RealSelf Top Doctor Bram Kaufman

Hand Therapies For Rheumatoid Arthritis

Hand Therapies For Rheumatoid Arthritis | Cleveland, OhioThe human hand can perform various exacting activities with its 29 joints and a complex network of ligaments, muscles, and tendons supporting it.

 

An Unpleasant Life

However, if a person has arthritis, even the easiest of tasks such as typing or turning pages can become challenging and painful.

The primary treatment for rheumatoid arthritis of the hands involves good medical management. In addition, occupational therapy interventions such as adaptive aids and splinting may be prescribed to decrease deforming pressures on the hands and maintain movement. Finally, in case there is joint damage, surgery may be an appropriate solution.

Board certified plastic surgeon Dr. Bram Kaufman provides hand surgery and various other procedures to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities in The Heart of it All.

 

Medications and Injections

The drugs that a patient takes for pain relief and arthritis control for the entire body are vital to controlling swelling and preventing damage to the hand joints.

According to the severity of arthritis and other aspects, these medications may include disease-modifying antirheumatic meds (DMARDs) and nonsteroidal anti-inflammatory drugs (NSAIDs).

In case these treatments are not entirely successful in controlling the inflammation or the inflammation is impacting only one or a few joints. corticosteroid injections may also be a suitable option. These drugs are akin to a hormone that the body produces naturally and can be injected directly into the impacted joints to alleviate inflammation.

 

Splinting and Devices

Injections are usually administered in combination with splinting to support and reduce stress on the impacted joint as well as to prevent the development of deformity. Some splints are designed such that the patient can use their hands while wearing them.

But the patient should wear a splint only as instructed by their occupational therapist as immobilizing joints for extended periods can cause wasting of the muscles that support them.

Regardless of whether the splint is specially fitted or readymade, this is only one type of therapy offered by occupational therapists. They also educate patients on methods of performing tasks that cause less strain on the impacted joints as well as devices and tools that help ease pressure on the joints.

 

Exercises

Occupational or physical therapists can also inform the patient on strengthening and stretching exercises that may help relieve pain and improve mobility.

 

Surgery

If conservative treatments are unable to relieve symptoms or the inflammation is persistent and leads to joint deformity or tendon rupture, the patient may be prescribed surgical treatment.

Surgery for common hand problems include:

 

  • Silicone Metacarpophalangeal Joint Arthroplasty (SMPA): This involves replacing the compromised joints at the finger bases with prostheses developed from silicone to address pain, deformity, and reduced function.
  • Arthroscopic Wrist Synovectomy: In this surgery, the membrane lining of the wrist joint is removed to reduce the pain and stiffness in the wrist due to persistent swelling.
  • Tendon Transfers: This procedure involves the replacement of tendons which have sustained damage due to inflammation with healthy tendons to restore the function of the hand.
  • Wrist Arthrodesis: In this surgery, the wrist is immobilized using rods, plates, or pins to stabilize it and offer pain relief. This procedure is commonly called joint fusion and may also be performed to stabilize the thumb in case the tendon that allows the flexing of the thumb ruptures.

Devoted cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other towns and communities in the majestic state of Ohio for hand surgery.
To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Surgery For Aching Hands | Arthritis

Surgery For Aching Hands, Arthritis | Cleveland, OhioArthritis can cause pain, deformity, and disability in the hands. Despite this, the surgical repair of arthritis-related damage to the hands is relatively rare.

The Agency for Healthcare Research and Quality reports that under 1,000 finger surgeries were performed in 2009, compared to nearly one million knee and hip replacements.

The primary reason for the low rate of finger surgery is that it has a high complication and failure rate and there is usually a trade-off between mobility and pain relief. But proven and reliable hand surgeons suggest that this trade-off may be worth it for individuals with severe pain which is untreatable with conservative approaches.

Astute board certified plastic surgeon Dr. Bram Kaufman provides hand surgery and various other procedures to patients in Beachwood, Pepper Pike, Cleveland, OH, and other towns and neighborhoods in the amazing Buckeye State across the landscape.

 

Fusion vs. Replacement

The two primary surgical options for hand arthritis are arthrodesis (fusion) and arthroplasty (total knuckle replacement). In the arthrodesis procedure, the bones of the joint are fused together, and this adds strength and stability to the knuckle while relieving the pain.

However, it offers limited movement or flexibility. The arthroplasty procedure entails the removal of the compromised joint and the replacement of this joint with an artificial implant.

The objective is to reduce pain and restore the shape and some function in the hand. However, the outcomes are commonly less satisfactory in comparison to knee and hip replacements.

At times, even the best artificial joint is incomparable to a damaged real joint. Therefore, the surgeon has to exercise caution.

The use of arthrodesis or arthroplasty depends on the joint that needs repair, the patient’s age, activity level, and the degree of finger stiffness that they can tolerate. It is likely that both procedures are performed on the different joints in the same hand.

 

Knuckles

The arthroplasty procedure is typically performed to repair knuckles at the base of the fingers where motion and flexibility are vital. These joints, known as the metacarpophalangeal joints, are the largest ones in the hand. They are crucial for finger function and can be severely damaged due to rheumatoid arthritis (RA).

While joint replacement reduces pain and restores some level of mobility, experts indicate that the results depend on the amount of normal soft tissue that the patient has.

 

The Base of the Hand

The second joints from the base of the hand are called Proximal interphalangeal (PIP) joints. These joints are susceptible to stiffness and major motion loss typically due to osteoarthritis (OA). At times, replacement surgery is used to address these symptoms, especially in the ring and middle fingers as these fingers need to remain flexible for gripping.

However, due to the heavy use that these implants endure, the implants can wear out fast. Certain surgeons prefer fusing most PIP joints as they can then tolerate stiffness better in comparison to joints closer to the hand. Fusion offers a reliable and permanent solution.

 

Ends of Fingers

Arthrodesis is typically performed to address arthritis pain in the distal interphalangeal joint. In general, it offers the patient a pain-free, stable, and reasonably functional joint. A serious complication of this procedure involves the failure of the fused bone to align properly or grow together. This may warrant further surgery.

A majority of people enjoy good to excellent outcomes from this procedure. The biggest failing of finger surgery is motion. It usually does not improve after treatment and mobility are typically further reduced in the quest for pain relief.  

Cordial cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas for hand surgery.
To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Gynecomastia (Enlarged Male Breasts) Surgery Recovery

Gynecomastia (Enlarged Male Breasts) Surgery Recovery | ClevelandIn a major cosmetic surgery procedure such as gynecomastia, recovery is an important part of the surgical process.

The surgeon will inform the patient on all facets of the procedure and explain the amount of time it will take for him to resume routine activities and a normal level of work.

On his part, the patient should commit to meticulously following the surgeon’s instructions to accomplish safe and desirable outcomes. Committed board certified plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities across the horizon.

 

Guidelines for Post-Operative Care

After the procedure, the patient and his attendant will be given in-depth guidelines about the post-op care. These instructions will include the following information:

  • Managing the temporary drains, in case the surgeon has placed such drains.
  • Expected symptoms that the patient will experience following the male breast reduction surgery.
  • Any telling signs of complications signaling the patient to contact the surgeon’s office.
  • Restrictions on taking specific medications and blood thinners as well as smoking.
  • Wearing a compression garment all the time for a specified period.
  • Scheduled follow-up post-op appointments at the surgeon’s office.

 

Immediate Post-Op Stage

The patient must be extra careful during the initial three to four days after the gynecomastia plastic surgery. He should remain at home and get sufficient rest. But he can undertake brief walks or mild activities after the initial 24 hours to enhance the blood flow in the incision areas.

The patient should avoid aggressive shoulder movements in the initial few days and should not lift his arms vertically.

There may be mild pain and discomfort in the initial three to four days. However, if the patient experiences severe or persistent pain, he should reach out to the surgeon. Furthermore, there will likely be mild bruising and inflammation in the initial days. The patient can use cold compresses to reduce the swelling in the first two days. However, the inflammation will slowly resolve over the next several weeks.

 

Subsequent Recovery Process

The recovery duration depends on the extent of the gynecomastia surgery and whether the procedure involved glandular tissue removal or fat tissue lipo or both. On an average, patients need around a week of convalescing at home prior to resuming their routine activities and returning to the workplace.  

The patient can often expedite the recovery process by taking prescription pain meds and antibiotics (if prescribed), wearing a compression garment, maintaining the drains, and preventing any strain on the incisions during the initial week after the reduction procedure.

A majority of patients will visit the surgeon a week after the gynecomastia surgery for a follow-up appointment. The drains and sutures will typically be taken out during this appointment.

The patient can undertake low impact exercise in around two to three weeks after the procedure, but he should avoid extremity progressive resistance exercises for three to four weeks. He should also avoid sun exposure for nearly two months.

The bruising and swelling would have subsided by that time. Some patients may experience scarring and reduced skin elasticity, but this will resolve over a period.

Accomplished plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas in The Birthplace of Aviation for gynecomastia surgery.


To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

How to Choose The Best Gynecomastia Plastic Surgeon in Cleveland

FHnIreaVW49pQmz1lSeCW7einbUwRlhoa4oql7M9y94,8AsJK2N7mM_V-vDYyyewJVTA7UQLmxsmitE98Jv45acGynecomastia, also known as male breast reduction, is a major cosmetic surgery involving the excision of excess breast tissue in men. It is vital for the patient to choose a solid, perspicacious, and accomplished surgeon on every level for gynecomastia to attain the desired and coveted outcome.

Board certified and devoted plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities in The Heart of it All.

 

Why Choose an ABPS Board Certified Surgeon?

American Board of Plastic Surgery (ABPS) certified plastic surgeon Dr. Kaufman has over 25 years of experience in the field of surgery. In addition, he is also a member of the American Society of Plastic Surgeons (ASPS).

ABPS is an eminent plastic surgery board and the only board to have gained recognition from the prestigious American Board of Medical Specialties. The ASPS is a renowned organization that counts some of the finest surgeons in the US among its members.

While choosing a plastic surgeon certified by the ABPS, the patient has an automatic assurance that the surgeon would have undergone a minimum number of years or training, especially in plastic and cosmetic procedures.

Board certified surgeons usually invest in high quality standards and best practices, adopt advanced surgical techniques, pursue on-going education, and follow the most recent safety protocols.

 

Individualized Treatment

Dr. Kaufman understands that excellent cosmetic surgery outcomes in a procedure such as gynecomastia can be achieved when the surgical plan is customized to the patient’s unique needs. He believes that plastic surgery is a combination of art as well as science. Dr. Kaufman offers every patient warmth and compassion and fosters a relationship of transparency and trust.  

The proven Dr. Kaufman is a dedicated surgeon who will listen to the patient carefully during the pre-op consultation to garner a detailed comprehension of their desires and aesthetic goals. He will assess the overall health and anatomy of the patient and review their medical records.

After evaluating all these factors, Dr. Kaufman will recommend the most suitable treatment approach for the patient. This is a primary reason why and successful Dr. Kaufman enjoys a high rate of patient satisfaction for the surgeries that he performs.

 

Individualized Care

In the experienced hands of Dr. Kaufman, patients are assured of the best care and attention possible when undergoing surgery. He interacts closely with the patient starting from the initial consultation. It is his goal to understand in-depth about their medical and aesthetic concerns and address their questions and doubts comprehensively.

The caring Dr. Kaufman customizes each procedure according to the unique anatomical and cosmetic needs of the patient. He performs every surgery with intricate planning and individualized procedures, rather than following a cookie-cutter or off-the-rack approach. This significantly reduces the pain, discomfort, and recovery period for his patients.

 

Patient-Centric Approach

The patient’s well-being is the central force guiding every decision that Dr. Kaufman and his team take regarding gynecomastia surgery or any other procedure. He is passionate about the idea of positively transforming his patients’ lives through plastic surgery.

Focused plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas in this magnificent state for gynecomastia surgery.


To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Gynecomastia (Enlarged Male Breasts) Surgery

Gynecomastia (Enlarged Male Breasts) Surgery | Cleveland, OhioGynecomastia surgery is also known as male breast reduction surgery. This cosmetic surgery procedure is designed to eliminate excess tissue in the breast area in men. The procedure provides definition to the male chest and creates a masculine, handsome appearance.

Judicious board certified plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations in The Mother of Presidents.

 

Consultation

A detailed consultation with the surgeon is the initial step in the male breast reduction procedure. The surgeon will assess the patient as a candidate for gynecomastia during the consultation process. They will also understand the patient’s cosmetic goals and desires as well as answers any questions that he may have on the surgical procedure.

The surgeon may evaluate the patient’s previous health records and conduct a general breast examination. They will use the inputs from the consultation process to develop an individualized breast reduction surgery plan. In addition, the surgeon will offer the patient guidelines for before and after the gynecomastia surgery.

 

Anesthesia

While male breast reduction cosmetic surgery is commonly performed using general anesthesia, the surgeon may sometimes perform the procedure with the patient under local anesthesia with sedation. This will be the initial step after the patient is brought into the operating room.

An anesthesiologist or a nurse anesthetist will remain in attendance during the surgery to oversee the patient’s reaction to the anesthetic. The patient will be brought out of anesthesia after the surgery is complete.

 

Incision Placement

The surgeon will place the incisions after the patient is under anesthesia. They will place the incision in inconspicuous, pre-determined areas keeping in mind the patient’s preferences.

The patient may receive only tiny incisions if the gynecomastia surgery only involves the reduction of fatty tissue via liposuction. However, the elimination of glandular tissue will involve a more significant incision along the natural skin crease.

 

Surgery

The surgeon will cautiously excise the excess fat tissue and skin through these incisions. Many gynecomastia surgeries involve liposuction as well as direct excision techniques.

Using these tiny incisions placed within the areola borders or beneath the breasts, the plastic surgeon will remove excess fat using liposuction. They will remove excess glandular skin and tissue via direct excision technique. The surgeon may also use lipo to sculpt the chest.

Gynecomastia surgery is usually undertaken as an outpatient procedure. The patient may receive this surgery at an accredited surgical center, a hospital, or a private surgical suite. During the pre-op consultation, the surgeon will make the decision on the surgical venue in discussion with the patient.

 

Closing the Incisions

After the procedure is complete, the surgeon will seal the incisions with external and internal sutures. They may place temporary drain pipes in the incision areas to accumulate excess fluid.

Subsequently, the patient will be shifted to an observation area. The incisions will be bandaged, and the patient will need to wear a compression garment to support the new breast shape. The surgeon will remove the sutures and drain tubes in around seven to ten days after the procedure.

Astute plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other cities and neighborhoods in this golden area of the Midwest for gynecomastia surgery.


To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Gynecomastia (Enlarged Male Breasts) Surgery Preparation

Gynecomastia (Enlarged Male Breasts) Surgery Preparation | ClevelandA thorough preparation process should precede gynecomastia (male breast reduction) cosmetic surgery in order to accomplish predictable and desirable results.

Patients who are adequately prepared will be more reassured and confident about the surgery, enhancing their likelihood of experiencing a comfortable surgery and recovery process.

Board certified and judicious plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and other towns and cities in this part of the country.

 

Preparatory Do’s and Don’ts

Some important do’s and don’ts that the patient should follow prior to the gynecomastia cosmetic surgery are as follows:

Tanning: The patient should avoid sun tanning for at least two weeks before the gynecomastia surgery.

Smoking: In case the patient smokes, he should stop smoking at least two weeks before the surgery as nicotine has an adverse impact on the recovery process.

Alcohol: Patients should not consume alcohol for at least a week before the procedure.

Blood thinners: Ten days before the procedure, the patient should stop taking aspirin, medications with blood thinners, vitamin E, and herbal supplements.

Medications: The patient should inform the surgeon of the medicines and supplements they are presently taking. If necessary, the surgeon may ask the patient to take a daily multivitamin around two weeks prior to the gynecomastia.

Illness: It is crucial to reach out to the surgeon’s office in case the patient falls sick or develops an active infection before his gynecomastia surgery.

Labs: The patient should arrange for all requested labs tests, EKG, mammogram, and medical clearances to be sent to the surgeon’s office beforehand.

Caretaker: The patient should enlist a responsible person to drive them back home after the procedure as well as arrange aftercare for at least the initial 24 hours following the reduction surgery.

Prescriptions: All prescriptions should be filled before the surgery, and the patient should review the instructions and seek clarifications if required.

Schedule Leave from Work: The time taken off work depends on the nature of the job. Patients engaged in sedentary work can return to the workplace within four to seven days. For patients with more physically demanding jobs, the recovery period may extend to two weeks.

 

Other Suggestions

  • Depending on the surgeon’s advice, get x-rays, and/or other tests done well in advance.
  • Have the physician speak to the surgeon about any changes in the medicine schedule.
  • Complete any pressing household or work-related tasks to enjoy a relaxed and comfortable recovery phase.
  • Arrange for a friend, family member, or caregiver to help during the initial 48 hours following the gynecomastia surgery.

 

Day of the Gynecomastia Surgery

  • The patient should not wear accessories, body piercings, contact lenses, or jewelry to the surgical facility.  
  • Wear comfortable, loose-fitting clothes as well as easy-to-wear shoes (slip-ons) on the day of the procedure. It is advisable to wear comfortable pants or shorts as well as front-open shirts.
  • In case the surgery is planned using general anesthesia, the patient should not eat or drink anything eight hours prior to the procedure.
  • Diabetic patients should have their vital parameters evaluated on the morning of the gynecomastia procedure.

 

Reliable plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other communities and suburbs in this amazing part of the country for gynecomastia surgery.


To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

How long do Neuromodulators (Botox/Dysport/Xeomin) Injections last?

The use of neuromodulators injections to reduce wrinkles and fine lines from specific facial areas is widely accepted as an anti-aging procedure across the globe.

This non cosmetic surgery procedure is ideal for people who want to address signs of aging quickly and safely. However, the difference between neuromodulator treatments and surgical alternatives is that the improvements with Botox, Dysport or Xeomin are only temporary.

In any case, the patient can extend the benefits of neuromodulator injectables by undergoing repeat treatments. During the pre-treatment consultation, the neuromodulator provider will discuss the potential sustainability of the outcomes to help the patient make a well-considered choice.

Board certified plastic surgeon Bram Kaufman provides neuromodulator treatment to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations in The Birthplace of Aviation.

Longevity of Neuromodulator Injections

The results of neuromodulator injections for an individual undergoing the treatment for the first time may sustain for three or four months. Botulinum toxin type A is the active ingredient in neuromodulator injectables. This toxin is a powerful biological agent.

The strength of neuromodulator decreases over time, and the treated muscle regains movement after some months. The wrinkles and fine lines reappear as the muscle regains activity.

If the patient undergoes multiple neuromodulator treatments over a longer period with an experienced and qualified treatment provider, the outcomes may sustain for longer. The underlying wrinkle-forming muscle will become trained to stay relaxed with repetitive neuromodulator treatments. This reduces the prominence of aging lines and offers more sustainable neuromodulator results.

If a patient does not want to undergo facial plastic surgery but receives regular Botox, Dysport or Xeomin injections, they will need progressively fewer treatments. In other words, the treatments will be spaced apart more widely each time.

Variable Longevity

The sustainability of neuromodulator injectable outcomes differs between patients. Individuals with stronger facial muscles typically form deeper frown lines.

The effects of neuromodulators last for a lesser time in such people as when the impact of the botulinum toxin starts wearing off, the movement of the underlying muscles returns faster due to its superior resilience.

People with facial muscles that are weaker may enjoy neuromodulator injection outcomes for a comparatively extended period. Outcomes in men may last for a shorter duration relative to women as men usually have more powerful facial muscles. However, a growing number of men are now choosing these injectable facial anti-aging procedures, even though the results are temporary.

Repeat Treatments

If the patient chooses to undergo repetitive treatments, they should assess the facial muscle for signs of returning to its normal level of activity. They can also schedule periodic consultations with the neuromodulator provider for an evaluation. Patients should transparently inform the treatment provider when they last received neuromodulator injections.

The gap between two neuromodulator treatments should be maintained as directed by the injection provider. The longevity of the outcomes will also depend on the volume of the medication injected during the treatment.

Cordial cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other cities and suburbs in this marvelous region of the Midwest for Botox, Dysport and Xeomin injectables.

To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Neuromodulators (Botox/Dysport/Xeomin) Injections Before & After Photos

Neuromodulators injections are a safe, poignant, and proven treatment, which can be performed in-office, unlike cosmetic surgery procedures. The treatment involves injecting neuromodulators in precise facial areas to help mitigate the appearance of wrinkles and fine lines.

During the pre-treatment consultation, the neuromodulator provider may present before and after pictures of past patients who have received Botox, Dysport, or Xeomin.

These images help the patient develop realistic expectations from the neuromodulator treatment enabling them to make a well-informed decision on the treatment. Board certified plastic surgeon Dr. Bram Kaufman provides neuromodulator injectables to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations in The Heart of it All.

Developing a Connection with New Patients

The treatment provider can develop a more effective connection with a new patient by presenting neuromodulator before and after images to them. Patients viewing images of previous neuromodulator recipients are in better position to estimate the results that they can expect from the treatment.

Neuromodulator candidates are likely to feel confident that this treatment could be effective in addressing their skin issues the same as it did for past patients. The evidence of the effectiveness of the treatment presented through before and after pictures helps foster an environment of trust and transparency between the Botox, Dysport or Xeomin provider and the patient.

Pictures are Demonstrable Visual Proof

Neuromodulator before and after pictures showcase the outcomes of the treatment better than is possible with words. The limitations of words are that they may be challenging to comprehend, open to interpretation, or just hard to believe. Images do not pose language barriers or provide an untrue or overstated story (as long as the pictures have not been photo-shopped, which would be unethical in this situation.)

There is an old saying – “A picture is worth more than a thousand words.” This adage holds true for before and after pictures of any cosmetic treatment, including neuromodulator injectables.

This is why it is vital to schedule a consultation. This is because perhaps these amazing pictures can be shown during the consultation. The website of Dr. Kaufman is fantastic and shows brilliant images of related treatments but not exactly of Botox before and after pictures.

With that said, based on the pictures that are shown on this website, any patient should be able to grasp the competence and talent of this clinic and Dr. Kaufman. What is amazing about digital imagery, the pictures are so clear and they can be seen anywhere because of the Internet.

Disseminate the Images via Online Forums to Inform People

Before and after pictures of treatments such as neuromodulator injectables are deriving more value from the modern social media revolution. Photo-sharing platforms such as Instagram have millions of users on their sites and the numbers continue to grow every day.

Plastic surgery professionals can successfully use online forums and social media to share images of innovative and safe treatments and inform prospective patients about the most effective treatment options available near them. Before and after pictures of neuromodulators patients can be a vital tool to connect with thousands of prospective patients if used strategically on social media sites.

Forming Realistic Expectations

The results a patient receives with neuromodulators can make a significant difference to their appearance. However, these outcomes cannot be compared to facelift plastic surgery. Patients must have realistic expectations from their neuromodulators treatment.

If the patient has realistic expectations right at the outset, they will be in a better position to appreciate the results of their neuromodulators injectable treatment. It will also prevent any potential future disappointment when it may be difficult to reverse the effects of the treatment.

It behooves any plastic surgeon to be transparent and Dr. Kaufman is certainly that.   


Considerate cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas in the majestic state of Ohio for Botox, Dysport and Xeomin facial anti-aging treatments. To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Gynecomastia (Enlarged Male Breasts) Surgery Risks & Safety

In general, gynecomastia (enlarged male breast) cosmetic surgery is a safe procedure. However, patients should be aware of the possible risks associated with male breast reduction surgery.

Some common risks include the possibility of infection, adverse response to anesthesia, and uneven nipple height. But the potential advantages of male breast reduction surgery will typically outweigh the risks associated with the procedure.  

Board certified plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations.

Discuss the Risks with the Surgeon

During the pre-operative consultation process, the surgeon will inform the patient of the possible risks and complications associated with gynecomastia surgery. The primary goal of a dedicated surgeon is to enable the patient to make a well-informed choice.

Choosing to undergo gynecomastia surgery is a private and personal decision. The patient must assess the advantages of the surgery relative to the risks and complications associated with the procedure, and understand whether this risk-reward tradeoff is acceptable to them. The patient will need to sign consent forms stating that they understand the risks and possible complications inherent in gynecomastia surgery fully.

Potential Risks

The risks associated with male breast reduction plastic surgery are as follows:

  • Poor response to materials used in the surgery such as tape, glues, topical preparations, suture materials, or injected agents
  • Risks associated with anesthesia
  • Hematoma (bleeding)
  • Blood clots
  • Asymmetrical breasts
  • Irregular breast contour and shape
  • Altered sensation in nipples or breasts which may be temporary or permanent
  • Injury to deeper structures including blood vessels, muscles, nerves, and lungs may occur, and the consequences may be temporary or permanent
  • Cardiac, deep vein thrombosis, and pulmonary complications
  • Breast fatty tissue may die (fat necrosis)
  • Poor wound healing
  • Seroma (fluid accumulation)
  • Persistent pain
  • Requirement for revision surgery
  • Unfavorable scarring
  • Infection

The surgeon will inform the patient in detail about these risks before seeking their consent for the surgery. It is important for the patient to seek clarity on all questions and concerns from their cosmetic surgeon before the surgery.

Asymmetrical Breasts

Asymmetrical breasts are a risk arising from male breast reduction surgery. But in the hands of an experienced and well-qualified plastic surgeon, this risk is greatly minimized. However, if the breasts are asymmetrical following gynecomastia surgery, the patient will require revision surgery to correct the condition.

Patients should understand that natural breasts are not completely symmetrical. Minor variations in shape and size are normal, and these do not warrant revision surgery.

Uneven Nipple Height

Gynecomastia surgery alters the breast shape and size as well as leads to the moving of some skin. This leads to the risk of uneven nipple height post-reduction. For some patients, the surgeon may detach the areola and nipple and reattach it on a different location on the breast.

Altered Sensation

A change or loss in sensation in the breast after male breast reduction surgery may occur especially if the areola has been detached and grafted at another location. This change in sensation is usually temporary, but it may be permanent in some exceptional cases.

Experienced cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas for male breast reduction surgery.

To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Questions to Ask Your Gynecomastia (Enlarged Male Breasts) Surgeon

Gynecomastia cosmetic surgery procedure involves the surgical correction of male breast enlargement. If the patient seeks surgery to treat this condition, it is important to choose the right surgeon for the procedure.

The main criteria for selecting a suitable surgeon are appropriate qualifications and credentials as well as experience in performing plastic surgery procedures. Board certified plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations in The Mother of Presidents.

Key Questions to Ask

The patient should ask the following questions during the pre-op consultation to understand the benefits and limitations of the gynecomastia plastic surgery:

What surgical techniques do you recommend for me?

The type of surgical technique chosen depends on the type or grade of gynecomastia and the identified reasons for this condition. The two primary surgical options to correct gynecomastia are liposuction and mastectomy.

Do you have privileges at a local hospital to perform this surgery?

The patient should ask their surgeon to confirm whether the hospital is adequately equipped and authorized for gynecomastia surgery. It is vital to make sure that the hospital is equipped to address any complications that may occur.

What anesthesia type is used for the surgery?

The patient will receive general or local anesthesia according to the type of surgery being undertaken. In general, the surgeon will perform the procedure under local anesthesia. If general anesthesia is used, it should only be administered by a well-qualified anesthesiologist.

What steps should I undertake in preparation for the surgery?

The surgeon will order specific pre-op tests for the patient. The patient should not take blood thinners or other meds prior to the surgery. Furthermore, it is not advisable to consume food or water eight hours before the procedure.

How long is the recovery phase?

The recovery period differs between patients. The patient may need between three to ten days to return to their routine depending on the type of procedure they undergo.

What risks are associated with gynecomastia surgery?

Some common risks involved in this surgery are:

  • Poor response to materials used in the procedure
  • Risks associated with anesthesia
  • Asymmetrical breasts
  • Blood vessel or nerve damage
  • Pain

Will the surgery cause scarring?

Depending on the technique used to perform the surgery, the patient may experience post-surgical scarring.

What are the surgical costs?

The surgery costs include surgical venue expenses, medical tests, anesthesiologist’s fees, and the surgeon’s charges. The fees of the surgeon will depend on the level of their experience in gynecomastia surgery.

Are the results of the surgery permanent?

The possibility of recurrence is low. Regardless, it is advisable for patients to maintain a steady weight.

Can I view before and after images of previous gynecomastia patients?

Before and after images of patients offers visual proof of successful procedures. The patient can also ask the surgeon to provide them with testimonials of previous patients who have received gynecomastia surgery from them in the past.

Committed cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other cities and towns in this area of the country for male breast reduction surgery.


To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

Dr Bram Kaufman