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Post-operative compression garments

After body contouring surgery such as breast re-shaping, a tummy tuck, gynaecomastia correction and liposuction, we utilise post-operative compression garments to give support and help with swelling.

The reason for the garment is to aid your recovery and to make you feel more comfortable.

There is often swelling following body contouring and when the tissues swell it can be uncomfortable, not to mention looking unsightly.
This is particularly important to be aware of if you have just had liposuction to get rid of those persistent fat pads that you have always hated and then two weeks after surgery you look in the mirror to see that they are still there!

Do not be alarmed, the results of any sort of body contouring can take two to three months before they start to settle and full recovery in terms of sensation and maturation of scars can take a year or more.

We will size you up in the operating theatre and will usually put the post-operative garment on you as soon as we have finished surgery so you will wake up wearing it.

It should be comfortable and supportive, not tight and restrictive

…so if you find that when you take it off you breathe a sigh of relief, then let us know, because it might be that you will need a larger size, especially if it leaves red marks or irritates the skin because we do not want it to cause problems.

It is often a major life event having body contouring surgery and so patients will stick to our post-operative guidance religiously which is to be commended, but when we say you should wear the garment for six weeks day and night, this does not mean that you cannot take it off to give yourself a breather or to have a shower.
It is fine to take the garment off for short periods and if you find it is bulky and uncomfortable, you may choose to use an alternative in the form of a tight figure-hugging t-shirt or body contouring pants.

You will always have open access to Vicki our clinic nurse, if you have got any questions about your garments, so please do not hesitate to give her a ring.

After the six weeks has passed, most of the swelling will be starting to subside and so you can start to take the garment off at night and at certain times of day if you find it more comfortable.

However, patients often feel secure when wearing the garment, particularly if they are going out in crowded places or have a busy day ahead.

You can play things by ear and see how you feel and continue to wear the garment if you wish.

We will work closely with you in the first few months and advise you about how to optimise your healing.

The garment is one part of the post-operative regime that we offer to make sure you get the best result possible and feel fully supported.

As ever,  if you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 o’clock or call us on 0121 454 3680 if you would like to have a chat with us.

If you have any questions feel free to get in touch or leave a comment and I would be happy to get back to you.

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Liposuction for Man Boobs

Liposuction for man boobs (or gynaecomastia, which is the medical term) is the mainstay of treatment.
However, it is often not enough to perform liposuction on its own.

Man Boobs are caused by an excess of breast tissue in a male, and males have breast tissue as well as females.

Breast tissue is made up of a combination of fatty tissue and glandular tissue and patients with man boobs often have dense glandular tissue behind the nipple.
Liposuction is very good at removing the fatty tissue and contouring the chest, but it cannot remove the dense glandular tissue.

Liposuction is good, but it may not be enough

If there is glandular tissue beneath the nipple and you just have liposuction, this dense tissue is left behind and you might still have a hard lump leaving the nipple looking puffy.

No one wants a scar, but we can hide them pretty well

This is why liposuction often needs to be combined with excision using a U-shaped excision at the lower border of the areola which can be difficult to see when it is healed as shown below:

It is often by combing liposuction with excision, the dense glandular tissue can be removed and the whole chest can be contoured to give a balanced and athletic look to the male chest whilst hiding the scars, so that once they have faded they are difficult to see.

A combination of liposuction and excision allows us to directly address both the fatty tissue and the glandular tissue and effectively remove the excess breast tissue.

If you want to know more about liposuction for man boobs and other frequently asked questions, you can download my guide here.

If there is anything I haven’t covered, then join me on Facebook Live at 7 p.m. every Tuesday night when you can pitch your questions directly to me, or you can e-mail here if you would prefer a more direct reply.

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Nipple Reduction

What is nipple reduction? 
We often get patients enquiring at the clinic about nipple reduction and it can mean a number of things.
What is commonly referred to as the nipple, in medical terms it is made up of what we call the nipple areolar complex (NAC).

This comprises the actual nipple itself which is the bit that sticks out in the middle and the areola which is the pigmented area around the outside.

When patients talk about a nipple reduction it can mean different things for females and males.
For a female, it can often mean areolar reduction where the pigmented area around the nipple is too large, and so this can be reduced by removing a doughnut of skin, and in fact it is not the nipple itself that is the problem at all.

It is less common for the actual nipple to be enlarged.

Of course, it is possible to reduce the nipple if this is the problem. 

Men who complain of enlarged nipples are often suffering from gynaecomastia which may manifest itself as puffy nipples, and again it is usually the areola that is being referred to.

However, an areolar reduction is not normally the best treatment because it is caused by the tissue behind the nipple pushing the nipple forward and making the areola look more prominent, and the best way to address this is by gynaecomastia correction which will remove that puffy tissue and once the tension has gone from the nipple it will shrink back and look normal again.

Again it may actually be an enlarged nipple that can be a problem, although this is less common, but if this is the case it can be addressed by taking a small piece of it away so that it is not so prominent.

When people talk about a nipple reduction it is important to be clear about what part of the nipple areolar complex needs to be reduced and what is causing the enlargement, so that this can be addressed.
A picture tells a thousand words and you are always welcome to send us a photo if you are not sure what the problem is, and of course, you would be welcome to come to the clinic for a consultation to speak to one of our surgeons in order to get an more accurate idea about what treatment might be right for you.

Don’t forget that our Director, Jonathan Staiano, does a live Q and A on Facebook every Tuesday at 7 p.m. and please go over to our Facebook page if you would like to put a question directly to him.  Feel free to leave a comment or drop us an e-mail.
If you want to come for a free no obligation consultation with one of our plastic surgeons, please call or email us or fill in the on-line contact form.

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When can I go back to work after surgery?

 The major surgery which we do at the Staiano Clinic, such as breast augmentation, breast reduction, breast lifts, gynaecomastia and tummy tucks have a dramatic effect on your body both physically and mentally and you should allow enough time to recover from them.

Surgery often involves tightening or stretching the skin, so it can feel tense and swollen for some time and you should avoid exerting yourself.
Not only does this run the risk of putting tension on the wound and the possibility of the wound not healing up as well as we would like, but it will also increase the swelling and the swelling can take some time to subside.

If you overdo it in the early stages then it can be a false economy in the long run and you would have been better off giving yourself more time to let things settle to start off with, and although cosmetic surgery has an image of a lunchtime procedure with no downtime, if you are seeking a dramatic change in the shape of your body then you should expect and plan for a period of rest and recuperation.

The First Week

The first week after surgery is always uncomfortable.

Everything feels tight and tender and you will not feel like doing much.

You will be able to potter around the house and look after yourself, but you should plan for little more.

After the first week you will come back to have the dressings removed and you usually do not need any dressings after this time.

However, everything will still be quite fragile and you should continue to take things easy in the second week, although you may be able to work from home for short periods.

Depending on the procedure you have had done and how you are feeling, you should be able to drive after two to three weeks although occasionally you are able to drive after one week.

You should always check with your car insurance company to make sure you are insured and talk to us as we will be able to guide you.

Every individual is different and you should listen to your body, so that if things are uncomfortable or start to swell, then you should ease off and rest.

It is important not to be too immobile and we always encourage you to keep your legs and arms moving, either by walking around or gently exercising while sitting, as well as taking deep breaths to expand up your lungs.

We encourage you to cough if you feel like you have anything on your chest.

After Two Weeks

After two weeks you may be able to resume gentle activities and you may be able to go back to work as long as it is not too strenuous.
If you have had surgery to your upper body, now is the time you can start exercising your lower body on the exercise bike or the stepper at the gym, but you should avoid too much activity with your arms.

Two To Four Weeks

Between two and four weeks you will start to feel better, although the scars will still be quite fragile and the tissues will still be quite swollen.
We normally advise people to wait at least four weeks before starting to massage their scars with cream, as they might be quite red and firm at this stage.

Four To Six Weeks

After around four to six weeks you can start engaging in more strenuous activities including heavy lifting or upper body exercises at the gym.  I would stress that this is the time to start these activities which does not mean that you should go straight in, doing the same level that you were pre-operatively.  It is merely that you can start to gently see how you feel and gradually build up.  If it is uncomfortable or the tissues swell then you should stop and give yourself more time to rest.

Three Months

It takes about three months before the shape and the scars really start to settle and there can be numbness or altered sensation, which can take many months to subside.

Twelve Months

At around twelve to eighteen months, you will be getting an idea of what the final results should be like, but it is not uncommon to still have some degree of settling after this.

We keep a close eye on you in the clinic and encourage you to get in touch if you have any concerns about how you are healing.  We realise that everyone is an individual and this is just guidance.
If you have any questions or concerns then we’d love to hear from you.  You can e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Why Does Gynaecomastia Surgery Cost So Much?

When it comes to gynaecomastia surgery cost, we do have a price range

I am very keen that we are transparent with our fees here at the STAIANO Clinic and I do not want patients to feel like there will be lots of add-ons or hidden costs.
For that reason we only ever charge for the initial consultation and make it clear that we will never charge for a follow up consultation whether it is before or after the surgery.

Gynaecomastia Surgery Cost

When it comes to the cost of gynaecomastia surgery, we do quote a ‘from‘ price and I know that this makes some people suspicious, but the vast majority of patients will be paying the baseline price.

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The reason we have a ‘from’ price is because the more severe cases of gynaecomastia may be more expensive.
The treatment of gynaecomastia is aimed at targeting the three areas that can be affected:

  1. Fatty tissue.
  2. Glandular (breast) tissue.
  3. The skin.

Each of these areas are targeted separately.

1. Fatty tissue

The fatty tissue can be targeted with liposuction and this allows the contour of the chest to be improved through very small stab incisions.

 2. Glandular tissue

In most cases there is some dense glandular tissue just behind the nipple which is not removed through liposuction and so a small incision is required on the edge of the areolae to remove this dense tissue.

The vast majority of cases of gynaecomastia can be treated through a combination of liposuction and excision and this is the price that we quote when people enquire.

3. The Skin

The reason there is a ‘from’ price is because some cases require skin excision and this is a much more involved (and expensive) undertaking.
If there is only mild excess, then by removing the fatty and glandular tissue the skin may recoil and may not need to be removed, particularly if you have good quality skin, as is the case in young patients who do not smoke.
However, in cases of significant skin excess the skin may need to be removed in order to give an acceptable chest contour.
Not only does this create extra scarring, but it is a bigger operation with more potential for wound healing problems, and so is more expensive.

Gynaecomastia surgery cost

Before & After Gynaecomastia Correction with Skin Excision

It is only really by examining you and talking you through all the options that we will know what will be the best option for you, which is why whenever we quote, we give the price for liposuction and excision which will suit the majority of patients.
Once you have been to the clinic and we have had the chance to meet and examine you and talk through your goals and wishes, then we can provide you with an accurate quote which will include our complete aftercare package, and the opportunity to come back to the clinic to go over things as often as you like.

And remember we have our satisfaction guarantee

…which means that if we have been unable to help you then we would be more than happy to refund the full consultation fee.
You can find out more on our gynaecomastia page, or you can download our guide , e-mail us or call us.
For further information please feel free to contact us or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

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When Does A Puffy Nipple Become Gynecomastia?

Gynecomastia is common.

Sometimes we get asked by journalists about gynecomastia and whether cosmetic surgery for men is on the increase.
We specialise in cosmetic breast surgery and the majority of our male patients are gynecomastia patients.
I have to say I have not noticed any significant rise in this surgery as it has always been quite popular.

I think the main thing is that men do not tend to talk about it.

Men who are conscious about their chest think that it is unusual and are embarrassed to confront the problem.
You see, when a woman has breast surgery they are quite happy to freely talk about it and are much more open in discussing their concerns and anxieties about the shape of their breasts.

However, it would not be common for a group of men to openly discuss the size of their breasts over a pint.

When we were approached by one of the morning TV chat shows for a case study of a man who had had gynecomastia correction, it was very hard to find someone who would agree to go on camera.
When we spoke to our patients and they were all delighted with the results and felt their lives had been changed.
They would like the world to know that the problem is not rare or unusual and can be treated successfully.
However, when it comes to appearing on television or even in a magazine, they quite understandably do not want to be identified.
It would be embarrassing in the workplace and among their friends and I completely understand this.
There is a lot of mystery around whether it is actually gynecomastia or not.
We get many enquiries from patients who feel that they have got large nipples or puffy nipples but when it actually comes down to it, it is actually gynecomastia correction that they need rather than a nipple reduction or areola reduction.
Gynecomastia is simply an excess of male breast tissue.

What is Gynecomastia?

 

All men have got breasts and if you look at the physique of a well-toned bodybuilder you can clearly see the definition in the chest area.
It is very subjective as to when a puffy nipple becomes gynecomastia and it is really dictated by when it bothers a person
If you are bothered by it and it is something that can be treated, then it might be worth treating.
On the other hand you see many people on the beach who may have excess breast tissue but if it does not bother them, that is great and there is absolutely no need for treatment.

Types of Gynecomastia

Mild Gynecomastia

Mild Gynecomastia

Moderate Gynecomastia

Moderate Gynecomastia

Severe Gynecomastia

Severe Gynecomastia

The first thing with any patient with gynecomastia is for them to be at their ideal weight as this can help the problem.
There are certain medical conditions that can cause or exacerbate this condition and it is helpful to be checked out by your GP to ensure there is no underlying cause.
The majority of cases are idiopathic, meaning that there is no cause.

It doesn’t matter what you call it –

if you are embarrassed or unhappy with the shape of your chest, we may be able to help

It doesn’t really matter what you call it – gynecomastia, man boobs, puffy or large nipples, if you are troubled by the shape of your chest, then you can come and have a chat with one of our surgeons to see if anything can be done about it.
There are a variety of treatments available and you can read about ‘why gynecomastia surgery costs so much’ here.
We have perfected techniques that allow your gynecomastia to be corrected without leaving any visible scars and you can watch our video where our director, Jonathan Staiano, talks in more detail about this.
If you want to talk to someone, we have a lot of happy patients who would be more than happy to give you a ring to talk about their experience.
So drop us a line and we would be more than happy to see if we can help.
You can call us on 0121-454 3680 or send us an email.
And you can read more about Gynecomastia here

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Gyno Correction Without Scars

Gyno correction is a common treatment here at The STAIANO Clinic and because all of our surgeons are fully trained plastic surgeons, we have developed techniques that can produce results with minimal or no visible scarring.
Gynaecomastia is a common problem amongst young males and it can affect self-confidence and may also be uncomfortable.
If you want to be able to take your children swimming or go on a beach holiday with your friends, it can be daunting to take your top off in public when you have excess breast tissue (it goes by many names – man boobs, gynaecomastia, gyno – but it is all the same thing, excessive breast tissue in a man).
If you are considering gyno correction, the last thing you want is visible scarring on your chest that is going to make you as self-conscious as the original problem.
We take care to place our incisions in places where they will fade and blend in to your normal chest contour and so, once things have settled, it can be impossible to see the scars!
If you want to know more about gyno correction, look no further.

Download a FREE copy of our Guide with Frequently Asked Questions about Gyno Correction

Listen to the our Director, Jonathan Staiano talk about this with some examples of our cases in the video below:

All of the surgeons at The STAIANO Clinic are fully trained plastic surgeons with a wealth of experience and expertise.  We pride ourselves in our aftercare and will do everything that we can to ensure that you get the best result possible.
You can read more about correction of gynaecomastia on our main page here and you can also read our blog post about why there is a price range for gynaecomastia correction here.

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If you would like more information, please call us on 0121 454 3680 or email us.

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