largely due to genetic causes.  Over time, the eyelids are one of the first places to sag and lose firmness.  This can make you look tired, sad or unhappy. In some cases, loose skin can also affect vision. Loose skin around the eye is called dermatochalasis, and upper and lower lid blepharoplasty procedures are effective plastic surgery solutions.

What is Dermatochalasis?

Dermatochalasis refers to loose skin around the eyelids.  This can cause a “baggy” appearance to the lower eyelid and a “hooded” appearance to the upper eyelid.  In the upper eyelid, the loose skin can hang down into the visual field, causing less light to reach the pupil.  This can make the vision poor at night or in other low light situations. Both loose skin around the eyelid or a droopy eyelid (part of a condition called ptosis), can also affect the ability to perform tasks like driving or reading.

What is the difference between Ptosis and Dermatochalasis?

Ptosis is caused by paralysis or muscle weakness rather than excessive skin.  Ptosis can present at birth known as “congenital ptosis”, and can be acquired meaning it is caused by a trauma.  Some patients have ptosis from repeated stretch injury due to wearing hard contact lenses, from cataract surgery where the eye is propped open or from tumors around the orbit. Ptosis can also be the result of an injury to the bones or soft tissues around the eye.

Eyelid Surgery in Dallas, Fort Worth

Drooping eyelids will usually need surgery in the form of blepharoplasty, which removes excess skin, muscle and fat. Dr. Azouz can also tighten the levator muscles for additional lift and repositioning.  Eyelid surgery can offer a more cosmetic and younger appearance.  In patients where the eyelid is blocking light from reaching the eye, it can also improve your vision.  Dr. Azouz can also recreate the fold of the eye lid so that it is easier to apply makeup.

Cost of Eyelid Surgery

The cost of eyelid surgery is variable and very dependent on the individual patient.  Financing options are available.  Insurance does not usually cover eye-lid surgery and almost never covers primary lower lid surgery.  Dr. Azouz will assess the individual patients needs and can provide a quote for the cost of eyelid surgery after a history and physical examination is performed.  Patients usually can improve the cost of their plastic surgery procedures by combining the surgery with cosmetic face and body procedures such as liposuction, facelift, breast augmentation, and gynecomastia surgery.

Final Results of Eyelid Surgery

Dr. Azouz will provide recommendations on eye drops and icing to to keep the eyes moisturized and free of irritation after eyelid surgery. It’s important to avoid rubbing or itching your eyes while they recover. After a fully recovery, patients enjoy a more youthful and refreshed look without sagging, or excess skin. In the case of corrected dermatochalasis or ptosis many patients enjoy improvement to the vision after swelling subsides and the final results emerge.

Schedule a Consultation with Dallas Plastic Surgeon Dr. Azouz Today!

Eyelid surgery can be an excellent option for refreshing your. To get started, contact our office to schedule a consultation with Dr. Azouz who can plan the ideal facial procedure for you and your goals. Dr. Azouz also combines eyelid surgery with rhinoplasty, neck liposuction, neck lifts, facelifts and brow lifts.  We invite you to contact us by calling us at 972-702-8888 or by filling out our online contact form.

Gynecomastia is a common condition that can be disturbing to many men.  Unfortunately many myths still persist today that cause men to be discouraged when seeking treatment for gynecomastia.

Myth: ‘Pseudogynecomastia, Man boobs, Male Breasts, Gynecomastia are mutually exclusive (you have one or the other)”

Dr. Azouz:  Most men have a combination of fatty tissue and gynecomastia.  It is not uncommon for men to have massive weight loss and have true gynecomastia (pure breast tissue).  Similarly men who are at their ideal weight may have significant fatty tissue in their chest.  Most men will have a combination of gynecomastia (breast tissue) and fatty tissue.

Myth: ‘Nipple Size is independent of gynecomastia’

Dr. Azouz: Enlarged male Nipples are most often associated with underlying gynecomastia.  Patients undergoing gynecomastia surgery can often expect their nipple areola to reduce by half to one third of the size.

Myth:  ‘You will have Drains with Gynecomastia Surgery’

Dr. Azouz: We do not use drains in gynecomastia surgery.  This allows a more comfortable recovery without additional scarring from drain sites.

Scar with Gynecomastia Surgery “The scar is most often imperceptible and camouflaged in the areola.”  

Myth: Scarring with Gynecomastia surgery: ‘scars are multiple, large and visible’

Dr. Azouz: We only place one scar on each breast in our procedure.  The scar is most often imperceptible and camouflaged in the areola.

Myth: ‘Older men are not candidates for gynecomastia surgery’.

Dr. Azouz: Older men can have wonderful results with gynecomastia surgery.  We operate on men in their 70s and 80s routinely and have many older patients who are very happy after male breast reduction surgery.

Myth: ’Teenagers and pre teens are not candidates for gynecomastia surgery’.

Dr. Azouz: Young adults and teens can have wonderful results with gynecomastia surgery.  We operate on boys as young as 10 and 12.  There are patients who have severe gynecomastia even before they are teenagers.  Gynecomastia surgery can be performed in even growing boys.

Myth: ’Male breast reduction is very painful’.

Dr. Azouz: Many of our patients do not take any pain pills after male breast reduction surgery.  Some patients only take Tylenol and advil.  It is rare for a patient to ever need a refill of their pain prescription after surgery.

Contacting Us

Patients who experience gynecomastia are encouraged to contact us. We can perform a thorough examination and offer advice on the appropriate method of treatment. For more information and to schedule your consultation with Dr. Azouz at 972-702-8888, contact our office.

Many women are insecure about the size, shape, and overall look of their breasts. In some patients the breasts are too large, too small, or sagging, whatever the issue, there is a Plastic Surgical operation which can offer a solution. In Dallas, Texas Dr. David Azouz performs various breast surgeries on women who are looking for a change. Dr. David Azouz is a Board-Certified Plastic Surgeon specializing in drainless, rapid recovery breast surgery. Dr. Azouz offers an individualized approach to breast surgery and thoroughly explains the benefits and drawbacks of each surgery. Dr. David Azouz is highly experienced and offers many minimally invasive approaches to breast surgery that allows for minimal scarring with a natural look.

Why do a woman’s breast empty?  There are many reasons including:

Genetics

The most common reason for a woman’s breast to be empty is hereditary.  Some women inherit poor skin elasticity which causes their breasts to sag over time.  Other women lose their breasts when they lose weight.  There are some women who never develop breast tissue.

Pregnancy

Pregnancy can cause enlargement of the breasts.  Some women find that when they are finished breast feeding they no longer have the breast tissue they started with.

Weight Loss

Massive weight loss with diet and exercise or with bariatric surgery can cause the breasts to be emptied and are often associated with sagging breasts.

Aging

As some women age, they are left with sagging or empty breasts.

Breast Augmentation

Breast augmentation is a surgery that is done to increase the size of the breasts, correct asymmetrical breasts, and improve breast contour. This is a good option for women who wish to increase the size and improve the shape of their breasts. This surgery alone will may correct slightly sagging or drooping breasts. Patients who have more significant sagging or drooping of the breasts will require a lift or a lift in addition to an augmentation. Candidates for this surgery are women who are physically healthy, have fully developed breasts, and are not currently pregnant or breastfeeding.

Recovery Time for Breast Augmentation

Recovery time from a breast augmentation varies for each patient. Dr. Azouz will give you a list of detailed postoperative instructions to follow to help the recovery be smooth and easy. It is important to rest and relax for the first 48 hours following your surgery. Most patients can return to most daily activities within a week. More strenuous activity such as contact sports, marathon running and crossfit may still need to be paused for a few weeks.

Cost of Breast Augmentation

Each patient’s breast augmentation cost will vary. At your consultation with Dr. Azouz, he will give you an estimated cost based on your customized procedure. Costs vary due to implant type, size, and placement. If any other procedures are performed in combination such as a breast lift or liposuction, that will also affect the cost. If you have any questions regarding cost and payment, feel free to contact our Dallas office at 972-702-8888.

Breast Lift

A breast lift, also called mastopexy, is a surgical procedure that is performed to lift sagging, loose breasts. Often women’s breasts start to lose volume and elasticity after pregnancy or weight loss. This breast surgery also repositions the nipple and areola to a more youthful position. Women who seek breast lifts want to get higher, fuller appearing breasts without increasing the actual size through augmentation.

Recovery Time for Breast Lift

The recovery from breast lift surgery is relatively quick. Dr. Azouz will provide detailed instructions for your post-operative care. These will help to make recovery smooth and easy for you.

Cost of Breast Lift

The cost of breast lift procedures varies for every patient. It is highly dependent on the amount of change desired, techniques used, and any combination procedures. There are three main approaches to a breast lift which include a lollipop incision, anchor lift or a mini lift.  Dr. Azouz will give you an estimated cost during your consultation appointment and identify which breast lift is best for you.

Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a surgical procedure that helps to reduce the size of large and/or sagging breasts. Dr. Azouz can also reduce the size of the areola during this procedure to make the breasts look more natural. This procedure is great for women who have large breasts that are causing them pain, discomfort, and even lowering their self-confidence. Breast reductions help to aesthetically improve the look of the breasts and alleviate discomfort associated with large breasts. Dr. Azouz utilizes liposuction with a breast reduction to remove lateral breast tissue and fat.   Liposuction allows for a more sculpted look.

Recovery Time for Breast Reduction

You will notice an immediate improvement in the look and feel of the breasts. Most patients return to work within one week of the procedure. Dr. Azouz will provide specific aftercare instructions for you to follow.

Cost of Breast Reduction

Each breast reduction procedure has a varied cost. The cost depends on the amount of change desired and any combination procedures that are done. During your consultation with Dr. Azouz, he will give you an estimated cost for your breast reduction.

Breast Reconstruction

Breast reconstruction is a procedure that is done to help restore breasts for women who have undergone surgery for breast cancer, have altered breasts from previous surgery, or have altered breasts due to trauma. Dr. Azouz works with each woman individually to find the best breast reconstruction method and to help them feel comfortable. Dr. Azouz will strive to make sure that the results look natural.

Breast reconstruction can be done in multiple ways depending on the health, history and goals of the patient.

Recovery Time for Breast Reconstruction

The recovery time for breast reconstruction varies for each patient. It is dependent on the type of breast reconstruction, amount of breast tissue, the health of the patient, and medical history. Most patients return to work within one week following their surgery.

Cost of Breast Reconstruction

Each breast reconstruction will vary in cost. There are many factors playing into the cost of the surgery such as method, desired change, and more. Dr. Azouz will give you an estimated cost during the in-person consultation.

Removal of Implants

Many women decide to remove their breast implants for a variety of different reasons.  Some women do not want an augmented look as they age.  Other women are concerned as their specific type of breast implant may have been recalled by the FDA.   Dr. Azouz does not place textured implants which have been recalled by the FDA.  While there is not a recommendation for breast implant explantation of textured implants, many women feel more comfortable removing their textured implants.

Recovery Time for Removal of Implants

Recovery time for removal of breast implants is somewhat dependent on if a total capsulectomy is performed or not.  In general recovery from removal of implants is rapid with patients returning to work a few days after surgery.  It is not recommended to engage in heavy exercise activity for four to six weeks after surgery.

Cost of Breast Implant Removal

The cost of breast implant explantation is dependent on the type of implant and the need for a total capsulectomy.  Insurance coverage is possible for women with advanced capsules.  Many insurance companies deep breast implants to be cosmetic and therefore coverage is dependent on the insurance carrier and policy.

Breast Feeding After Breast Surgery

Breast feeding is possible after breast augmentation, breast implant removal, breast reduction, and  breast lift.  Patients who have undergone a mastectomy for breast cancer will be unable to breast feed as the breast glands, ducts and nipples may have been removed.

Drainless Breast Surgery

Surgical drains are used to evacuate fluid after surgery.  While they can be helpful to remove fluid, they involve additional scarring, are potentially painful and need to be continually emptied.  Dr. Azouz performs drain free breast surgery.  This allows patients to recover more quickly and to have a better postoperative experience.

Enhanced Recovery Breast Surgery

Dr. Azouz utilizes many surgical techniques to that provide an optimal post operative experience.  Dr. Azouz places long acting anaesthetics to minimize pain. Dr. Azouz avoids general anesthesia whenever possible to provide his paitents with a quick recovery.  He also utilizes compression garments,  which minimize pain and swelling after surgery.

Combining Liposuction with Breast Surgery

Liposuction can be used in almost all breast surgeries.  Liposuction provides a more defined and sculpted look by removing axillary adiposity, later breast tissue and by giving the breasts a more natural rounded look.  Many patients also decide to add liposuction to the abdomen with a breast surgery for a full body make over known as a “mommy makeover”.

Schedule a Consultation

Dr. Azouz will work with you to choose the best breast procedure, or combination procedures, for you. To make a consultation at his Dallas office, call Dr. Azouz at 972-702-8888 or fill out an online form.

Although most men experience gynecomastia, or enlarged male breasts, at some point in their lives, not every patient fits the criteria for a good candidate. This is because gynecomastia can change over time or resolve on its own, so life stage is a very important factor when looking at your options with gynecomastia treatment. As you plan your consultation for male breast reduction, here are some things to consider.

Considerations for Puberty

Because gynecomastia is most commonly caused by hormones during the body’s development, puberty can be a huge factor in deciding whether surgery is appropriate for candidates. Most men experience gynecomastia during their teenage years to some degree, but this usually resolves as the body exits puberty. For this reason, male breast reduction may be detrimental to the body as it continues to change. If you’re still within your teenage years, you should be sure to discuss your options with Dr. Azouz and explore other options if you’re still experiencing this important phase.

Considerations for Maturity

Plastic surgery is no small choice, so most plastic surgeons will be sure to discuss with their patients the repercussions of choosing their procedure. Male breast reduction can be an effective, long-term solution, but it’s not a permanent fix. Despite treatment, gynecomastia can still reoccur without the proper life changes to ensure it stays away. These can include avoiding weight gain and certain medications. Overall, patients for any plastic surgery procedure should be mature enough to understand the procedure and its ramifications on their body and their lifestyle.

What Age is Best?

This question can be difficult to answer, since every patient presents a unique case. Male breast reduction is best for patients who have outgrown puberty and still have enlarged breasts. However, many male breast reduction patients are middle-aged or older and experience enlarged breasts as a result of aging or weight gain. In any case, ideal patients have tried lifestyle adjustments to reduce their gynecomastia and are able to consent to and undergo surgery to correct it. The best way to determine whether you can benefit from gynecomastia treatment is through a consultation with Dr. Azouz.

Dr. David Azouz is a top gynecomastia plastic surgeon in the Dallas area who performs effective male breast reduction techniques at our state-of-the-art practice. To schedule a consultation to discuss your gynecomastia treatment options, contact our office by calling or filling out our online form.

Despite how advanced plastic surgery techniques have become, you can still expect some downtime after your procedure. If you’ve undergone eyelid surgery, some recovery time can seem overwhelming as you wait for your new eye profile. However, it’s important to follow any instructions given by Dr. Azouz to ensure you stay healthy and risk-averse. Here are some tips to ensure your recovery goes smoothly.

Managing Discomfort

Eyelid surgery can be a straightforward plastic surgery that isn’t as invasive as other options, but you can still expect some discomfort or pain as you recover. It’s important to follow instructions for any medications you’re prescribed, as these can reduce both pain and swelling. For additional effectiveness, you can use a cold compress at the treatment area. Dr. Azouz recommends the use of certain eyedrops to keep your eyes lubricated and reduce itchiness, so be sure to use these to manage any discomfort from incisions or dryness. Dr. Azouz will ensure you know which ones to look for in the preparation of your surgery date.

Protecting Your Eyes

As with any incision or surgical site, it’s important to protect it from harmful things. This is especially important after eyelid surgery since complications can be very dangerous to your eyes’ necessary functions. Your eyes may be very sensitive during this time, so wearing dark, protective sunglasses during this time can help to reduce stress on your eyesight. It can also prevent your incisions from being exposed to UV-rays, which can exaggerate scarring. If you opt to wear protective SPF, be sure to get a recommendation from Dr. Azouz on which products will be best. It’s also important to protect your incisions with any bandages or strips that are applied for your recovery. These can effectively prevent infection, so be sure to follow care instructions for your incisions.

What to Avoid

Even though recovery is temporary, it’s still highly important to avoid certain things until your incisions are healed. This includes certain skincare products and cosmetics that can aggravate your incisions or cause infection. It can be tempting to cover up any bruising if you choose to go into public, but you should be sure to check with Dr. Azouz before using any products near your eyes in order to ensure your recovery goes smoothly. You should also avoid wearing your contact lenses for a few weeks after surgery, as these can irritate your eyes further. Even though it can be uncomfortable, it’s also very important to avoid itching, scratching, or rubbing your eyes until you’re recovered.

Your recovery is only one step in your eyelid surgery process, and with effective aftercare, you can enjoy your excellent results without complication. To schedule your blepharoplasty consultation or ask questions about what to expect from your recovery, contact our office by calling or filling out our online form.

Even though there are several non-invasive procedures today that help address different signs of aging, there are many issues still require surgical correction for best results. Cosmetic eyelid surgery, or blepharoplasty, is one such surgical procedure that does not have an effective non-surgical alternative. There are two kinds of blepharoplasty procedures– one for the upper and lower eyelid, respectively. If you’re considering a procedure to rejuvenate your eyes with blepharoplasty, here are some interesting myths and facts about eyelid surgery that you may not know.

About Eyelid Surgery

Eyelid scars are some of the most concealed scars in plastic surgery: Although it’s true that certain surgeries can produce visible scarring, eyelid surgery can easily conceal any incisions within the natural folds of the eyes. For upper eyelid surgery, the scar is concealed within the crease. For lower eyelid surgery, incisions can be made inside the lower eyelid or hidden below the lash line. Using these techniques, most patients find little to no visible scarring after surgery.

You can correct dark circles: Some of the most common cosmetic issues around the eyes are dark circles and eye bags. There can be many reasons that these problems can form; it could be temporary due to lack of sleep, while long term dark circles are caused typically by thinning skin or loss of volume due to aging. These concerns can respond to non-surgical treatments like laser techniques, dermal fillers, and skincare. Fat grafting is an evolving more permanent option to improve the tear trough and lower eyelid.  You should be sure to discuss your goals with Dr. Azouz during a consultation.

Blepharoplasty surgery (eyelid surgery) can still be performed in those with dry eyes: It’s important to choose an experienced, board certified plastic surgeon who specializes in facial cosmetic surgery, since removing too much skin can cause chronic dry eyes after recovery. You can expect some dryness during your recovery, however, because of irritation. This can be mitigated with eyedrops.

Facts About Eyelid Surgery

It has cosmetic and medical benefits: Eyelid surgery can help eliminate sagging skin and remove excessive skin and fat from the area while also tightening the skin. In addition to these cosmetic enhancements, it can also improve your peripheral vision when it removes overhanging skin. Removing excess eyelid skin can also allow more light into the eye, which can improve vision. This is why it’s medically recommended for people whose vision is affected by droopy eyelids.

It’s the second most popular facial cosmetic procedure: After rhinoplasty, eyelid surgery is the next most popular surgery in the U.S. This is believed to be increasing at almost 10 percent each year.

Lower and upper eyelid surgery can be performed together: Even though not everyone will require correction on both the lower and upper eyelids, they can be performed together within the same surgical procedure. This reduces the surgical session’s time as well as your recovery period.

Eyelid surgery isn’t just for women: While it’s true that a large percentage of women opt for eyelid surgery, men seeking facial rejuvenation also opt for the procedure in thousands each year.

Your results will continue to improve: You will be able to see your results immediately after surgery, but in most cases, your final results will continue to refine over the course of a year to eighteen months. This happens because it takes time for the surrounding tissue, skin, and fat to settle in place. Even though it may take around 12-18 months to see your final results, your facial improvement will be long-lasting.

Eyelid surgery can be performed under local anesthesia: Depending on the amount of correction required, your eyelid surgery can take anywhere from 45 minutes to 1.5 hours. It is usually performed under local anesthesia together with sedation. You’ll be able to return home immediately after surgery. Dr. Azouz recommends elevation and icing to reduce swelling.

Schedule a Consultation

Eyelid surgery can be a quick and effective way to rejuvenate the face and brighten your look. To begin discussing your options, contact our office by calling or filling out our online form and schedule a consultation with Dr. Azouz.

What is gynecomastia?

Although breasts do not develop in males like they do for females, most men are born with a small amount of breast tissue. A male’s body makes the testosterone hormone which guides his sexual growth and development with puberty. However, males also produce the female sexual growth hormone, estrogen. Endocrine studies have demonstrated a hormonal imbalance with an increase in estrogen, leading to a swelling and hypertrophy of male breast tissue. Almost 50 percent of adolescent boys develop gynecomastia to some degree and some will develop permanent gynecomastia presenting as a female appearing breast or as puffy nipples.  Some men will also present with lipodystrophy, which is an abnormal distribution of fat overlying the pectoralis muscles. Many men have a combination of both abnormal fat distribution and gynecomastia (breast tissue) appearing to be female breasts.

Gynecomastia in young adults and teens – Azouz MD

With puberty comes a number of changes to the body.  The appearance of facial hair and deepening of the voice are part of healthy male development. Sometimes, teenage boys may experience another change that comes in the form of breast tissue enlargement which is distressing and cause self-consciousness with tight-fitting clothing or when shirtless.

What causes gynecomastia?

There can be a number of factors that that can cause gynecomastia in men and teens, however, the exact cause can be difficult to determine. Most cases of gynecomastia are no fault of the patient and run in families being genetic. Some factors that are felt to contribute to gynecomastia are as follows:

• An injury to the testicles which make testosterone or disease affecting it.
• Problems of the liver, thyroid or kidneys
• Obesity which leads to an increase in estrogen.
• Certain medications like those for depression, cancer, ulcers or heart disease.
• Drugs like marijuana or steroids.
• Dietary or herbal supplements

What are the symptoms and treatment?

Gynecomastia can initially present as a lump of fatty tissue under the nipple. The swelling in the breasts may be even or uneven.  Most patients have some asymmetry between the two breasts.

Dr. Azouz evaluates each patient with a history and physical exam.  When indicated Dr. Azouz is able to contour the chest with liposuction and removal of gynecomastia and fatty tissue.  Dr. Azouz routinely camouflages small incisions around the areola and does not use drains.  Liposuction and removal of gynecomastia is routinely performed as a day surgery and many patients report experiencing little pain after surgery.  Dr. Azouz will guide aftercare and advise patients on when to return to light and heavy physical activity.

Although you commonly hear of breast reductions for women, male breast reduction is not as commonly discussed. Gynecomastia is a condition that can cause breast tissue in men to swell or enlarge. Gynecomastia presents from puffy nipples to large female appearing breasts. Approximately sixty percent of men have this condition, and many have it to the point that they choose surgical correction.  In adults when gynecomastia persists for 12 months, surgical excision and body contouring is the definitive treatment of choice.

What is gynecomastia?

Gynecomastia is a condition that can first present in puberty or after infancy, as the young man is encountering many different changes in his body. An imbalance between testosterone and estrogen can cause breast tissue to develop and grow in a male. Although the exact etiology of this condition is not always clear, steroids, recreational cannabis and other medications are believed to contribute to gynecomastia. Other factors like weight and age can also influence the development of gynecomastia.  The overwhelming cause of gynecomastia is a genetic predisposition inherited from a male relative.

To many males, especially as a young teen, this is a source of embarrassment. Many young men report not wanting to participate in sports or any team activities that require changing in front of other young men or women. Patients often report being very self-conscious of their bodies and try to hide it in various ways. Older men may also experience difficulty with self esteem and avoid going shirtless, playing sports or wearing tight fitting clothing. There are also men who intentionally gain weight in order to camouflage their gynecomastia.  Gynecomastia may be minor and fade away past puberty, or it may be excessive and not reduce or disappear.

Gynecomastia is also referred to as male breast tissue, gyno or “man boobs”.  Gynecomastia is different from pseudogynecomastia which involves lipodystrophy or abnormal fat distribution in the chest.  Most men who are afflicted with gynecomastia have a combination of both lipodystrophy and true gynecomastia.

Will gynecomastia go away naturally?

Males affected by this condition often want to know the answer to this question: Will gynecomastia go away naturally? The simple answer is it depends. For young boys, gynecomastia often goes away after puberty. However, for many children, young adults, and adults the appearance of gynecomastia may be permanent. In fact, the only proven treatment for this condition is male breast reduction, a surgical procedure. When a skilled plastic surgeon performs this procedure, it creates a permanent change in the male’s physical appearance.  The gynecomastia removal can often be achieved with one outpatient surgical procedure.

How do you choose a good plastic surgeon for liposuction and removal of gynecomastia (male breast reduction)?

Most importantly, you need a plastic surgeon you can trust and feel comfortable with. A plastic surgeon is a surgeon who has completed a minimum of 3 years of general surgery and 3 years of plastic surgery.  It is advisable to directly inquire if your plastic surgeon completed a residency in plastic surgery.

Azouz Plastic Surgery has two such plastic surgeons, who are sympathetic to your problem and skilled in performing male breast reductions. Both plastic surgeons perform gynecomastia surgery (male breast reduction) on a regular basis.  Dr. Azouz routinely does not use drains, performs gynecomastia surgery as a day surgery and often is able to achieve the desired results with imperceptible scars.  Dr. Azouz performs Aesthetic (Cosmetic) and Reconstructive surgeries of the chest and has experience in treating patient with advanced gynecomastia, Poland syndrome, placement of pectoral implants, nipple/areola reduction and chest asymmetry.

If you are affected with gynecomastia, schedule a plastic surgery consult and call 972-702-8888 today.

Liposuction is one of the most common cosmetic procedures in plastic surgery.  The recovery time following liposuction is dependent on the individual patient, on the number of areas being addressed (abdomen, chest, neck, thighs, knees, legs, arms etc) and the nature of the liposuction being preformed. Liposuction can be performed on its own or in combination with other plastic surgery procedures.  Dr. Azouz routinely performs liposuction in combination with a tummy tuck (abdominoplasty), breast augmentation, breast lift (mastopexy), breast reduction, male breast reduction (gynecomastia), neck lift/facelift, body lift, and with abdominal wall reconstruction.

Dr. Azouz is able to use liposuction in both aesthetic (cosmetic) surgery patients and in patients undergoing reconstructive surgery. Recovery after liposuction is often easy and quick.  Even patients with complex medical history, heavy patients, older patients and those with history of previous surgery can be candidates for liposuction surgery.

Dr. David Azouz an experienced Plastic Surgeon in Dallas/Plano/Fort Worth for over 30 years

As a plastic surgeon, Dr. Azouz strives to attain the best, most natural and dramatic results in conjunction with a safe and comfortable recovery.

The routine experience for patients undergoing Liposuction Surgery with Dr. Azouz is as follows. The liposuction experience can vary according to different plastic surgery needs.

Prior to Liposuction Surgery:

Dr. Azouz is a plastic surgeon based in Dallas who will meet in consultation with each patient individually, prior to surgery.  Dr. Azouz advises the patient which sites they are a candidate for when planning for liposuction.  There are six stages during Dr. Azouz’s liposuction consultation. Dr. Azouz almost never uses drains with liposuction.  He will advise his patients which compression garments will be most effective for the quickest post operative recovery after liposuction.

Cost of Liposuction

The cost of liposuction will vary according to the number of sites desired to be improved, the overall complexity of the surgery and the patients specific desires.  Some patients elect to combine liposuction procedures with other procedures such as breast augmentation, tummy tuck (abdominoplasty), male breast reduction (gynecomastia), breast lift (mastopexy), body lift, eyelid surgery (blepharoplasty), facelift, labiaplasty, monsplasty, arm lift and with a variety of other plastic surgery procedures in order to have one recovery and one cost for their anesthesia and operating room fees.

The Night before Liposuction Surgery

Dr. Azouz advises his patients to shampoo and shower and then to shampoo and shower again the morning prior to surgery.  Dr. Azouz will recommend when it is best to stop eating and drinking the night before liposuction surgery.

During Liposuction Surgery

Dr. Azouz is able to perform liposuction surgery on patients with a combination of local and sedation or with general anesthesia.  Most patients elect to have their liposuction under sedation and would rather not have an endotracheal tube placed.  Dr. Azouz works with anesthesiologists who are committed to providing the patient with the most optimal experience.

‘Dr. Azouz aims for a world class result with the best experience possible’

Dr. Azouz utilizes many diverse techniques to provide each patient with a safe, ideal, top notch and comfortable surgery while always minimizing the risks and complications. While each patient has their own unique experience, many patients report having little pain with liposuction surgery.  Many patients have repeatedly reported that the experience was one of the best medical experiences.  They also often say that liposuction results are life changing.

Two to Three Days Post Liposuction Surgery

Liposuction surgery is often reported to be painless however analgesic medications is still prescribed who report mild discomfort. Patients will wear their compression garments in the post operative period.  Patients often elect to have their surgery on a day that is followed with one to two days off of work.  However many patients return to work more quickly without any detriment.  In this time period they reduce their level of physical activity.  Most liposuction patients return to desk work after one to two days.

One to Three Weeks Post Liposuction Surgery

One to two weeks after liposuction patients will avoid exercise and most patients do not have any reportable pain.  Many liposuction patients can go back to desk work or light duties at this point.  Full compression is utilized during this time period as advised by Dr. Azouz.  All stitches will usually be removed from the small liposuction incisions between 2 to 3 weeks after surgery.

Three to Six Weeks Post Liposuction Surgery

At three to four weeks after liposuction surgery, results become much more dramatic.  Bruising and swelling usually improve dramatically in the first three to four weeks.  Most liposuction patients can return back to light physical activity after the third week including heavy walking, elliptical, light yoga and light aerobics.

Six Weeks Post Liposuction Surgery

Liposuction patients are usually released to full activity after six weeks. Most patients can additionally return to all physical activities or exercise routines. This includes basketball, hockey, football, heavy yoga, trampoline, skydiving and scuba diving.

Schedule a Consultation for Liposuction

Liposuction is one of the best ways to reduce fatty pockets and boost your confidence. To get started on discussing your liposuction options, contact plastic surgeon, Dr. Azouz by calling now at 972-702-8888 or filling out our online form.

Gynecomastia is a common condition that can be disturbing to many men.  Unfortunately many myths still persist today that cause men to be discouraged when seeking treatment for gynecomastia.

Myth: ‘Pseudogynecomastia, Man boobs, Male Breasts, Gynecomastia are mutually exclusive (you have one or the other)”

Dr. Azouz:  Most men have a combination of fatty tissue and gynecomastia.  It is not uncommon for men to have massive weight loss and have true gynecomastia (pure breast tissue).  Similarly men who are at their ideal weight may have significant fatty tissue in their chest.  Most men will have a combination of gynecomastia (breast tissue) and fatty tissue.

Myth: ‘Nipple Size is independent of gynecomastia’

Dr. Azouz: Enlarged male Nipples are most often associated with underlying gynecomastia.  Patients undergoing gynecomastia surgery can often expect their nipple areola to reduce by half to one third of the size.

Myth:  ‘You will have Drains with Gynecomastia Surgery’

Dr. Azouz: We do not use drains in gynecomastia surgery.  This allows a more comfortable recovery without additional scarring from drain sites.

Scar with Gynecomastia Surgery “The scar is most often imperceptible and camouflaged in the areola.”  

Myth: Scarring with Gynecomastia surgery: ‘scars are multiple, large and visible’

Dr. Azouz: We only place one scar on each breast in our procedure.  The scar is most often imperceptible and camouflaged in the areola.

Myth: ‘Older men are not candidates for gynecomastia surgery’.

Dr. Azouz: Older men can have wonderful results with gynecomastia surgery.  We operate on men in their 70s and 80s routinely and have many older patients who are very happy after male breast reduction surgery.

Myth: ’Teenagers and pre teens are not candidates for gynecomastia surgery’.

Dr. Azouz: Young adults and teens can have wonderful results with gynecomastia surgery.  We operate on boys as young as 10 and 12.  There are patients who have severe gynecomastia even before they are teenagers.  Gynecomastia surgery can be performed in even growing boys.

Myth: ’Male breast reduction is very painful’.

Dr. Azouz: Many of our patients do not take any pain pills after male breast reduction surgery.  Some patients only take Tylenol and advil.  It is rare for a patient to ever need a refill of their pain prescription after surgery.

Contacting Us

Patients who experience gynecomastia are encouraged to contact us. We can perform a thorough examination and offer advice on the appropriate method of treatment. For more information and to schedule your consultation with Dr. Azouz at 972-702-8888, contact our office.

Many people consider having blepharoplasty, or eyelid surgery, in order to remove and tighten up their excess eyelid skin. Eyelid surgery helps patients achieve a more youthful, alert appearance. Eyelid surgery can also improve your vision by allowing more light to reach the eye as loose skin can act as a shade over the eye

Blepharoplasty routinely removes excess fat, skin, and muscle from the lower and upper eyelids. Some people only require skin to be removed during eyelid surgery but this is rare. You may also need to have the surgery done on both lower and upper eyelids. Dr. Azouz performs blepharoplasty at various facilities in Dallas and Plano, providing patients with a youthful appearance while keeping the eyelids functional.

What is Cosmetic Blepharoplasty?

This procedure is not a medical necessity and is done for cosmetic purposes only. As we age, our upper and lower eyelids can begin to droop or become baggy. If this occurs, your eyebrows may even sag or droop down. The skin of the eyelid stretches, the muscles weaken, and fat pockets can start to appear more prominent.

These conditions can detract from the beauty of the eyes and face. They can also cause a person to look older than they actually are. A board-certified plastic surgeon like Dr. David Azouz can perform a blepharoplasty to improve the appearance of the eyes, which helps to improve the overall look and youthfulness of the face.

When is Eyelid Surgery Necessary?

A functional blepharoplasty occurs when there is a medical necessity for it. One of the most common reasons why this surgery may be necessary is when loose skin drooping down low enough that it severely impairs vision. This can cause problems with driving and other daily tasks.

Other conditions that require functional blepharoplasty include:

• Irritation that occurs from eye lashes rubbing the eye
• Discomfort or pain in the forehead from overworked muscles that severely and constantly strain to lift up the sagging eyelid skin with severe headaches

Dallas plastic surgeon Dr. David Azouz has decades of experience performing this type of procedure and routinely provides his patients with world-class results.

Am I a Good Candidate for Eyelid Surgery?

If you are experiencing sagging or drooping skin around your eyes, you may consider eyelid surgery. Remember, this problem is usually normal with ageing and is often due to genetics. Sagging and puffy skin may also be exaggerated if you have other medical issues that irritate your eyes, such as edema or allergies.

Dr. Azouz offers a comprehensive exam of the face and eyes and can guide patients as to what eyelid surgery is best for them. Many patients elect to combine eyelid surgery with a facelift, neck lift or liposuction of the neck.  Some patients elect to combine eyelid surgery with breast augmentation, breast lift, gynecomastia or liposuction surgery.

If you’ve begun to notice the signs of aging, it’s likely that you’ve noticed loose skin around the eyes. Loose skin around the eyes is largely due to genetic causes.  Over time, the eyelids are one of the first places to sag and lose firmness.  This can make you look tired, sad or unhappy. In some cases, loose skin can also affect vision. Loose skin around the eye is called dermatochalasis, and upper and lower lid blepharoplasty procedures are effective plastic surgery solutions.

What is Dermatochalasis?

Dermatochalasis refers to loose skin around the eyelids.  This can cause a “baggy” appearance to the lower eyelid and a “hooded” appearance to the upper eyelid.  In the upper eyelid, the loose skin can hang down into the visual field, causing less light to reach the pupil.  This can make the vision poor at night or in other low light situations. Both loose skin around the eyelid or a droopy eyelid (part of a condition called ptosis), can also affect the ability to perform tasks like driving or reading.

What is the difference between Ptosis and Dermatochalasis?

Ptosis is caused by paralysis or muscle weakness rather than excessive skin.  Ptosis can present at birth known as “congenital ptosis”, and can be acquired meaning it is caused by a trauma.  Some patients have ptosis from repeated stretch injury due to wearing hard contact lenses, from cataract surgery where the eye is propped open or from tumors around the orbit. Ptosis can also be the result of an injury to the bones or soft tissues around the eye.

Eyelid Surgery in Dallas, Fort Worth

Drooping eyelids will usually need surgery in the form of blepharoplasty, which removes excess skin, muscle and fat. Dr. Azouz can also tighten the levator muscles for additional lift and repositioning.  Eyelid surgery can offer a more cosmetic and younger appearance.  In patients where the eyelid is blocking light from reaching the eye, it can also improve your vision.  Dr. Azouz can also recreate the fold of the eye lid so that it is easier to apply makeup.

Cost of Eyelid Surgery

The cost of eyelid surgery is variable and very dependent on the individual patient.  Financing options are available.  Insurance does not usually cover eye-lid surgery and almost never covers primary lower lid surgery.  Dr. Azouz will assess the individual patients needs and can provide a quote for the cost of eyelid surgery after a history and physical examination is performed.  Patients usually can improve the cost of their plastic surgery procedures by combining the surgery with cosmetic face and body procedures such as liposuction, facelift, breast augmentation, and gynecomastia surgery.

Final Results of Eyelid Surgery

Dr. Azouz will provide recommendations on eye drops and icing to to keep the eyes moisturized and free of irritation after eyelid surgery. It’s important to avoid rubbing or itching your eyes while they recover. After a fully recovery, patients enjoy a more youthful and refreshed look without sagging, or excess skin. In the case of corrected dermatochalasis or ptosis many patients enjoy improvement to the vision after swelling subsides and the final results emerge.

Schedule a Consultation with Dallas Plastic Surgeon Dr. Azouz Today!

Eyelid surgery can be an excellent option for refreshing your. To get started, contact our office to schedule a consultation with Dr. Azouz who can plan the ideal facial procedure for you and your goals. Dr. Azouz also combines eyelid surgery with rhinoplasty, neck liposuction, neck lifts, facelifts and brow lifts.  We invite you to contact us by calling us at 972-702-8888 or by filling out our online contact form.

Many women are insecure about the size, shape, and overall look of their breasts. In some patients the breasts are too large, too small, or sagging, whatever the issue, there is a Plastic Surgical operation which can offer a solution. In Dallas, Texas Dr. David Azouz performs various breast surgeries on women who are looking for a change. Dr. David Azouz is a Board-Certified Plastic Surgeon specializing in drainless, rapid recovery breast surgery. Dr. Azouz offers an individualized approach to breast surgery and thoroughly explains the benefits and drawbacks of each surgery. Dr. David Azouz is highly experienced and offers many minimally invasive approaches to breast surgery that allows for minimal scarring with a natural look.

Why do a woman’s breast empty?  There are many reasons including:

Genetics

The most common reason for a woman’s breast to be empty is hereditary.  Some women inherit poor skin elasticity which causes their breasts to sag over time.  Other women lose their breasts when they lose weight.  There are some women who never develop breast tissue.

Pregnancy

Pregnancy can cause enlargement of the breasts.  Some women find that when they are finished breast feeding they no longer have the breast tissue they started with.

Weight Loss

Massive weight loss with diet and exercise or with bariatric surgery can cause the breasts to be emptied and are often associated with sagging breasts.

Aging

As some women age, they are left with sagging or empty breasts.

Breast Augmentation

Breast augmentation is a surgery that is done to increase the size of the breasts, correct asymmetrical breasts, and improve breast contour. This is a good option for women who wish to increase the size and improve the shape of their breasts. This surgery alone will may correct slightly sagging or drooping breasts. Patients who have more significant sagging or drooping of the breasts will require a lift or a lift in addition to an augmentation. Candidates for this surgery are women who are physically healthy, have fully developed breasts, and are not currently pregnant or breastfeeding.

Recovery Time for Breast Augmentation

Recovery time from a breast augmentation varies for each patient. Dr. Azouz will give you a list of detailed postoperative instructions to follow to help the recovery be smooth and easy. It is important to rest and relax for the first 48 hours following your surgery. Most patients can return to most daily activities within a week. More strenuous activity such as contact sports, marathon running and crossfit may still need to be paused for a few weeks.

Cost of Breast Augmentation

Each patient’s breast augmentation cost will vary. At your consultation with Dr. Azouz, he will give you an estimated cost based on your customized procedure. Costs vary due to implant type, size, and placement. If any other procedures are performed in combination such as a breast lift or liposuction, that will also affect the cost. If you have any questions regarding cost and payment, feel free to contact our Dallas office at 972-702-8888.

Breast Lift

A breast lift, also called mastopexy, is a surgical procedure that is performed to lift sagging, loose breasts. Often women’s breasts start to lose volume and elasticity after pregnancy or weight loss. This breast surgery also repositions the nipple and areola to a more youthful position. Women who seek breast lifts want to get higher, fuller appearing breasts without increasing the actual size through augmentation.

Recovery Time for Breast Lift

The recovery from breast lift surgery is relatively quick. Dr. Azouz will provide detailed instructions for your post-operative care. These will help to make recovery smooth and easy for you.

Cost of Breast Lift

The cost of breast lift procedures varies for every patient. It is highly dependent on the amount of change desired, techniques used, and any combination procedures. There are three main approaches to a breast lift which include a lollipop incision, anchor lift or a mini lift.  Dr. Azouz will give you an estimated cost during your consultation appointment and identify which breast lift is best for you.

Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a surgical procedure that helps to reduce the size of large and/or sagging breasts. Dr. Azouz can also reduce the size of the areola during this procedure to make the breasts look more natural. This procedure is great for women who have large breasts that are causing them pain, discomfort, and even lowering their self-confidence. Breast reductions help to aesthetically improve the look of the breasts and alleviate discomfort associated with large breasts. Dr. Azouz utilizes liposuction with a breast reduction to remove lateral breast tissue and fat.   Liposuction allows for a more sculpted look.

Recovery Time for Breast Reduction

You will notice an immediate improvement in the look and feel of the breasts. Most patients return to work within one week of the procedure. Dr. Azouz will provide specific aftercare instructions for you to follow.

Cost of Breast Reduction

Each breast reduction procedure has a varied cost. The cost depends on the amount of change desired and any combination procedures that are done. During your consultation with Dr. Azouz, he will give you an estimated cost for your breast reduction.

Breast Reconstruction

Breast reconstruction is a procedure that is done to help restore breasts for women who have undergone surgery for breast cancer, have altered breasts from previous surgery, or have altered breasts due to trauma. Dr. Azouz works with each woman individually to find the best breast reconstruction method and to help them feel comfortable. Dr. Azouz will strive to make sure that the results look natural.

Breast reconstruction can be done in multiple ways depending on the health, history and goals of the patient.

Recovery Time for Breast Reconstruction

The recovery time for breast reconstruction varies for each patient. It is dependent on the type of breast reconstruction, amount of breast tissue, the health of the patient, and medical history. Most patients return to work within one week following their surgery.

Cost of Breast Reconstruction

Each breast reconstruction will vary in cost. There are many factors playing into the cost of the surgery such as method, desired change, and more. Dr. Azouz will give you an estimated cost during the in-person consultation.

Removal of Implants

Many women decide to remove their breast implants for a variety of different reasons.  Some women do not want an augmented look as they age.  Other women are concerned as their specific type of breast implant may have been recalled by the FDA.   Dr. Azouz does not place textured implants which have been recalled by the FDA.  While there is not a recommendation for breast implant explantation of textured implants, many women feel more comfortable removing their textured implants.

Recovery Time for Removal of Implants

Recovery time for removal of breast implants is somewhat dependent on if a total capsulectomy is performed or not.  In general recovery from removal of implants is rapid with patients returning to work a few days after surgery.  It is not recommended to engage in heavy exercise activity for four to six weeks after surgery.

Cost of Breast Implant Removal

The cost of breast implant explantation is dependent on the type of implant and the need for a total capsulectomy.  Insurance coverage is possible for women with advanced capsules.  Many insurance companies deep breast implants to be cosmetic and therefore coverage is dependent on the insurance carrier and policy.

Breast Feeding After Breast Surgery

Breast feeding is possible after breast augmentation, breast implant removal, breast reduction, and  breast lift.  Patients who have undergone a mastectomy for breast cancer will be unable to breast feed as the breast glands, ducts and nipples may have been removed.

Drainless Breast Surgery

Surgical drains are used to evacuate fluid after surgery.  While they can be helpful to remove fluid, they involve additional scarring, are potentially painful and need to be continually emptied.  Dr. Azouz performs drain free breast surgery.  This allows patients to recover more quickly and to have a better postoperative experience.

Enhanced Recovery Breast Surgery

Dr. Azouz utilizes many surgical techniques to that provide an optimal post operative experience.  Dr. Azouz places long acting anaesthetics to minimize pain. Dr. Azouz avoids general anesthesia whenever possible to provide his paitents with a quick recovery.  He also utilizes compression garments,  which minimize pain and swelling after surgery.

Combining Liposuction with Breast Surgery

Liposuction can be used in almost all breast surgeries.  Liposuction provides a more defined and sculpted look by removing axillary adiposity, later breast tissue and by giving the breasts a more natural rounded look.  Many patients also decide to add liposuction to the abdomen with a breast surgery for a full body make over known as a “mommy makeover”.

Schedule a Consultation

Dr. Azouz will work with you to choose the best breast procedure, or combination procedures, for you. To make a consultation at his Dallas office, call Dr. Azouz at 972-702-8888 or fill out an online form.

What is a Tummy Tuck?  

A Tummy Tuck is also known as abdominoplasty and is a procedure performed by a plastic surgeon to remove excess skin, fat, and repair weakened muscles in the abdomen to create a slimmer profile. This is a very popular procedure for women who have undergone childbirth to help bring them back to their pre-baby bodies. 

Patients who have diastasis recti, where the muscles in the abdomen are spread apart, can benefit from this surgery.  Men and women with hernias are also candidates for repair via a Tummy Tuck approach. Patients with significant weight loss can benefit in their workouts, with intimacy, and with their general comfort by removing the excess skin.

What is diastasis recti?

A diastasis of the rectus abdominus muscles refers to the laxity or weakening of the major muscles in the abdomen.  These muscles separate and cause a protuberant or “bulging” abdomen. Some patients feel that their abdomen ”looks pregnant” because of the weakening of their rectus diastasis.   

Does Dr. Azouz do a lot of Tummy Tucks?

YES! The Tummy Tuck is one of the most popular procedures performed by Dr. Azouz. Patients who are looking for a Tummy Tuck procedure usually have many questions about the procedure. Dr. Azouz takes ample time during the consultation appointment to answer all of the questions that his patients have.   Dr. Azouz combines his drain-less Tummy Tucks with liposuctions and an ultra-low incision line. Patients can often conceal their incisions in even the most skimpy undergarments or bikinis after their Tummy Tuck because of the low incision. Dr. Azouz also performs mons liposuction which is critical to avoiding a bulge after a Tummy Tuck.  

Can I have a monsplasty at the same time as my Tummy Tuck?

Yes! Dr. Azouz routinely performs monsplasty/liposuction in men and women during a Tummy Tuck.

Which Tummy Tuck Procedure is Right for Me?

There are a few different modalities of the Tummy Tuck surgery. These are the full abdominoplasty, mini-abdominoplasty, and no-drain abdominoplasty. Different modalities will work for different patients based on their specific needs. 

Full Abdominoplasty

The full Tummy Tuck involves a horizontal incision below the lower abdomen and an incision around the navel. This procedure removes excess skin while also repairing the muscles and pulling them to a tighter position. This is commonly used for patients who have issues from pregnancy or major weight fluctuations such as patients who have had Bariatric Surgery (Post Bariatric). 

Mini Abdominoplasty

With the mini Tummy Tuck, only one incision smaller incision along the lower abdomen is needed. It pulls the skin to a tighter position. It is best used for minor cases of laxity. The best candidates for this procedure have most of their laxity below the navel.   

No-Drain Abdominoplasty

Dr.  David Azouz has been performing no drain Tummy Tucks for over 25 years. This technique is to reduce the amount of fluid that is built-up after surgery, by closing off the space where fluid would accumulate.  No drain (drainless) surgery avoids painful drains, avoids excess scarring and does not require the frequent monitoring and emptying of fluid.   

During the consultation appointment, Dr. Azouz will examine your abdominal skin and muscle laxity, go over your medical history, and learn about your goals and concerns to recommend the best method of Tummy Tuck for you. 

Frequently Asked Tummy Tuck Questions

What is the Tummy Tuck Recovery Like?

Recovery is different for each patient. Dr. Azouz will provide specific aftercare instructions that should be followed closely for optimal healing.   Dr. Azouz utilizes multiple techniques that minimize pain with a Tummy Tuck. This includes the method of anesthesia, local nerve blocks, no drain approach, cold therapy and more.  Swelling and bruising is normal but should subside within weeks after surgery. Dr. Azouz has patients avoid steam rooms and saunas for three months after surgery so as to swell. Most people are free to return to their normal routine within one to two weeks.   Heavy activity such as scuba diving, horseback riding, basketball, hockey, as well as heavy lifting is out for six weeks.

Can a Tummy Tuck Be Combined with Other Procedures?

The Tummy Tuck is often combined with other surgeries for a more comprehensive approach to addressing patient concerns. Dr. Azouz routinely uses liposuction with a Tummy Tuck to remove fatty tissue in and around the abdomen. Also, a Tummy Tuck is one of the main procedures done in a mommy makeover. A mommy makeover is a comprehensive surgery that uses procedures that address the abdomen, breasts, and fatty tissue on the body.  Patients will often have a breast lift, breast augmentation or labiaplasty concurrently with their Tummy Tuck.  

Do I need to lose weight before a Tummy Tuck?

Often Dr. Azouz does not necessarily recommend losing weight prior to a Tummy Tuck.  A Tummy Tuck can be a great way to improve exercise and diet. Dr. Azouz does recommend quitting smoking prior to a Tummy Tuck.

Does Dr. Azouz perform liposuction with a Tummy Tuck?

Dr. Azouz routinely performs liposuction in multiple locations during a Tummy Tuck.  Liposuction helps to sculpt the body and provide an improved figure. Dr. Azouz also performs liposuction of the lateral chest wall to remove “bra fat” with a mommy makeover. 

Can my belly button be saved with a Tummy Tuck?

Dr. Azouz is able to create a more aesthetic umbilicus (belly button) during a Tummy Tuck.  Dr. Azouz saves the belly button skin and “moves” the belly button to a more aesthetic location with better position.  Dr. Azouz has been able to save many belly buttons that other surgeons had deemed not salvageable.

Does Dr. Azouz perform a drain-less Tummy Tuck?

Yes! Dr. Azouz routinely performs a drain-less Tummy Tuck and has been doing so for over 25 years.  Most patients in his practice undergo a drain-less operation.  

Can my Gallbladder or Uterus be removed at the same time as a Tummy Tuck?

Yes. Dr. Azouz is able to coordinate with OBGYN (gynecologists) and general surgeons to perform intrabdominal surgery concurrently with various cosmetic plastic surgery operations.  This includes liposuction, breast augmentation, breast lift, Tummy Tuck and monsplasty at the same time as another surgery. This allows for one anesthetic and one recovery.

Is a Tummy Tuck painful?

Dr. Azouz performs a variety of techniques to minimize pain with a Tummy Tuck.  These include local and regional nerve blocks, compression, cold therapy and more.  Many patients report minimal pain with their tummy tuck.

Do the results of a Tummy Tuck last?

The results of a Tummy Tuck do last.  This is especially true if a patient remains at approximately the same weight.  Many patients have gained significant weight after a Tummy Tuck but still report that they have a flat abdomen which was better than before.  

What if I get pregnant after a Tummy Tuck?

Patients can still get pregnant after a Tummy Tuck.  Dr. Azouz recommends that patients not plan a Tummy Tuck if they think they are getting pregnant within a year of surgery.  Dr. Azouz has seen skin retraction in patients who have gotten pregnant years after their Tummy Tuck. These patients still reverted to their post-Tummy Tuck bodies.  

Does a Tummy Tuck remove stretch marks?

Yes, a Tummy Tuck removes stretch marks within the skin excision of a Tummy Tuck.  A Tummy Tuck is an excellent way to remove stretch marks from the lower abdomen.

Where are the scars located in a Tummy Tuck?

A Tummy Tuck usually involves a scar hidden within the underwear line and a scar around the belly button.  The belly button is a scar from the loss of the umbilical cord at birth. This means that belly button scars are usually camouflaged once they fade.

When will I see the results of a Tummy Tuck?

Tummy tuck results will be seen once the bruising and swelling subsides.  Patients usually see significant improvement in their abdomen within six weeks after surgery.  Patients report that their abdomen will continue to look better over time. Some patients report maximal improvement within one year after surgery while others sometimes report that they look even better at 18 months after surgery.  

What should I eat after my Tummy Tuck?

Dr. Azouz will review nutrition with his patients after surgery.  There are a variety of wound healing products available to improve healing after surgery.  Silicone gel and silicone gel sheeting can be helpful to help scars fade faster. Some patients report that dietary supplements can also speed up wound healing.

What is the best age for a Tummy Tuck?

Dr. Azouz performs Tummy Tucks in patients of varied ages.  In general the younger the better. Some patients who are healthy can have Tummy Tucks into their sixties.  Dr. Azouz has also performed Tummy Tucks in patients who are in their 20s and this usually involves post-bariatric patients.  Generally, patients will undergo Tummy Tucks in their 30s to 50s. 

Do men have Tummy Tucks?

Yes! Men have Tummy Tucks as well.  Dr. Azouz performs drain-less Tummy Tuck in men as well.  Men can benefit from diastasis repair, hernia repair and similarly benefit from the removal of excess skin. Dr. Azouz routinely performs liposuction and removal of gynecomastia surgery concurrently with a male tummy tuck.

Can I go home the same day as my Tummy Tuck?

Dr. Azouz routinely sends patients home the same day as they have their surgery.  Through a history and physical examination, Dr. Azouz will determine if you are a candidate for a same day Tummy Tuck.  Dr. Azouz utilizes many techniques to permit the recovery process to be as comfortable as possible.  Dr. Azouz strives to afford patients the best tummy tuck by using additional methods of minimizing pain, nausea, and discomfort.

Can my hernia be repaired with a Tummy Tuck?

Many patients elect to have their hernia repaired through a tummy tuck incision.  In many cases, Dr. Azouz is able to repair both a rectus diastasis and even large hernias without the use of mesh.

What is the Cost of a Tummy Tuck?

The cost of a Tummy Tuck surgery is dependent on many factors. Each patient gets a different surgery depending on their specific needs, so each cost if different. Dr. Azouz provides each patient with an individual cost, this will be discussed during the consultation appointment.   

Schedule a Consultation

If you are considering a Tummy Tuck procedure, then talk to Dr. David Azouz. Dr. David Azouz is a board-certified plastic surgeon who uses advanced techniques to give his patients effective, quality care. To make an appointment at his Dallas office, call us at (972) 702-8888 or fill out an online form.

What cosmetic procedures can be combined and why would that be beneficial?

Combining plastic surgery procedures is extremely popular and involves a plastic surgeon performing multiple plastic or cosmetic surgeries in one day.  This is a great option for patients who have many different concerns they would like to address. Dr. David Azouz is a board-certified plastic and reconstructive surgeon in Dallas, TX who performs many combination procedures to help his patients reach their goals in a safe, efficient and effective manner. Dr. Azouz is highly experienced and offers patients the benefits of a natural-appearing look with minimal scarring from his combination procedures. The most well-known combination procedure is the mommy makeover, but there are many procedures that can be combined. Facelifts, tummy tucks, liposuction, and breast surgeries are all popular surgeries that can be done together.

Benefits of Combination Procedures

There are many different benefits that come from performing two or more surgeries simultaneously. Mainly, it cuts down on the need for multiple surgery days which allows a patient one recovery. Additionally, combining procedures often cuts down on the cost of surgery and anesthesia.

Candidates for combination plastic and cosmetic surgery

The best candidates for combination surgery:

• Require moderate improvement of the areas to be treated
• Are in good overall health
• Are non-smokers
• Have realistic expectations

Dr. Azouz recommends that patients with areas that require significant skin and soft tissue resection stage their procedures rather than have them done on the same day.  The right combination of procedures can achieve the results a patient desires and this is best achieved through expressing your goals with Dr. Azouz.  Dr. Azouz is committed to performing plastic and cosmetic surgery as safely and efficiently as possible.

Combining plastic surgery with other non-plastic surgery procedures

Patients often desire to combine cosmetic and plastic surgery operations with other types of surgery including:

• Hysterectomy
• Removal of gallbladder
• Functional rhinoplasty
• Hernia repair

Dr. Azouz is able to coordinate performing cosmetic surgery with other noncosmetic surgeries with a variety of different surgeons.  Often Dr. Azouz will work with an OBGYN to perform a hysterectomy and tummy tuck together.  Hernia repairs are often performed at the same time as a panniculectomy (tummy tuck).

Recovery Time

One of the main questions Dr. Azouz is asked during his consultations with patients is how much recovery time they will need for their procedure. If a patient has multiple concerns and requires multiple procedures, this adds to time spent recovering from surgery. With a combination procedure, you get one recovery time.  A mommy makeover may involve a drain-less abdominoplasty or mini-tummy tuck, liposuction, and breast augmentation in the same day.   Men often desire liposuction of the abdomen to be done concurrently with liposuction and removal of gynecomastia of the chest.  The recovery time for each procedure is about four to six weeks until a patient can return to heavy exercise. Instead of having to heal for four to six weeks to or three different times, patients can get surgeries done on the same day so that they only go through one recovery.

How soon can you have cosmetic surgery after massive weight loss surgery (gastric bypass?

Gastric bypass induces weight loss by both restrictive and absorptive methods.   This means that a patient will eat less food and less food will be absorbed through the patient’s digestive tract.  Patients will generally have their weight fluctuate for six months after surgery.  Dr. Azouz typically recommends having a stable weight for six months prior to surgery as well.  Patients who have had bariatric surgery (gastric sleeve or bypass) are typically excellent candidates for post-bariatric body contouring.  Combination procedures are often possible and include a variety of cosmetic surgeries of the body, breast, and face.

Possible combination surgery after bariatric procedures include:

Mommy makeover

Body lift with liposuction

Tummy tuck with liposuction

Facelift with eyelid surgery (blepharoplasty)

Breast lift with breast augmentation

Liposuction and removal of gynecomastia

Cost and Recovery

Along with the cut down on recovery time, combination procedures also cut down the cost. The cost of each individual procedure varies greatly. You have to add in the surgical facility, anesthesia, and medical devices to the total cost. By getting multiple procedures done in one surgery, this cuts down on the time spent in the operating room and anesthesia costs being repeated. Dr. Azouz will give you an estimated cost of your unique combination procedure during your in-person consultation.

Popular Combination Procedures

To help his patients save on recovery time and cost, Dr. Azouz performs many of his procedures in combination with others. Due to the drain-less technique accompanying his procedures, patients can enjoy a less complex healing period. One of his most popular procedures is the Drainless abdominoplasty. Other popular combination procedures are:

• Mommy Makeover (breast and abdomen)
• Liposuction and Removal of gynecomastia
• Liposuction and Abdominoplasty
• Breast Lift and Reduction
• Rhinoplasty and Eyelid surgery (blepharoplasty)
• Facelift and Eyelid surgery
• Mini Abdominoplasty and liposuction
• Tummy tuck and labiaplasty

Schedule a Consultation

If you have multiple body concerns that you would like to address, then talk to Dr. Azouz about combination procedures. These are excellent options to get your ideal look in a quick, effective manner. You can request a consultation with our online form or give us a call at 972-702-8888.

Who Can Benefit From a Neck lift Procedure?

A Neck lift is a common plastic surgery procedure performed by Dr. Azouz as day surgery and is often associated with little pain afterward. Aging contributes to skin and soft tissue laxity. Over time, the body stops producing high levels of collagen and hyaluronic acid, which leads to loose skin, wrinkles, jowls, and many other signs of aging. Patients who desire a more youthful and contoured neck can meet with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, Texas. Dr. Azouz performs neck lifts for patients with these concerns and can help improve the side-effects of an aging neck and face.

        Have you been thinking about getting a neck lift but are unsure if you are a candidate?

The best way to determine candidacy for a lower rhytidectomy is to speak with Dr. Azouz. The best candidates for a neck lift are those healthy, do not smoke, and have realistic expectations for the procedure. A neck lift can treat various concerns with your face and neck you may have due to naturally aging skin.

What Can Neck Lift Surgery Treat?

• Loose neck skin
• Creppy neck skin
• An obtuse cervico mental angle
• Excess fat under the chin
• Jowls
• Muscle banding in the neck
• Excess fat and skin relaxation in the neck

How does a neck lift compare to non-surgical procedures?

The neck starts to show visible aging signs prior to other areas of the body. To help combat this, a neck lift, or lower rhytidectomy, is performed to restore a youthful appearance. During a lower rhytidectomy, excess fat and/or skin is removed on the lower face, chin, and neck. The suspensory layers of the face are tightened and lifted to a more youthful position.  This has the advantage of contouring the jawline and neck for a more distinguished profile.

Non-surgical options do not physically remove excess skin and fat.  Generally, non-surgical procedures must be repeated numerous times in order to yield an appreciable result.  A neck lift is definitive and most patients will undergo only one in their lifetime.

What is it like to have a neck lift in Dallas?

The neck lift journey involves three main parts including the consultation, the surgery, and the recovery.

Consultation

During a consultation, Dr. Azouz will walk you through what to expect for your lower rhytidectomy procedure.  Dr. Azouz will take a medical history and perform a physical examination.  Dr. Azouz also points out the aesthetic anatomy of the face through a physical examination.  Dr. Azouz is able to demonstrate on your neck what to expect after surgery.   Dr. Azouz is also able to discuss combination surgery for patients who would like to combine their neck lift with blepharoplasty (eyelid surgery), laser resurfacing, facelift, rhinoplasty or otoplasty.

Surgery

Dr. Azouz most commonly performs neck lift surgery with local anesthesia and sedation. Dr. Azouz uses this technique so you are comfortable while minimizing the risks associated with general anesthesia.  This also allows Dr. Azouz to monitor and protect the muscles of facial animation.  Patients can be deepened or lightened to their desired level of comfort with anesthesia.  The vast majority of patients do not remember their operation due to the specific medications that are utilized during cosmetic procedures.  Dr. Azouz works with anesthesiologists and certified nurses and anesthetists who are experts in delivering an optimal surgical experience.  Side effects such as pain and nausea are minimized by Dr. Azouz’s local and regional blocks, his specialized dressings and the long-lasting anesthesia drugs that are provided by the anesthesia provider.

Recovery

Dr. Azouz provides prescriptions for medications that will treat pain and nausea after a neck lift.  Patients do not usually describe significant pain after a neck lift and there are many patients who do not take any opioid pain pills after surgery.  Dr. Azouz personally follows his patients in the office after surgery with frequent appointments.  Dr. Azouz removes stitches at different appointments and will notify patients when they begin their skincare, sunscreen and makeup regimens.  Neck lift incisions are hidden behind the ears and under your chin.  Most patients are able to return to desk work a few days after surgery.  Dr. Azouz does not recommend any heavy activity such as scuba diving, sky diving, cross-fit, heavyweight training and marathon running for at least four to six weeks after surgery.

Frequently Asked Facelift Questions

How is a neck lift different than a facelift?

A Neck lift only addresses the lower portion of the face including the neck and jowls.  Young patients who have loose skin and fatty tissue under the chin are more commonly candidates for a neck lift.  Older patients who would like the benefit of midface rejuvenation are better candidates for facelifts.  Dr. Azouz generally combines a neck lift with all facelift procedures.  Some patients simply require neck liposuction which has the additional benefit of skin tightening and minimal incisions.

How can you tell the difference between platysma bands and loose skin?

Platysma bands are actually strips of muscles of the neck which become prominent with aging.  This is due to a combination of soft tissue and skin laxity as well as decreased muscle tone.  Dr. Azouz will be able to diagnose and treat platysmal banding after an in-office history and physical examination.

Is Botox enough for neckbands or is a platysmaplasty better?

Neuromodulators such as botox and Dysport generally only will last for 2-4 months.  This means that patients will have to have their platysma bands treated with injections several times a year for as many years as the plastysma bands bother them.  With a neck lift or facelift Dr. Azouz treats platysma bands directly by a platymaplasty, direct platysma band excision and by resuspending the skin and soft tissues of the face.

What causes premature aging?

The overwhelmingly greatest cause of premature aging is genetics.  People often notice that they look more and more like their aging parents as they age.  There are modifiable causes of aging as well but these do not contribute to aging as much as genetics.  Modifiable causes of aging include sun exposure, smoking, diet, skincare, and stress.

How can I reduce premature aging and maintain the results of my neck lift or facelift?

1. Sun protection is one of the best ways to prevent premature aging. Wearing hats, avoiding the sun at the hottest parts of the day and applying sunscreen frequently is critical.  New broad-spectrum sunscreens protect from multiple damaging rays including UVA/UVB, infrared and blue rays.
2. Smoking causes significant damage to nearly all parts of the body. The skin and soft tissues of the face and neck are damaged and can not recover as well in smokers.  Smoking can also cause discoloration of the teeth and gums.  Quitting smoking can not only lead to a longer life but also to the ability to better rebuild collagen and heal.
3. Eating healthy is another way to better prevent early aging. A healthy diet rich in fruits and vegetables provides the skin with a healthy glow, better texture, tone and can even contribute to better skin elasticity.  Alcohol, fried, salty and sugary foods do not provide the face with the nutrients to build healthy and youthful collagen.
4. Daily skincare programs with retinA, hydroquinone, vitamin c and moisturizers can strengthen, smoothe and tighten the skin. Azouz customizes skincare regimens to his patients after performing a skin exam and history.
5. Daily stress is difficult to avoid but patients who provide self-care with exercise, meditation, familial support, and yoga can better distress to lower their stress hormones such as cortisol and adrenaline. Even very young patients in their 20s and 30s can become aged looking after experiencing periods of significant stress.

Cost of a Neck Lift

There is no one cost for a neck lift procedure. It varies based on many factors. Dr. Azouz will give you an estimated cost for your neck lift during your consultation.  Insurance companies deem facelifts and neck lifts to be cosmetic surgery and therefore non-covered procedures.  If you have any questions regarding the cost of a neck lift, feel free to contact our Dallas office at 972-702-8888.

Talk to Plastic Surgeon Dr. Azouz

If you are unhappy with your neck/jawline area due to loose, sagging skin then talk to Dr. Azouz. He can create your customized neck lift procedure to help you look years younger. To get started, contact our Dallas office today by phone or by filling out an online form.

Enterate todo lo que debes saber sobre la ginecomastia o reduccion de mamas para hombres.

¿Qué es la ginecomastia?

La ginecomastia es una afección que causa agrandamiento del tejido mamario masculino. A menudo es una gran fuente de vergüenza y causa inseguridad en los hombres. 

¿Qué causa la ginecomastia o agrandamiento del tejido mamario en los hombres?

Durante la pubertad, las oleadas hormonales pueden conducir al crecimiento del tejido mamario masculino. Las causas comunes de ginecomastia incluyen la pubertad, testosterona, el aumento de peso excesivo, el uso de esteroides anabólicos en los físico culturistas y el uso de marihuana. Varios medicamentos como el adderall también pueden causar agrandamiento de los senos masculinos.

¿Cómo sé si tengo ginecomastia?

La ginecomastia generalmente ocurre en ambas mamas, pero los pacientes pueden tener senos asimétricos o unilaterales. Los autoexámenes de los senos generalmente muestran un montículo de tejido palpable, sensible, firme, móvil, similar a un disco, que no es tan duro como el cáncer de seno y está ubicado centralmente debajo del complejo pezón-areolar.

¿Cómo corregir la ginecomastia?

Cuando los pacientes llegan con una queja de ginecomastia, generalmente se quejan de bultos en sus senos con o sin exceso de grasa en los senos. La cirugía para reducir las mamas en los hombres generalmente implica la liposucción del exceso de grasa y/o la extirpación quirúrgica del exceso de tejido mamario glandular Es importante que su cirujano realice un examen físico adecuado de sus mamas para confirmar la ginecomastia y descartar la sospecha de cáncer de seno masculino.

¿Qué se debe hacer antes de una cirugia de ginecomastia?

Dr. Azouz aconseja suspender los medicamentos que aumentan el riesgo de sangrado, dejar de fumar y mejorar la nutrición para apoyar la curación y recuperación después de la cirugía de ginecomastia. 

¿Cómo es la cirugía de ginecomastia?

La cirugia de ginecomastia en Dallas es sencilla y se la realiza bajo anestesia local. El uso de fajas es común para ayudar a controlar el dolor, reducir la hinchazón y controlar los hematomas. 

¿Cómo es la recuperación después de la cirugía de ginecomastia?

La cirugía de ginecomastia  se realiza bajo anestesia. Los pacientes generalmente se van a casa el mismo día. La mayoría de los pacientes regresan al trabajo poco después de la cirugía y usan una faja durante aproximadamente 2 a 4 semanas para reducir la hinchazón y acelerar el proceso de curación. Al igual que con cualquier procedimiento quirúrgico, el Dr. Azouz brinda tips de cuidados posteriores a una cirugia de ginecomastia y una cita de seguimiento para garantizar los resultados ideales y una recuperación saludable.

¿Cuánto puede costar una cirugía de ginecomastia?

La cirugía de ginecomastia en Dallas puede costar entre USD 6000 to 10000 en honorarios médicos. No incluye gastos de anestesia y sala de operacion. Haz tu cita para una evaluación gratuita aquí o llama al 972 702 8888

¿Qué cirujano plástico se especializa en ginecomastia en Dallas?
Dr. Azouz se especializa en cirugía de ginecomastia en Dallas. Por más de 30 años ha realizado un gran número de cirugías de reducción de mamas en hombres en Dallas mejorando la apariencia del pecho de sus paciente. Solicita una cita gratuita en nuestras oficinas en Dallas aquí.  Nuestro equipo de cirujanos habla español, llama al 972 702 8888

Considering liposuction?

You are not alone and you likely have friends who have considered and even had liposuction without you knowing.  Liposuction is one of Dallas plastic surgeon Dr. David Azouz’s most popular procedures.  Liposuction is one of the most commonly performed cosmetic surgery procedures performed in the US and is one of the least reported to friends and families.

Can liposuction be performed in consultation?

Liposuction is a surgical procedure that is not exempt from the risks associated with any surgery. Although liposuction has an incredibly high safety profile, it must be performed according to standardized protocols and guidelines.  Dr. Azouz strives for the best and safest experience for his patients.  Dr. Azouz only operates in accredited operating rooms and hospitals.  Plastic surgeon Dr. David Azouz is a member of the American Society of Plastic Surgeons and follows the ethical codes and standards established by the society.

What do I need to know before I have liposuction?

The first and foremost is to find the right plastic surgeon.   A board certified plastic surgeon like Dr. David Azouz has the knowledge and experience in liposuction to perform the surgery effectively and safely.  With your consultation Dr. Azouz will assess the indications, possible contraindications, and areas to be treated.  Dr. Azouz will review expected results, detail the recovery and share before and after pictures from similar patients.

How long is the postoperative period after liposuction?

Dr. Azouz performs liposuction as a day surgery.  Duration of recovery does depend on the amount of fat removed, history of the patient, and duration of surgery.  In general Dr. Azouz performs liposuction under sedation so that a patient does not remember the surgery and is sleeping.  Sedation allows for the patient to be “asleep” but does not involve placing a breathing tube past the vocal cords.  This results in a much more rapid recovery the day of surgery and is associated with a higher safety profile.Dr. Azouz does recommend that you are accompanied postoperatively for the first 12 hours, by a relative or friend. 

Dr. Azouz can arrange for a nurse experienced in plastic surgery care to stay with the patient the night after surgery if they do not have Dallas based friends or family to help them after their plastic surgery.

The first days after liposuction:

After the first postoperative day, your body will begin to recover.  Each patient recovers in his or her own way and a variety of factors affect recovery including:

Age

General health,

Smoking status

Physical fitness before surgery

During the first few days, it is expected to be sore and inflamed but Dr. Azouz focuses on the best enhanced recovery protocols to minimize pain after surgery.  The majority of patients report “soreness” as if they had a major workout rather than pain.  It is common for patients to not take any pain pills or minimal pain pills after liposuction.  Dr. Azouz’s enhanced recovery techniques include:

ENHANCED

RECOVERY

AFTER

PLASTIC SURGERY

Tiny incisions that are camouflaged

Use of long acting local anesthetics

Specialized recovery garments

Advanced anesthesia techniques

Plastic surgeon Dr. Azouz recommends that patients stay in their compression for the first few days after surgery. Post-operative girdles and compression help reduce swelling, pain and help define a cosmetic shape.

The first postoperative month

Dr. Azouz will recommend wearing the post-surgical garment continuously and will guide when to remove compression for daily hygiene.  Dr. Azouz recommends guides when to avoid heavy and light activity after liposuction.  Most patients are able to return to light activity such as light cardio, yoga, elliptical and weights between 10 days and 2 weeks after surgery.  Bodybuilders who undergo liposuction and removal of their gynecomastia are able to tone their legs, and biceps, for example, two weeks after surgery in most cases.

Optimal recovery tips include:

1) Eating well- light meats, salads, fruits, and vegetables.

2) A unique hydration schedule designed by Dr. Azouz.

3) Walking between at least 15 and 30 minutes a day and heavy exercise regularly from week six after surgery.

 4) A bowel routine based on natural cathartics such as fruit juices and fiber.

Are you thinking of having liposuction? Call Dallas plastic surgeon Dr. David Azouz today at 972-702-8888.

Breast augmentation is one of the most popular cosmetic procedures but breast implants placed in Dallas and around the United States today are different than those placed years ago.  Previous breast implants were made with liquid or semi-liquid silicone. When breast implants placed in the 1980s and 1990s rupture they deflate and leak out like syrup. Modern breast implants are better manufactured with materials that will help keep the implants together.  A ruptured modern breast implant better resembles a cut gummy bear.

Breast implants provide women an ideal breast shape, size, and contour.  Traditionally It is recommended that breast implants be replaced or removed every ten years but many patients maintain their same breast implants for twenty, or even more than thirty years.  Dallas plastic surgeon Dr. David Azouz performs breast implant removal or breast implant revision for women who have a variety of issues with their breast implants regardless of when they were put in.  

What are the reasons a breast implant should be removed or replaced?

There are various reasons why you may consider removing or replacing your breast implants. These reasons could be cosmetic or medical, they include:

• Inappropriate size of the implants (breast implants are too small or too large)
• Sagging breasts
• Feeling that the breasts are no longer proportional to the body
• Rupture of the breast implants
• A leak of the breast implant
• Capsular contracture
• Silicone granulomas
• Seroma formation
• Breast implant discomfort or pain

Dr. Azouz can help you determine the correct course of action for your unique situation. Dr. Azouz is often able to use nonsurgical methods for improving early capsular contractures.

Your Breast Implant Removal Consultation

If you are considering breast implant removal, it is important to talk to a board-certified, experienced plastic surgeon like Dr. David Azouz. He will go over your questions, concerns and discuss options.  Dr. Azouz will discuss key procedures and explain technical plastic surgery terms as below:

What is a total capsulectomy?

A total capsulectomy refers to the complete removal of the scar tissue that forms around the breast implant known as the breast implant capsule.

What is an en-bloc breast implant removal?

An en bloc breast implant removal or explantation refers to removing the breast implant along with its capsule completely together in one “bloc”. 

What happens if breast implants are not replaced?

Many patients are worried that their breasts will look deflated or saggy once the implants are removed. Dr. Azouz uses specialized techniques to restore the breasts to a full, perky state through a procedure known as a breast lift or mastopexy.  A breast lift can be performed at the same time as a breast implant removal or exchange. 

Will I need a lift after my implants are removed?

Many patients will require a breast lift after breast implants are removed.  A breast lift does not necessarily need to add scarring to the breast and Dr. Azouz performs a variety of breast lift incisions including:

Mini lift (crescentic mini mastopexy)

Lollipop lift ( around the areola and a verticle component)

Inframammary plication (an incision only placed in the inframammary fold)

Anchor lift (full mastopexy around the areola down and across the inframammary fold)

What is the Breast Implant Removal Cost?

The cost of breast implant removal is highly individualized. Dr. Azouz will determine the cost of your breast implant removal surgery during the consultation by performing a physical examination and learning about your medical history, goals, and concerns. If breast implant removal is chosen due to ruptured implants, lumps in the breasts, or infection then insurance may play a role. If you are curious about the insurance options and cost ranges of this or any of the other procedures performed by Dr. Azouz, or contact our office today and come in for an appointment so an individualized price may be provided. 

How is Breast Implant Removal Performed?

Breast implant removal surgery is done to remove implants from a previous augmentation procedure. It corrects breast implant-related issues such as capsular contracture, scar tissue, or rupture, as well as any cosmetic concerns.  Liposuction techniques can also play a role to remove bra fat or to remove silicone collections. Breast implant removal and breast implant revision are usually done under intravenous sedation without the need for surgical drains. 

Dr. Azouz performs breast implant removal at accredited hospitals and centers. He always performs the surgery with the smallest incision possible in order to leave patients with minimal or no scarring. Dr. Azouz often combines this surgery with a small internal breast lift, that is done through a small incision in the lower breast. This helps to make sure the breasts are in a lifted, youthful position without necessarily even replacing the implants. Dr. Azouz uses highly advanced techniques to make the recovery period as quick and pain-free as possible. 

How Long is the Recovery Period After Breast Implant Removal?

Breast implant removal is done on an outpatient basis. Meaning you are free to return home and begin recovering the same day. It is normal to experience some swelling for a few weeks. You will be suited with a surgical bra that reduces swelling, improves blood circulation, and promotes healing. The stitches used are generally absorbable and often will not need to be manually removed. You will most likely be back to basic activity and work within a few days.  Any heavy exercise such as marathon running or heavy weight lifting should be avoided for six weeks. Light activity such as the use of the elliptical, jogging and yoga can usually begin after 10-14 days.

So … do I HAVE to change my breast implants?

Not necessarily, some patients who are not having issues with their implants do not have to change their implants.  It is recommended to follow up with a plastic surgeon to assess the implants and breasts regularly for breast screening and examination.  In some patients, a lift can be done around the implants to remove extra skin without removing or altering the implants. Most patients who have had breast augmentation do not have to undergo any other operation for their implants.  It is important to have a good understanding of what breast implants are present and to share your breast implant card with Dr. Azouz at your visit.  

The best breast implants meet medical and industry standards including:

• Safety and quality in manufacture and commercialization
• After-sales guarantee and warranty
• Follow up with a plastic surgeon 
• FDA approval

For these reasons and more it is critical to see an experienced plastic surgeon like Dr. David Azouz when exchanging the breast implant.  Dr. David Azouz is one of the few plastic surgeons who can report over 35 years of experience. Dr. Azouz is highly regarded by his peers and from countless numbers of patients who have left positive and exceptional reviews for his care.  Dr. Azouz is able to listen to you and understand what your questions and concerns are regarding your breast implant removal or exchange.

Are you considering breast implant removal? Call Dallas plastic surgeon, Dr. David Azouz today to schedule a consultation. We are committed to the best patient experience and the top plastic surgery results.  You can reach him by phone at (972) 702-8888 or by filling out an online form.