RealSelf Top Doctor Bram Kaufman

Does Liposuction Produce Permanent Results?

Does Liposuction Produce Permanent Results? | Cleveland, OhioAfter liposuction cosmetic surgery, the patient’s new body shape will be more or less permanent. Even if the patient gains a moderate amount of body weight following the procedure, their figure will merely become a slightly larger version of their new body shape.

Focused board certified plastic surgeon Dr. Bram Kaufman provides liposuction to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities in The Mother of Presidents.

 

Permanent Reduction in Fat Cells

Liposuction removes fat cells which cannot subsequently re-grow as the human body cannot usually generate new fat cells after puberty. The fat cells removed with liposuction are typically gone forever.

If the patient does not put on a significant amount of weight, their new body shape after liposuction will be permanent. But the patient should understand that the remaining fat cells after liposuction can grow larger in size if they gain a large amount of weight.

Furthermore, the natural process of aging can cause normal changes in the body shape. However, patients can be confident that the cosmetic benefits that liposuction offers will sustain as long as they follow a healthy lifestyle and diet plan.

 

Pregnancy Effects following a Liposuction Surgery

Some women may want to know how a future pregnancy might impact the outcomes of their liposuction cosmetic surgery. Most patients can be assured that a pregnancy will not permanently change the body contouring results attained through liposuction.

If a woman becomes pregnant and gains weight after liposuction, but loses the excess weight after childbirth, the original outcomes of her liposuction procedure will become apparent again. In fact, many patients will seem to appear as if they have not been through a pregnancy after liposuction.

But women liposuction candidates should understand that, ideally, they should undergo a plastic surgery procedure when they do not have any plans to conceive in the future. Pregnancy can lead to cellulite, stretch marks, and sagging skin in the breast, buttock, and tummy and thigh areas. These aesthetic concerns are not related to liposuction.

While liposuction reduces fat and contours the body to enhance the body shape, it does not have a significant impact on the quality of skin texture, removal of stretch marks or cellulite, or tightening of loose and sagging skin.

 

Liposuction after Final Pregnancy

Multiple pregnancies may lead to the development of stubborn fatty pockets in the abdominal area in some women. In case a candidate receives liposuction surgery after her final pregnancy, she can expect a dramatic improvement in the shape of her tummy area.

The tummy tuck is a more invasive surgery which many patients may be able to avoid by undergoing liposuction to attain a toned and more youthful looking abdomen after their final pregnancy.

 

When do the Outcomes become Apparent?

In around three months following the liposuction, a majority of patients will be able to accomplish 90 percent of their final lipo results. The post-op inflammation will resolve slowly in the following months depending on the extent of surgery and the type of liposuction technique employed.

 

After the inflammation resolves fully, the final outcomes of the procedure will become apparent. Dependable plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other towns and cities in this glorious region of the Midwest for liposuction.
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.

Types of Facial Plastic Surgery Procedures

Types of Facial Plastic Surgery Procedures | Cleveland, OhioFace is aesthetically the most important and visible part of the body. Facial cosmetic surgery procedures can reduce the signs of aging, enhance facial features and proportion, and significantly improve an individual’s aesthetic appearance.

Board certified plastic surgeon Dr. Bram Kaufman provides facial surgery and various other procedures to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities.

 

Facelift

The plastic surgeon commences the procedure by placing an incision in the hairline, right above and in front of the ear.

This incision continues under the earlobe and follows the back of the ear blending into the hairline. The surgeon will gently lift the skin, and tighten the underlying connective tissue and muscles. They may also remove some fat and excess skin.

The incision is aligned in men such that it accommodates the natural beard lines. Regardless, the incision is placed discreetly within a natural skin crease. The surgeon trims the excess skin and then closes the incisions with metal clips or sutures.

 

Rhinoplasty

In this cosmetic surgery procedure, the surgeon initially accesses the cartilage and bone support on the nose through incisions placed inconspicuously within the nose.

For some patients, the surgeon may place an incision in the skin area that separates the nostrils. After that, they will reduce, augment, or re-arrange the underlying bone and cartilage to reshape the nose.

In case the nose bridge has a hump or bump, the surgeon will reduce it to create a more attractive profile. The patient may receive soft tissue or cartilage grafts if a part of the nose is disproportionately small for a more balanced facial appearance.

The nose angles in relation to the forehead or upper lip can also be changed further by contouring the support structure of the nose. Subsequently, the tissues are redraped over the new structure, and the incisions are sealed.  

 

Otoplasty

This procedure commences with the placement of an incision right behind the ear, in the natural crease where the ear connects to the head. Subsequently, the surgeon will eliminate the necessary amounts of skin and cartilage needed to accomplish an aesthetically appealing look.

Sometimes they will trim the cartilage and reshape it into a more attractive form and then pin the cartilage back using permanent sutures to hold the cartilage in position.

In some patients, the surgeon will not eliminate any cartilage and use stitches to hold the cartilage in position permanently. The surgeon will sculpt the cartilage appropriately and then use sutures to anchor the ear until it heals.

 

Chin Augmentation Surgery

The surgeon begins the chin augmentation procedure by placing an incision in either the natural crease beneath the chin or within the mouth, where the lower lip and gum join. After that, the surgeon gently stretches this tissue to make space for the implant.

This implant comprises synthetic materials that feel very similar to the natural tissue of the chin. They are available in a wide range of sizes and shapes.

This enables the surgeon to insert an implant that is appropriate for the patient’s unique facial structure. After the implant is inserted, the surgeon closes the incision using fine sutures.

 

Facial Reconstruction

A patient may require facial reconstruction surgery after a disease or an accident to restore function as well as appearance. Facial reconstruction includes procedures such as fracture repair, scar revision, vascular birthmark treatment, cleft lip and palate repair, orthognathic surgery, surgery for craniofacial deformities, or cancer reconstruction.

Dedicated cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other towns and neighborhoods in this standout part of the country for facial 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.

Types of Hand Surgery

Types of Hand Surgery | Cleveland, OhioThe term hand surgery encompasses various types of techniques. Hand surgery seeks to restore proper function in the patient’s hand and finger(s). However, an important aspect of these surgical procedures is to normalize the appearance of the hand as much as possible.

Successful 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 suburbs in this majestic region of The Midwest.

 

Hand Surgery Procedures

Various types of surgical procedures can be performed on the hand depending on the underlying condition. Some of these procedures are:

 

Skin Grafts

This surgical treatment involves attaching or replacing skin in an area of the hand where the skin is missing. Skin grafts are usually done to address fingertip injuries and amputations. In this surgery, the surgeon takes healthy skin tissue from another part of the body (donor site) and attaches it to the damaged area.

 

Skin Flaps

Similar to a skin graft, a skin flap also involves sourcing skin from another site on the body. The difference between the two is that this procedure uses skin that has its own blood supply.

This is possible as the section of skin that is used has its underlying fat, muscles, and blood vessels intact. Skin flaps are a suitable treatment for areas of missing skin that do not have an adequate blood supply.

 

Closed Reduction and Fixation

This procedure is ideal for patients with a bone fracture (broken bone) in an area of the hand such as the fingers. In closed reduction and fixation surgery, the broken bone is realigned, and held in place or immobilized as it heals. The bone can be immobilized using internal fixtures including rods, wires, splints, and casts.

 

Tendon Repair

Tendons are the fibers that connect the muscle to the bone. The structure of the tendon makes tendon repair surgery a difficult procedure. The tendon may sustain damage due to trauma, injury, or sudden rupture. The three types of tendon repair are as follows:

  • Primary
  • Delayed Primary
  • Secondary

Secondary repairs may take place two to five weeks or longer following the injury. This surgical procedure may include tendon grafts which involve inserting tendons from other body areas in place of the compromised tendon. Other complex procedures may be performed.

 

Nerve Repairs

Sometimes, nerve injuries heal by themselves. But at times, the patient may require nerve repair surgery. In general, surgery is performed around three to six weeks following the injury. To address nerve repairs that are linked to other more complicated injuries, this is the most suitable time.

 

Surgical Drainage or Debridement

Hand infections are a common occurrence, and the treatment includes using heat, rest, elevation, antibiotics, and surgery. In case the hand has an abscess or sore, surgical drainage of the pus may be necessary. In case of a severe infection or wound, the surgeon may use the debridement procedure to clean dead and compromised tissue from the wound.

 

Joint Replacement

Joint replacement surgery is also known as arthroplasty. This procedure is used to address cases of severe hand arthritis. In this procedure, the arthritis damaged joint is replaced by an artificial joint. This artificial joint may comprise plastic, metal, silicone rubber, or the patient’s own body tissue, such as a tendon.

 

Replantation

This surgical procedure involves the reattachment of a body part such as a hand, finger, or toe which has been completely severed or cut from the body. The replantation procedure seeks to restore as much function as possible and uses microsurgery.

Dependable cosmetic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and nearby areas in The Birthplace of Aviation 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.

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.

Dr Bram Kaufman