How Do I Know Which Breast Surgery is Right for Me?

Many women are insecure about the size, shape, and overall look of their breasts. In some patients, the breasts are too large, too small, or sagging, whatever the issue, there is a Plastic Surgical operation which can offer a solution. In Dallas, Texas Dr. David Azouz performs various breast surgeries on women who are looking for a change. Dr. David Azouz is a Board-Certified Plastic Surgeon specializing in drainless, rapid recovery of breast surgery. Dr. Azouz offers an individualized approach to breast surgery and thoroughly explains the benefits and drawbacks of each surgery. Dr. David Azouz is highly experienced and offers many minimally invasive approaches to breast surgery that allows for minimal scarring with a natural look.

Why does a woman’s breast empty?  There are many reasons including:


The most common reason for a woman’s breast to be empty is hereditary.  Some women inherit poor skin elasticity which causes their breasts to sag over time.  Other women lose their breasts when they lose weight.  There are some women who never develop breast tissue.


Pregnancy can cause enlargement of the breasts.  Some women find that when they are finished breast feeding they no longer have the breast tissue they started with.

Weight Loss

Massive weight loss with diet and exercise or with bariatric surgery can cause the breasts to be emptied and are often associated with sagging breasts.


As some women age, they are left with sagging or empty breasts.

Breast Augmentation

Breast augmentation is a surgery that is done to increase the size of the breasts, correct asymmetrical breasts, and improve breast contour. This is a good option for women who wish to increase the size and improve the shape of their breasts. This surgery alone will may correct slightly sagging or drooping breasts. Patients who have more significant sagging or drooping of the breasts will require a lift or a lift in addition to an augmentation. Candidates for this surgery are women who are physically healthy, have fully developed breasts, and are not currently pregnant or breastfeeding.

Recovery Time for Breast Augmentation

Recovery time from a breast augmentation varies for each patient. Dr. Azouz will give you a list of detailed postoperative instructions to follow to help the recovery be smooth and easy. It is important to rest and relax for the first 48 hours following your surgery. Most patients can return to most daily activities within a week. More strenuous activity such as contact sports, marathon running and crossfit may still need to be paused for a few weeks.

Cost of Breast Augmentation

Each patient’s breast augmentation cost will vary. At your consultation with Dr. Azouz, he will give you an estimated cost based on your customized procedure. Costs vary due to implant type, size, and placement. If any other procedures are performed in combination such as a breast lift or liposuction, that will also affect the cost. If you have any questions regarding cost and payment, feel free to contact our Dallas office at 972-702-8888.

Breast Lift

A breast lift, also called mastopexy, is a surgical procedure that is performed to lift sagging, loose breasts. Often women’s breasts start to lose volume and elasticity after pregnancy or weight loss. This breast surgery also repositions the nipple and areola to a more youthful position. Women who seek breast lifts want to get higher, fuller appearing breasts without increasing the actual size through augmentation.

Recovery Time for Breast Lift

The recovery from breast lift surgery is relatively quick. Dr. Azouz will provide detailed instructions for your post-operative care. These will help to make recovery smooth and easy for you.

Cost of Breast Lift

The cost of breast lift procedures varies for every patient. It is highly dependent on the amount of change desired, techniques used, and any combination procedures. There are three main approaches to a breast lift which include a lollipop incision, anchor lift or a mini lift.  Dr. Azouz will give you an estimated cost during your consultation appointment and identify which breast lift is best for you.

Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a surgical procedure that helps to reduce the size of large and/or sagging breasts. Dr. Azouz can also reduce the size of the areola during this procedure to make the breasts look more natural. This procedure is great for women who have large breasts that are causing them pain, discomfort, and even lowering their self-confidence. Breast reductions help to aesthetically improve the look of the breasts and alleviate discomfort associated with large breasts. Dr. Azouz utilizes liposuction with a breast reduction to remove lateral breast tissue and fat.   Liposuction allows for a more sculpted look.

Recovery Time for Breast Reduction

You will notice an immediate improvement in the look and feel of the breasts. Most patients return to work within one week of the procedure. Dr. Azouz will provide specific aftercare instructions for you to follow.

Cost of Breast Reduction

Each breast reduction procedure has a varied cost. The cost depends on the amount of change desired and any combination procedures that are done. During your consultation with Dr. Azouz, he will give you an estimated cost for your breast reduction.

Breast Reconstruction

Breast reconstruction is a procedure that is done to help restore breasts for women who have undergone surgery for breast cancer, have altered breasts from previous surgery, or have altered breasts due to trauma. Dr. Azouz works with each woman individually to find the best breast reconstruction method and to help them feel comfortable. Dr. Azouz will strive to make sure that the results look natural.

Breast reconstruction can be done in multiple ways depending on the health, history, and goals of the patient.

Recovery Time for Breast Reconstruction

The recovery time for breast reconstruction varies for each patient. It is dependent on the type of breast reconstruction, the amount of breast tissue, the health of the patient, and medical history. Most patients return to work within one week following their surgery.

Cost of Breast Reconstruction

Each breast reconstruction will vary in cost. There are many factors playing into the cost of the surgery such as method, desired change, and more. Dr. Azouz will give you an estimated cost during the in-person consultation.

Removal of Implants

Many women decide to remove their breast implants for a variety of different reasons.  Some women do not want an augmented look as they age.  Other women are concerned as their specific type of breast implant may have been recalled by the FDA.   Dr. Azouz does not place textured implants which have been recalled by the FDA.  While there is not a recommendation for breast implant explantation of textured implants, many women feel more comfortable removing their textured implants.

Recovery Time for Removal of Implants

Recovery time for removal of breast implants is somewhat dependent on if a total capsulectomy is performed or not.  In general recovery from removal of implants is rapid with patients returning to work a few days after surgery.  It is not recommended to engage in heavy exercise activity for four to six weeks after surgery.

Cost of Breast Implant Removal

The cost of breast implant explantation is dependent on the type of implant and the need for a total capsulectomy.  Insurance coverage is possible for women with advanced capsules.  Many insurance companies deep breast implants to be cosmetic and therefore coverage is dependent on the insurance carrier and policy.

Breast Feeding After Breast Surgery

Breast feeding is possible after breast augmentation, breast implant removal, breast reduction, and  breast lift.  Patients who have undergone a mastectomy for breast cancer will be unable to breast feed as the breast glands, ducts and nipples may have been removed.

Drainless Breast Surgery

Surgical drains are used to evacuate fluid after surgery.  While they can be helpful to remove fluid, they involve additional scarring, are potentially painful and need to be continually emptied.  Dr. Azouz performs drain free breast surgery.  This allows patients to recover more quickly and to have a better postoperative experience.

Enhanced Recovery Breast Surgery

Dr. Azouz utilizes many surgical techniques to that provide an optimal post operative experience.  Dr. Azouz places long acting anaesthetics to minimize pain. Dr. Azouz avoids general anesthesia whenever possible to provide his paitents with a quick recovery.  He also utilizes compression garments,  which minimize pain and swelling after surgery.

Combining Liposuction with Breast Surgery

Liposuction can be used in almost all breast surgeries.  Liposuction provides a more defined and sculpted look by removing axillary adiposity, later breast tissue and by giving the breasts a more natural rounded look.  Many patients also decide to add liposuction to the abdomen with a breast surgery for a full body make over known as a “mommy makeover”.

Schedule a Consultation

Dr. Azouz will work with you to choose the best breast procedure, or combination procedures, for you. To make a consultation at his Dallas office, call Dr. Azouz at 972-702-8888 or fill out an online form.

Dallas Plastic Surgeon Dr. David Azouz Discusses Eyelid Surgery: Definitions, Cost, Treatment and More!

If you’ve begun to notice the signs of aging, it’s likely that you’ve noticed loose skin around the eyes. Loose skin around the eyes is largely due to genetic causes.  Over time, the eyelids are one of the first places to sag and lose firmness.  This can make you look tired, sad, or unhappy. In some cases, loose skin can also affect vision. Loose skin around the eye is called dermatochalasis, and upper and lower lid blepharoplasty procedures are effective plastic surgery solutions.

What is Dermatochalasis?

Dermatochalasis refers to loose skin around the eyelids.  This can cause a “baggy” appearance to the lower eyelid and a “hooded” appearance to the upper eyelid.  In the upper eyelid, the loose skin can hang down into the visual field, causing less light to reach the pupil.  This can make the vision poor at night or in other low light situations. Both loose skin around the eyelid or a droopy eyelid (part of a condition called ptosis), can also affect the ability to perform tasks like driving or reading.

What is the difference between Ptosis and Dermatochalasis?

Ptosis is caused by paralysis or muscle weakness rather than excessive skin.  Ptosis can present at birth known as “congenital ptosis”, and can be acquired meaning it is caused by a trauma.  Some patients have ptosis from repeated stretch injury due to wearing hard contact lenses, from cataract surgery where the eye is propped open or from tumors around the orbit. Ptosis can also be the result of an injury to the bones or soft tissues around the eye.

Eyelid Surgery in Dallas

Drooping eyelids will usually need surgery in the form of blepharoplasty, which removes excess skin, muscle, and fat. Dr. Azouz can also tighten the levator muscles for additional lift and repositioning.  Eyelid surgery can offer a more cosmetic and younger appearance.  In patients where the eyelid is blocking light from reaching the eye, it can also improve your vision.  Dr. Azouz can also recreate the fold of the eyelid so that it is easier to apply makeup.

Cost of Eyelid Surgery

The cost of eyelid surgery is variable and very dependent on the individual patient.  Financing options are available.  Insurance does not usually cover eye-lid surgery and almost never covers primary lower lid surgery.  Dr. Azouz will assess the individual patients’ needs and can provide a quote for the cost of eyelid surgery after a history and physical examination are performed.  Patients usually can improve the cost of their plastic surgery procedures by combining the surgery with cosmetic face and body procedures such as liposuction, facelift, breast augmentation, and gynecomastia surgery.

Final Results of Eyelid Surgery

Dr. Azouz will provide recommendations on eye drops and icing to keep the eyes moisturized and free of irritation after eyelid surgery. It’s important to avoid rubbing or itching your eyes while they recover. After a full recovery, patients enjoy a more youthful and refreshed look without sagging or excess skin. In the case of corrected dermatochalasis or ptosis many patients enjoy the improvement to the vision after the swelling subsides and the final results emerge.

Schedule a Consultation with Dallas Plastic Surgeon Dr. Azouz Today!

Eyelid surgery can be an excellent option for refreshing your face look. To get started, contact our office to schedule a consultation with Dr. Azouz who can plan the ideal facial procedure for you and your goals. Dr. Azouz also combines eyelid surgery with rhinoplasty, neck liposuction, neck lifts, facelifts, and brow lifts.  We invite you to contact us by calling us at 972-702-8888 or by filling out our online contact form.

Consider Eyelid Surgery to Achieve a More Youthful Appearance

Many people consider having blepharoplasty, or eyelid surgery, in order to remove and tighten up their excess eyelid skin. Eyelid surgery helps patients achieve a more youthful, alert appearance. Eyelid surgery can also improve your vision by allowing more light to reach the eye as loose skin can act as a shade over the eye

Blepharoplasty routinely removes excess fat, skin, and muscle from the lower and upper eyelids. Some people only require skin to be removed during eyelid surgery but this is rare. You may also need to have the surgery done on both lower and upper eyelids. Dr. Azouz performs blepharoplasty at various facilities in Dallas and Plano, providing patients with a youthful appearance while keeping the eyelids functional.

What is Cosmetic Blepharoplasty?

This procedure is not a medical necessity and is done for cosmetic purposes only. As we age, our upper and lower eyelids can begin to droop or become baggy. If this occurs, your eyebrows may even sag or droop down. The skin of the eyelid stretches, the muscles weaken, and fat pockets can start to appear more prominent.

These conditions can detract from the beauty of the eyes and face. They can also cause a person to look older than they actually are. A board-certified plastic surgeon like Dr. David Azouz can perform a blepharoplasty to improve the appearance of the eyes, which helps to improve the overall look and youthfulness of the face.

When is Eyelid Surgery Necessary?

A functional blepharoplasty occurs when there is a medical necessity for it. One of the most common reasons why this surgery may be necessary is when loose skin drooping down low enough that it severely impairs vision. This can cause problems with driving and other daily tasks.

Other conditions that require functional blepharoplasty include:

  • Irritation that occurs from eyelashes rubbing the eye
  • Discomfort or pain in the forehead from overworked muscles that severely and constantly strain to lift up the sagging eyelid skin with severe headaches

Dallas plastic surgeon Dr. David Azouz has decades of experience performing this type of procedure and routinely provides his patients with world-class results.

Am I a Good Candidate for Eyelid Surgery?

If you are experiencing sagging or drooping skin around your eyes, you may consider eyelid surgery. Remember, this problem is usually normal with aging and is often due to genetics. Sagging and puffy skin may also be exaggerated if you have other medical issues that irritate your eyes, such as edema or allergies.

Dr. Azouz offers a comprehensive exam of the face and eyes and can guide patients as to what eyelid surgery is best for them. Many patients elect to combine eyelid surgery with a facelift, neck lift or liposuction of the neck.  Some patients elect to combine eyelid surgery with breast augmentation, breast lift, gynecomastia or liposuction surgery.

Gynecomastia: Dallas Plastic Surgeon Dr. David Azouz Busts Several Gynecomastia Myths

Gynecomastia is a common condition that can be disturbing to many men.  Unfortunately, many myths still persist today that cause men to be discouraged when seeking treatment for gynecomastia.

Male Breast Myths

Myth: ‘Pseudogynecomastia, Man boobs, Male Breasts, Gynecomastia are mutually exclusive (you have one or the other)

Dr. Azouz:  Most men have a combination of fatty tissue and gynecomastia.  It is not uncommon for men to have massive weight loss and have true gynecomastia (pure breast tissue).  Similarly, men who are at their ideal weight may have significant fatty tissue in their chest.  Most men will have a combination of gynecomastia (breast tissue) and fatty tissue.

Myth: ‘Nipple Size is independent of gynecomastia’

Dr. Azouz: Enlarged male nipples are most often associated with underlying gynecomastia.  Patients undergoing gynecomastia surgery can often expect their nipple-areola to reduce by half to one-third of the size.

Myth:  ‘You will have Drains with Gynecomastia Surgery’

Dr. Azouz: We do not use drains in gynecomastia surgery.  This allows a more comfortable recovery without additional scarring from drain sites.

Scar with Gynecomastia Surgery “The scar is most often imperceptible and camouflaged in the areola.”  

Myth: Scarring with Gynecomastia surgery: ‘scars are multiple, large and visible’

Dr. Azouz: We only place one scar on each breast in our procedure.  The scar is most often imperceptible and camouflaged in the areola.

Myth: ‘Older men are not candidates for gynecomastia surgery’

Dr. Azouz: Older men can have wonderful results with gynecomastia surgery in Dallas.  We operate on men in their 70s and 80s routinely and have many older patients who are very happy after male breast reduction surgery.

Myth: ’Teenagers and pre-teens are not candidates for gynecomastia surgery’

Dr. Azouz: Young adults and teens can have wonderful results with gynecomastia surgery in Dallas.  We operate on boys as young as 10 and 12.  There are patients who have severe gynecomastia even before they are teenagers.  Gynecomastia surgery can be performed in even growing boys.

Myth: ’Male breast reduction is very painful’

Dr. Azouz: Many of our patients do not take any pain pills after male breast reduction surgery.  Some patients only take Tylenol and Advil.  It is rare for a patient to ever need a refill of their pain prescription after surgery.

Schedule a consultation with Dr. Azouz

Gynecomastia patients are encouraged to contact our office in Dallas. We can perform a thorough examination and offer advice on the appropriate method of treatment. For more information and to schedule your in-person or virtual consultation with Dr. Azouz, call at 972-702-8888,

Liposuction: Recovery Timeline after surgery

Liposuction is one of the most common cosmetic procedures in plastic surgery.  The recovery time following liposuction is dependent on the individual patient, on the number of areas being addressed (abdomen, chest, neck, thighs, knees, legs, arms, etc) and the nature of the liposuction being performed. Liposuction can be performed on its own or in combination with other plastic surgery procedures.  Dr. Azouz routinely performs liposuction in combination with a tummy tuck (abdominoplasty), breast augmentation, breast lift (mastopexy), breast reduction, male breast reduction (gynecomastia), neck lift/facelift, body lift, and with abdominal wall reconstruction.

Dr. Azouz is able to use liposuction in both aesthetic (cosmetic) surgery patients and in patients undergoing reconstructive surgery. Recovery after liposuction is often easy and quick.  Even patients with a complex medical history, heavy patients, older patients, and those with a history of previous surgery can be candidates for liposuction surgery.

Dr. David Azouz an experienced Plastic Surgeon in Dallas/Plano/Fort Worth for over 30 years

As a plastic surgeon, Dr. Azouz strives to attain the best, most natural, and dramatic results in conjunction with a safe and comfortable recovery. The routine experience for patients undergoing Liposuction Surgery with Dr. Azouz is as follows. The liposuction experience can vary according to different plastic surgery needs.

Prior to Liposuction Surgery:

Dr. Azouz is a plastic surgeon based in Dallas who will meet in consultation with each patient individually, prior to surgery.  Dr. Azouz advises the patient on which sites they are a candidate for when planning for liposuction.  There are six stages during Dr. Azouz’s liposuction consultation. Dr. Azouz almost never uses drains with liposuction.  He will advise his patients which compression garments will be most effective for the quickest post-operative recovery after liposuction.

Cost of Liposuction

The cost of liposuction will vary according to the number of sites desired to be improved, the overall complexity of the surgery, and the patients’ specific desires.  Some patients elect to combine liposuction procedures with other procedures such as breast augmentation, tummy tuck (abdominoplasty), male breast reduction (gynecomastia), breast lift (mastopexy), body lift, eyelid surgery (blepharoplasty), facelift, labiaplasty, monsplasty, arm lift and with a variety of other plastic surgery procedures in order to have one recovery and one cost for their anesthesia and operating room fees.

The Night before Liposuction Surgery

Dr. Azouz advises his patients to shampoo and shower and then to shampoo and shower again the morning prior to surgery.  Dr. Azouz will recommend when it is best to stop eating and drinking the night before liposuction surgery.

During Liposuction Surgery

Dr. Azouz is able to perform liposuction surgery on patients with a combination of local and sedation or with general anesthesia.  Most patients elect to have their liposuction under sedation and would rather not have an endotracheal tube placed.  Dr. Azouz works with anesthesiologists who are committed to providing the patient with the most optimal experience.

Dr. Azouz aims for a world-class result with the best experience possible

Dr. Azouz utilizes many diverse techniques to provide each patient with a safe, ideal, top-notch and comfortable surgery while always minimizing the risks and complications. While each patient has their own unique experience, many patients report having little pain with liposuction surgery.  Many patients have repeatedly reported that the experience was one of the best medical experiences.  They also often say that liposuction results are life-changing.

Two to Three Days Post Liposuction Surgery

Liposuction surgery is often reported to be painless however analgesic medications are still prescribed who report mild discomfort. Patients will wear their compression garments in the post-operative period.  Patients often elect to have their surgery on a day that is followed with one to two days off of work.  However many patients return to work more quickly without any detriment.  In this time period, they reduce their level of physical activity.  Most liposuction patients return to desk work after one to two days.

One to Three Weeks Post Liposuction Surgery

One to two weeks after liposuction patients will avoid exercise and most patients do not have any reportable pain.  Many liposuction patients can go back to desk work or light duties at this point.  Full compression is utilized during this time period as advised by Dr. Azouz.  All stitches will usually be removed from the small liposuction incisions between 2 to 3 weeks after surgery.

Three to Six Weeks Post Liposuction Surgery

At three to four weeks after liposuction surgery, results become much more dramatic.  Bruising and swelling usually improve dramatically in the first three to four weeks.  Most liposuction patients can return back to light physical activity after the third week including heavy walking, elliptical, light yoga, and light aerobics.

Six Weeks Post Liposuction Surgery

Liposuction patients are usually released to full activity after six weeks. Most patients can additionally return to all physical activities or exercise routines. This includes basketball, hockey, football, heavy yoga, trampoline, skydiving, and scuba diving.

Schedule a Consultation for Liposuction

Liposuction is one of the best ways to reduce fatty pockets and boost your confidence. To get started on discussing your liposuction options, contact plastic surgeon, Dr. Azouz by calling now at 972-702-8888 or filling out our online form.

Will Gynecomastia Go Away Naturally or On It’s Own?

Gynecomastia is a condition that can cause breast tissue in men to swell or enlarge. Gynecomastia presents from puffy nipples to large female appearing breasts. Approximately sixty percent of men have this condition, and many have it to the point that they choose surgical correction. Gynecomastia is also referred to as male breast tissue, gyno, or “man boobs.”  Gynecomastia is different from pseudo gynecomastia, which involves lipodystrophy or abnormal fat distribution in the chest.  Most men who are afflicted with gynecomastia have a combination of both lipodystrophy and true gynecomastia. When gynecomastia persists for 12 months, surgical excision and body contouring are the definitive treatment choices in adults.

What causes Gynecomastia?

Gynecomastia is a condition that can first present in puberty or after infancy, as the young man is encountering many different changes in his body. An imbalance between testosterone and estrogen can cause breast tissue to develop and grow in a male. Although this condition’s exact etiology is not always clear, steroids, recreational cannabis, and other medications are believed to contribute to gynecomastia. Other factors like weight and age can also influence the development of gynecomastia.  The overwhelming cause of gynecomastia is a genetic predisposition inherited from a male relative.

To many males, especially as a young teen, this is a source of embarrassment. Many young men report not wanting to participate in sports or any team activities that require changing in front of other young men or women. Patients often report being very self-conscious of their bodies and try to hide them in various ways. Older men may also experience difficulty with self-esteem and avoid going shirtless, playing sports, or wearing tight-fitting clothing. Some men intentionally gain weight to camouflage their gynecomastia.  Gynecomastia may be minor and fade away past puberty, or it may be excessive and not reduce or disappear.

Will gynecomastia go away naturally?

Males affected by this condition often want to know the answer to this question: Will gynecomastia go away naturally? The simple answer is it depends. For young boys, gynecomastia often goes away after puberty. However, for many children, young adults, and adults, gynecomastia’s appearance may be permanent. In fact, the only proven treatment for this condition is male breast reduction, a surgical procedure. When a skilled plastic surgeon performs this procedure, it creates a permanent change in the male’s physical appearance.  Gynecomastia removal can often be achieved with one outpatient surgical procedure.

How do you choose a good plastic surgeon for the removal of Gynecomastia and Liposuction?

Select a plastic surgeon you can trust and feel comfortable with. A plastic surgeon is a surgeon who has completed a minimum of 3 years of general surgery and 3 years of plastic surgery.  It is advisable to inquire if your plastic surgeon completed a residency in plastic surgery directly.

Azouz Plastic Surgery has two such plastic surgeons sympathetic to your problem and skilled in performing male breast reductions. Both plastic surgeons perform gynecomastia surgery (male breast reduction) regularly.  Dr. Azouz routinely does not use drains, performs gynecomastia surgery as day surgery, and often can achieve the desired results with imperceptible scars.  Dr. Azouz performs Aesthetic (Cosmetic) and Reconstructive surgeries of the chest and has experience in treating patients with advanced gynecomastia, Poland syndrome, placement of pectoral implants, nipple/areola reduction, and chest asymmetry. Visit or Before and After Gynecomastia Pictures.

Contact Dr. Azouz to evaluate your Gynecomastia condition

If you are affected with Gynecomastia, schedule a plastic surgery consult in our Dallas by calling 972-702-8888 to have Dr. Azouz evaluates your case.

Gynecomastia Surgery

Gynecomastia in Teens: Causes, Symptoms, and Treatment-Dr. Azouz

Although breasts do not develop in males as they do for females, most men are born with a small amount of breast tissue. A male’s body makes the testosterone hormone which guides his sexual growth and development with puberty. However, males also produce the female sexual growth hormone, estrogen. Endocrine studies have demonstrated a hormonal imbalance with an increase in estrogen, leading to swelling and hypertrophy of male breast tissue. Almost 50 percent of adolescent boys develop gynecomastia to some degree and some will develop permanent gynecomastia presenting as a female appearing breast or as puffy nipples.  Some men will also present with lipodystrophy, which is an abnormal distribution of fat overlying the pectoralis muscles. Many men have a combination of both abnormal fat distribution and gynecomastia (breast tissue) appearing to be female breasts.

Gynecomastia in teens and young adults

With puberty comes a number of changes to the body.  The appearance of facial hair and deepening of the voice are part of healthy male development. Sometimes, teenage boys may experience another change that comes in the form of breast tissue enlargement which is distressing and cause self-consciousness with tight-fitting clothing or when shirtless.

What causes gynecomastia in teens?

Several factors can cause gynecomastia in men and teens; however, the exact cause can be difficult to determine. Most cases of gynecomastia are no fault of the patient and run in families being genetic. Some factors that are felt to contribute to gynecomastia are as follows:

  • An injury to the testicles which make testosterone or disease affecting it.
  • Problems of the liver, thyroid, or kidneys
  • Obesity leads to an increase in estrogen.
  • Certain medications like those for depression, cancer, ulcers, or heart disease.
  • Drugs like marijuana or steroids.
  • Dietary or herbal supplements

Gynecomastia in teens: symptoms and treatment

Gynecomastia can initially present as a lump of fatty tissue under the nipple. The swelling in the breasts may be even or uneven.  Most patients have some asymmetry between the two breasts.

Dr. Azouz evaluates each teen patient with a history and physical exam.  When indicated, Dr. Azouz can contour the chest with liposuction and removal of gynecomastia and fatty tissue.  Dr. Azouz routinely camouflages small incisions around the areola and does not use drains.  Liposuction and gynecomastia removal are routinely performed as day surgery, and many patients report experiencing little pain after surgery.  Dr. Azouz will guide aftercare and advise patients on when to return to light and heavy physical activity.

Schedule a consultation with Dr. Azouz

Dallas Top Gynecomastia Surgeon Dr. Azouz will evaluate the teen patient and will advise the best treatment possible. Schedule an appointment with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call (972) 702-8888 or request an appointment online.

Blepharoplasty: Common Myths and Facts

Even though there are several non-invasive procedures today that help addresses different signs of aging, there are many issues that still require surgical correction for the best results. Cosmetic eyelid surgery, or blepharoplasty, is one such surgical procedure that does not have an effective non-surgical alternative. There are two kinds of blepharoplasty procedures– one for the upper and lower eyelid, respectively. If you’re considering a procedure to rejuvenate your eyes with blepharoplasty, here are some interesting myths and facts about eyelid surgery that you may not know.

About Eyelid Surgery

Eyelid scars are some of the most concealed scars in plastic surgery: Although it’s true that certain surgeries can produce visible scarring, eyelid surgery can easily conceal any incisions within the natural folds of the eyes. For upper eyelid surgery, the scar is concealed within the crease. For lower eyelid surgery, incisions can be made inside the lower eyelid or hidden below the lash line. Using these techniques, most patients find little to no visible scarring after surgery.

You can correct dark circles: Some of the most common cosmetic issues around the eyes are dark circles and eye bags. There can be many reasons that these problems can form; it could be temporary due to lack of sleep, while long term dark circles are caused typically by thinning skin or loss of volume due to aging. These concerns can respond to non-surgical treatments like laser techniques, dermal fillers, and skincare. Fat grafting is an evolving more permanent option to improve the tear trough and lower eyelid.  You should be sure to discuss your goals with Dr. Azouz during a consultation.

Blepharoplasty surgery (eyelid surgery) can still be performed in those with dry eyes: It’s important to choose an experienced, board-certified plastic surgeon who specializes in facial cosmetic surgery since removing too much skin can cause chronic dry eyes after recovery. You can expect some dryness during your recovery, however, because of irritation. This can be mitigated with eyedrops.

Facts About Eyelid Surgery

It has cosmetic and medical benefits: Eyelid surgery can help eliminate sagging skin and remove excessive skin and fat from the area while also tightening the skin. In addition to these cosmetic enhancements, it can also improve your peripheral vision when it removes overhanging skin. Removing excess eyelid skin can also allow more light into the eye, which can improve vision. This is why it’s medically recommended for people whose vision is affected by droopy eyelids.

It’s the second most popular facial cosmetic procedure: After rhinoplasty, eyelid surgery is the next most popular surgery in the U.S. This is believed to be increasing at almost 10 percent each year.

Lower and upper eyelid surgery can be performed together: Even though not everyone will require correction on both the lower and upper eyelids, they can be performed together within the same surgical procedure. This reduces the surgical session’s time as well as your recovery period.

Eyelid surgery isn’t just for women: While it’s true that a large percentage of women opt for eyelid surgery, men seeking facial rejuvenation also opt for the procedure in thousands each year.

Your results will continue to improve: You will be able to see your results immediately after surgery, but in most cases, your final results will continue to refine over the course of a year to eighteen months. This happens because it takes time for the surrounding tissue, skin, and fat to settle in place. Even though it may take around 12-18 months to see your final results, your facial improvement will be long-lasting.

Eyelid surgery can be performed under local anesthesia: Depending on the amount of correction required, your eyelid surgery can take anywhere from 45 minutes to 1.5 hours. It is usually performed under local anesthesia together with sedation. You’ll be able to return home immediately after surgery. Dr. Azouz recommends elevation and icing to reduce swelling.

Schedule a Consultation

Eyelid surgery can be a quick and effective way to rejuvenate the face and brighten your look. To begin discussing your options, contact our office by calling or filling out our online form and schedule a consultation with Dr. Azouz.

Tips for Your Successful Eyelid Surgery Recovery

Despite how advanced plastic surgery techniques have become, you can still expect some downtime after your procedure. If you’ve undergone eyelid surgery, some recovery time can seem overwhelming as you wait for your new eye profile. However, it’s important to follow any instructions given by Dr. Azouz to ensure you stay healthy and risk-averse. Here are some tips to ensure your recovery goes smoothly.

Managing Discomfort

Eyelid surgery can be a straightforward plastic surgery that isn’t as invasive as other options, but you can still expect some discomfort or pain as you recover. It’s important to follow instructions for any medications you’re prescribed, as these can reduce both pain and swelling. For additional effectiveness, you can use a cold compress at the treatment area. Dr. Azouz recommends the use of certain eyedrops to keep your eyes lubricated and reduce itchiness, so be sure to use these to manage any discomfort from incisions or dryness. Dr. Azouz will ensure you know which ones to look for in the preparation of your surgery date.

Protecting Your Eyes

As with any incision or surgical site, it’s important to protect it from harmful things. This is especially important after eyelid surgery since complications can be very dangerous to your eyes’ necessary functions. Your eyes may be very sensitive during this time, so wearing dark, protective sunglasses during this time can help to reduce stress on your eyesight. It can also prevent your incisions from being exposed to UV-rays, which can exaggerate scarring. If you opt to wear protective SPF, be sure to get a recommendation from Dr. Azouz on which products will be best. It’s also important to protect your incisions with any bandages or strips that are applied for your recovery. These can effectively prevent infection, so be sure to follow care instructions for your incisions.

What to Avoid

Even though recovery is temporary, it’s still highly important to avoid certain things until your incisions are healed. This includes certain skincare products and cosmetics that can aggravate your incisions or cause infection. It can be tempting to cover up any bruising if you choose to go into public, but you should be sure to check with Dr. Azouz before using any products near your eyes in order to ensure your recovery goes smoothly. You should also avoid wearing your contact lenses for a few weeks after surgery, as these can irritate your eyes further. Even though it can be uncomfortable, it’s also very important to avoid itching, scratching, or rubbing your eyes until you’re recovered.

Your recovery is only one step in your eyelid surgery process, and with effective aftercare, you can enjoy your excellent results without complication. To schedule your blepharoplasty consultation or ask questions about what to expect from your recovery, contact our office by calling or filling out our online form.

Male Breast Reduction: How Old Should I Be for Gynecomastia Treatment?

Although most men experience gynecomastia, or enlarged male breasts, at some point in their lives, not every patient fits the criteria for a good candidate. This is because gynecomastia can change over time or resolve on its own, so the life stage is a very important factor when looking at your options with gynecomastia treatment. As you plan your consultation for male breast reduction, here are some things to consider.

Considerations for Puberty

Because gynecomastia is most commonly caused by hormones during the body’s development, puberty can be a huge factor in deciding whether surgery is appropriate for candidates. Most men experience gynecomastia during their teenage years to some degree, but this usually resolves as the body exits puberty. For this reason, male breast reduction may be detrimental to the body as it continues to change. If you’re still within your teenage years, you should be sure to discuss your options with Dr. Azouz and explore other options if you’re still experiencing this important phase.

Considerations for Maturity

Plastic surgery is no small choice, so most plastic surgeons will be sure to discuss with their patients the repercussions of choosing their procedure. Male breast reduction can be an effective, long-term solution, but it’s not a permanent fix. Despite treatment, gynecomastia can still reoccur without the proper life changes to ensure it stays away. These can include avoiding weight gain and certain medications. Overall, patients for any plastic surgery procedure should be mature enough to understand the procedure and its ramifications on their body and their lifestyle.

What Age is Best?

This question can be difficult to answer since every patient presents a unique case. Male breast reduction is best for patients who have outgrown puberty and still have enlarged breasts. However, many male breast reduction patients are middle-aged or older and experience enlarged breasts as a result of aging or weight gain. In any case, ideal patients have tried lifestyle adjustments to reduce their gynecomastia and are able to consent to and undergo surgery to correct it. The best way to determine whether you can benefit from gynecomastia treatment is through a consultation with Dr. Azouz.

Dr. David Azouz is a top gynecomastia plastic surgeon in the Dallas area who performs effective male breast reduction techniques at our state-of-the-art practice. To schedule a consultation to discuss your gynecomastia treatment options, contact our office by calling or filling out our online form.

Request a consultation

If you are interested in getting treatment for Gynecomastia, contact Dr. Azouz at his Dallas practice for a consultation. Call our office at (972) 702-8888 or contact us by filling out an online form.