Dr. Susan Downey | Pasadena
Weight Loss Surgery | Pasadena
Facelift | Eyelid Surgery | Pasadena
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Liposuction | Tummy Tuck | Pasadena
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Dr. Susan Downey: 1301 Twentieth Street | Suite 470 | Santa Monica, CA | Tel: 310.401.2929
Female Plastic Surgeon | Pasadena

Archive for August, 2012

Treatment of Gynecomastia ( Male Breast Reduction) in Los Angeles

Friday, August 24th, 2012

Gynecomastia or male breast development can be a very traumatizing experience for young men.  It is common during puberty for boys to experience some breast development and in a few cases it persists beyond puberty.  If the gynecomastia persists for a long period of time the young man may be referred to a plastic surgeon for surgery.  Often the young man is concerned about the appearance of his chest and may  be wearing heavy clothes to camouflage his chest and avoiding situations where he might have to take his shirt off such as swimming .    The surgical approach to gynecomastia can be done through  an incision around the areola or , as is my preference , through an incision on the lateral chest.  I prefer the incision on the lateral chest as it does not draw attention to the breast area and can more quickly allow the boy to resume normal activitie  such as taking his shirt off the play basketball without anyone questioning the scar and what procedure he might have had done.  If there is a recent scar on both nipple areola complexes  I think this is more likely to raise question than if the are two asymmetrically placed scars an the lateral chest which are not both seen at the same time when one is looking straight on at the young man.  After surgery the young man does need to wear a compression vest but there are ones out that can easily be worn under a T shirt without being seen.  It may take weeks or even several months to see the full effect of the surgery so the winter months are goo d times to do the surgery so that everything is as healed as possible before the next swimming season rolls around.

Breast reduction in Los Angeles : common questions answered

Friday, August 24th, 2012

Breast reduction patients are some of the happiest patients that plastic surgeons see.  The relief from neck and shoulder pain is almost immediate.   There are some common questions that all reduction patients ask.  First - ”Will I need a lift as well?”  Answer -  a reduction is also a breast lift.   The difference between a reduction and a breast lift is that a reduction lifts the breast and at the same time reduces the size of the breast.  A breast lift only lifts the breast but does not change the size of the breast.   Second- Will my insurance cover this?   Answer -  In many cases.   Insurance companies have set criteria for the amount that breasts need to be reduced in order to qualify as a medically necessary procedure and be covered by insurance .  In general a reduction of two or more cup sizes will usually be covered.  In addition  chronic neck and shoulder pain as well as grooves in the shoulders from the bra straps digging in ( sounds painful!) are evidence that insurance companies look at in order to determine if they will cover the procedure.