Dr. Belsley's Philosophy of Male Breast Reduction

Treatment for gynecomastia can be approached in several ways and is largely dependent upon the “type” of tissue in the chest that needs to be reduced. A physical examination is necessary to create a plan for treatment. Most of the time, I treat these individuals with a combination of ultrasonic liposuction and removal of glandular and breast tissue through a small incision on the border of the areola. Some individuals will be able to achieve excellent results with ultrasonic liposuction alone. Others, may require more extensive incisions. My goal is to give you a natural looking masculine shape that is well proportioned with the rest of your body using the shortest incision possible.

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Dr. Belsley's Philosophy of Breast Lift (Mastopexy)

In my practice, I perform breast lifts using incisions that result in a “lollipop” shaped scars. With good care and a bit of luck, these incisions heal well and the scars are difficult to see from a distance. Nevertheless, a woman who undergoes a cosmetic breast lift must be prepared for scars that are visible. This is one example of a “trade-off” in plastic surgery and of course, there are many others. This is one, however, that I feel is more than worthwhile in appropriate candidates.

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Dr. Belsley's Philosophy of Breast Augmentation

When it comes to deciding what approximate breast size you wish to achieve, the best advice I can give you is that you should be guided by your physical frame.  Indeed, you may in fact be limited by it.  In my practice, I select implants based upon your chest measurements, the quality of your breast skin and the size of your breasts prior to surgery.

I perform breast augmentation through a peri-areolar or inframammary approach and I place that vast majority of implants at least partially beneath the pectoralis muscle.  My patients are welcome to select either saline or silicone filled breast implants.  Silicone filled implants can in some cases achieve a more natural feel and may be a particularly attractive option for women with less breast tissue prior to surgery. 

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