Dallas Fort Worth Plastic Surgeon Dr. David Azouz discusses Cosmetic Areolar Reduction

Nipple Areola Reconstruction/Reduction

The areola and nipples can often be disproportionate to the breast or chest.  Both men and women can suffer from abnormally large or small nipple/areolar size.  This can worsen asymmetry or can cause difficulties with tight fitting clothing. 

Some of the common causes of nipple-areolar size discrepancies are size changes to the breast such as pregnancy, breastfeeding, and gynecomastia. Genetics can also be a factor in nipple-areola disproportion. Fortunately, all of these concerns can be resolved through a relatively simple procedure called nipple or areola reconstruction.

Nipple Reduction or Areolar Reduction: What are the Common Reasons?

The most common reason for men to desire nipple/areola reduction is because they have underlying gynecomastia.  In women the most common reason to desire nipple/areola reduction is because they have enlarged or sagging breasts and thus they are in need of a breast lift or breast reduction. 

Some patients are left with a small or a flat nipple areola after surgery.  Dr. Azouz is able to help many patients who have had plastic surgery performed elsewhere and seek more symmetry with a revision procedure.  Dr. Azouz frequently performs revision male breast reduction or revision breast lift. 

Areola Reconstruction Surgery: Who Can Benefit?

Nipple reconstruction surgery changes the shape and reduces the size of the areola. Areola surgery can be done by itself or in conjunction with a breast reduce or breast lift. Nipple puffiness can be reduced in patients who have disproportionate areola and nipples due to post breast-feeding and men with “puffy nipples” who are suffering from male breast. Other candidates include individuals who would like their inverted nipples reconstructed. Inverted nipples may result from scarring or genetic factors.

Areola Reconstruction Procedure?

In a typical areola reduction surgery, the first step is making an incision around the areola, followed by removing the excess tissue and skin. By making the incision around the areola the scar is well hidden along the border of the areola/nipple. When repairing inverted nipples the incision is also hidden. After making a small incision the scar tissue or other connective tissue holding the inverted nipple in place is removed.

Nipple/Areola Reconstruction Recovery Time

Most patients report that nipple reduction is not painful and are able to do light activities such as computer work, and leisure walks within days. Intense physical activity such as lifting heavy weights should be avoided during the initial healing process. With that being said, Dr. Azouz monitors each patient on their individual healing process with follow up appointments and will advise you when you can slowly return to your daily activities and strenuous exercises.

Areola/Nipple Reduction Surgery: Frequently Asked Questions

Nipple reduction surgery is considered permanent. In men the nipple areola can increase or decrease by a small amount with weight changes and it is not uncommon for the nipple to still function normally after surgery.  However, results are generally permanent, dramatic and aesthetically pleasing. The statifiation rate with nipple reduction surgery is extremely high.

Can I Make My Nipples Smaller Without Surgery?

Surgery is the gold standard to anatomically change the shape, size and prominence of the nipple areolar complex.  Medical weight loss and hormonal treatments are typically not the best method of reshaping the nipple areola.

Is Nipple Reduction Surgery an Outpatient Surgery?

Yes, nipple reduction is performed as an outpatient surgery meaning you go home the same day after surgery.  Similarly Dr. Azouz performs the vast majority of plastic surgery procedures as outpatient surgery including: breast lift, male breast reduction, areolar reconstruction and breast augmentation.  

How Long is the Recovery for Nipple Reduction?

The recovery for nipple reduction is generally quite quick.  Most patients do not report significant swelling or pain. Dallas plastic surgeon Dr.  David Azouz, performs plastic surgery with enhanced recovery. Patients can generally go back to activities including heavy exercise, powerlifting, gymnastics, and contact sports within five to six weeks after their plastic surgery.

Can You Fix an Inverted Nipple Without Surgery?

Inverted nipples are generally repaired surgically.   Inverted nipples are common and can affect approximately 5-10% of men and women.  Nipples can be permanently inverted or temporarily inverted.  Nipple retractors, extractors, shells, and cups are generally associated with temporary and modest results.  Nipple piercing is an option for stabilizing and preventing nipple inversion.  Nipple piercings can eventually be removed once the nipples heal in an everted position. Dr. Azouz is generally able to preserve the milk ducts for patients who undergo nipple reconstruction so they may still breastfeed.

Can a Nipple Reduction be performed at the same time as gynecomastia surgery?

Yes Dr. Azouz frequently performs gynecomastia surgery concurrently with nipple and areola reduction surgery.

Can flat nipples stick out more?

Yes, flat nipples can protrude more with inverted nipple surgery performed by Dallas plastic surgeon Dr. David Azouz.  

Schedule a Consultation

If you’re interested in areola reconstruction, schedule a consultation with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call (972) 702-8888 or request an appointment online.

Azouz Plastic Surgery Performs Aesthetic (Cosmetic) Surgery Procedures in the Face, Breast and Body

What cosmetic procedures can be combined and why would that be beneficial?

Combining plastic surgery procedures is extremely popular and involves a plastic surgeon performing multiple plastic or cosmetic surgeries in one day.  This is a great option for patients who have many different concerns they would like to address. Dr. David Azouz is a board-certified plastic and reconstructive surgeon in Dallas, TX who performs many combination procedures to help his patients reach their goals in a safe, efficient and effective manner. Dr. Azouz is highly experienced and offers patients the benefits of a natural-appearing look with minimal scarring from his combination procedures. The most well-known combination procedure is the mommy makeover, but there are many procedures that can be combined. Facelifts, tummy tucks, liposuction, and breast surgeries are all popular surgeries that can be done together.

Benefits of Combination Procedures

There are many different benefits that come from performing two or more surgeries simultaneously. Mainly, it cuts down on the need for multiple surgery days which allows a patient one recovery. Additionally, combining procedures often cuts down on the cost of surgery and anesthesia.

Candidates for combination plastic and cosmetic surgery

The best candidates for combination surgery:

  • Require moderate improvement of the areas to be treated
  • Are in good overall health
  • Are non-smokers
  • Have realistic expectations

Dr. Azouz recommends that patients with areas that require significant skin and soft tissue resection stage their procedures rather than have them done on the same day.  The right combination of procedures can achieve the results a patient desires and this is best achieved through expressing your goals with Dr. Azouz.  Dr. Azouz is committed to performing plastic and cosmetic surgery as safely and efficiently as possible.

Combining plastic surgery with other non-plastic surgery procedures

Patients often desire to combine cosmetic and plastic surgery operations with other types of surgery including:

  • Hysterectomy
  • Removal of gallbladder
  • Functional rhinoplasty
  • Hernia repair

Dr. Azouz is able to coordinate performing cosmetic surgery with other noncosmetic surgeries with a variety of different surgeons.  Often Dr. Azouz will work with an OBGYN to perform a hysterectomy and tummy tuck together.  Hernia repairs are often performed at the same time as a panniculectomy (tummy tuck).

Recovery Time

One of the main questions Dr. Azouz is asked during his consultations with patients is how much recovery time they will need for their procedure. If a patient has multiple concerns and requires multiple procedures, this adds to time spent recovering from surgery. With a combination procedure, you get one recovery time.  A mommy makeover may involve a drain-less abdominoplasty or mini-tummy tuck, liposuction, and breast augmentation in the same day.   Men often desire liposuction of the abdomen to be done concurrently with liposuction and removal of gynecomastia of the chest.  The recovery time for each procedure is about four to six weeks until a patient can return to heavy exercise. Instead of having to heal for four to six weeks to or three different times, patients can get surgeries done on the same day so that they only go through one recovery.

How soon can you have cosmetic surgery after massive weight loss surgery (gastric bypass?

Gastric bypass induces weight loss by both restrictive and absorptive methods.   This means that a patient will eat less food and less food will be absorbed through the patient’s digestive tract.  Patients will generally have their weight fluctuate for six months after surgery.  Dr. Azouz typically recommends having a stable weight for six months prior to surgery as well.  Patients who have had bariatric surgery (gastric sleeve or bypass) are typically excellent candidates for post-bariatric body contouring.  Combination procedures are often possible and include a variety of cosmetic surgeries of the body, breast, and face.

Possible combination surgery after bariatric procedures include:

Mommy makeover

Body lift with liposuction

Tummy tuck with liposuction

Facelift with eyelid surgery (blepharoplasty)

Breast lift with breast augmentation

Liposuction and removal of gynecomastia

Cost and Recovery

Along with the cut down on recovery time, combination procedures also cut down the cost. The cost of each individual procedure varies greatly. You have to add in the surgical facility, anesthesia, and medical devices to the total cost. By getting multiple procedures done in one surgery, this cuts down on the time spent in the operating room and anesthesia costs being repeated. Dr. Azouz will give you an estimated cost of your unique combination procedure during your in-person consultation.

Popular Combination Procedures

To help his patients save on recovery time and cost, Dr. Azouz performs many of his procedures in combination with others. Due to the drain-less technique accompanying his procedures, patients can enjoy a less complex healing period. One of his most popular procedures is the Drainless abdominoplasty. Other popular combination procedures are:

  • Mommy Makeover (breast and abdomen)
  • Liposuction and Removal of gynecomastia
  • Liposuction and Abdominoplasty
  • Breast Lift and Reduction
  • Rhinoplasty and Eyelid surgery (blepharoplasty)
  • Facelift and Eyelid surgery
  • Mini Abdominoplasty and liposuction
  • Tummy tuck and labiaplasty

 

Schedule a Consultation

If you have multiple body concerns that you would like to address, then talk to Dr. Azouz about combination procedures. These are excellent options to get your ideal look in a quick, effective manner. You can request a consultation with our online form or give us a call at 972-702-8888.

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:

Genetics

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

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.

Aging

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.

Give Yourself the Gift of Plastic Surgery This Mother’s Day

As a mom, you’re constantly putting the needs of others before your own. But this Mother’s Day, take a break and do something for yourself, like enhancing your body and confidence with plastic surgery! There are many procedures available that focus on common body concerns of moms. Whether you’re looking to restore your pre-pregnancy figure, or just want to enhance your look, there’s a treatment option for you.

Breast Augmentation

Your breasts can go through changes after pregnancy or as you age, resulting in a loss of fullness. But you can restore volume with a breast augmentation using customized implants. You can opt for a modest increase to fill out loose skin, or achieve a curvier look with larger implants. You’ll also be able to choose the material, texture, and placement of your implants, giving you the look that fits your desired aesthetic and body type.

Breast Lift

If you feel your breasts are sagging or just aren’t as perky as they were before you had a child, you might opt for a breast lift procedure. A breast lift can reposition the breasts to a more youthful appearance and remove excess skin that has become stretched. Many women find satisfying results from a breast lift alone, or might choose to combine it with implants.

Tummy Tuck

Your tummy is likely the area that was most affected by pregnancy. Even those who haven’t had children have a difficult time toning this area! You might experience loose skin and sagging tissue, affecting your body contour. With a tummy tuck, you can achieve a flat abdominal area by tightening the underlying muscles and removing excess tissue.

Liposuction

If you have good skin elasticity but struggle to eliminate pockets of stubborn fat, you might gift yourself with liposuction! Liposuction uses very small incisions to break up and remove fat, helping you achieve a sculpted body contour. This can be used in the abdominal area, flanks, buttocks, upper arms, thighs and more! You can also choose to combine liposuction with another procedure to optimize your results.

Mommy Makeover

Do you find yourself wishing for a full-body rejuvenation? A mommy makeover allows you to combine any of the above procedures and more to enhance many areas of your body at once. The procedure is customizable to meet your unique body concerns and goals.

If you’re ready to give yourself the gift of plastic surgery, contact our office today. We can schedule your consultation with Dr. Azouz to start developing your customized treatment plan.

 

Celebrity-Inspired Procedures: When Does It Go Too Far?

Many individuals are inspired by celebrities when considering plastic surgery. Maybe they love the way Meghan Markle’s nose looks, or desire Kylie Jenner’s lips. However, what happens when a patient becomes obsessed with looking like a certain celebrity and keeps coming back for more surgery- should the surgeon refuse procedures?

Plastic surgeons understand that many patients will find certain celebrities attractive and will want to emulate their facial features. Many patents will bring photos of celebrities to their surgeon as a point of reference. While in the past, surgeons were taught not to treat patients who wished to look like celebrities, this idea has shifted to be commonplace. Now, most surgeons welcome the idea of patients bringing in photos of what they would like to have done. This allows for a conversation to discuss whether what they desire is possible for their anatomy, and if not, for a personalized plan to be created to help them reach their individual aesthetic goals.

When Admiration turns to Obsession

While surgeons are aware of a patient’s right to choose whether or not plastic surgery is something they wish to undergo, they have the power to say no to a client. There are some patients who begin their plastic surgery journey wishing to look similar to a certain celebrity, but then they begin to become obsessed with looking exactly like them. When this occurs, surgeons must distinguish between individuals who are aiming for self-improvement and those who are obsessed. In cases where the obsession is unhealthy, surgeons must turn these patients away.

And while these ethical doctors will turn obsessed patients away, there will always be surgeons who will operate. Overall, patients should trust their surgeon if he or she tells them that it is time to slow down on the plastic surgery procedures. Remember- plastic surgery should help you to look like the best version of yourself; not someone else.

If you are interested in learning about our offered procedures and treatments, contact our Dallas office today. We would be happy to schedule your consultation with Dr. Azouz.