Your Guide to Labiaplasty

Here’s a quick guide to labiaplasty and how it can help boost your confidence, contour, comfort, and more. However, the best way to learn more about this procedure is by scheduling a consultation with a board-certified plastic surgeon such as Dr. David Azouz and Dr. Solomon Azouz in their Dallas-based office.

What is labiaplasty?

Labiaplasty is a cosmetic surgery procedure that aims to improve the anatomy and appearance of the vulva. It most commonly reduces the size and visibility of the inner labia if they stick out beyond the outer labia. A labiaplasty can also be performed to reduce the labia majora or outer labia.   Dr. Azouz removes skin from the inner labia using surgical techniques, so they no longer stick out.


Labiaplasty vs. vaginal rejuvenation

Labiaplasty very often gets confused with vaginal rejuvenation. Vaginal rejuvenation is a type of (usually non-surgical) treatment that use laser, radiofrequency, or ultrasound energy to treat the tissues of the vaginal canal. It usually has the goal of reducing symptoms like dryness or laxity because of childbirth or menopause. On the other hand, labiaplasty is a surgical procedure that concerns only the vulva. If you’re looking for a procedure to reduce the size of your labia, then labiaplasty is the correct procedure for you.

Why choose labiaplasty?


Many labiaplasty patients opt for surgery because they feel self-conscious about their labia, especially with romantic partners. Large inner labia can make it difficult to feel comfortable in clothing like yoga pants, bathing suits, or lingerie.

Women with large inner labia can also experience symptoms like dryness, itchiness, or irritation. Large inner labia can produce health problems like difficulty maintaining hygiene, urinary tract infections, difficulty during sex, and pain and discomfort during physical activity. There are many reasons that women choose to get a labiaplasty, and these are just a few.

What happens during labiaplasty?

Dr. Azouz usually performs labiaplasty using a combination of local anesthetic and sedation. There are a couple of different techniques that can be used during labiaplasty, including:

  • Trim technique: The visible part of the inner labia is trimmed off and the new edge of the skin is sutured
  • Wedge technique: A triangle-shaped wedge of tissue is removed from the inner labia and the two edges are sutured together to reduce its size

At Azouz Plastic Surgery, labiaplasty is an outpatient procedure, meaning you can return home the same day as your surgery. You’ll be given detailed aftercare instructions about washing, incision care, using the bathroom, sexual activity, and when to return to your exercise regimen.

Schedule a Consultation

If you’re considering labiaplasty, your first step is discussing your goals with a board-certified plastic surgeon. To meet with Drs. Azouz at our Dallas office, contact us by calling at 972 702 8888 or filling out our online contact form.

What to Consider When Scheduling Your Tummy Tuck

When scheduling your tummy tuck, with Dr. Azouz in Dallas Texas it is helpful to plan for your procedure and recovery process. Dr. Azouz will answer your specific questions during your consultation. However, here is some general information about a tummy tuck procedure with Dr. Azouz and the recovery time.

Tummy Tuck Graphic Dr. Azouz

Plan for Downtime

The recovery time for a tummy tuck is generally four to six weeks following your surgical procedure.  The first week or two it can be helpful for you to have assistance with household chores, caring for children, and other responsibilities. After the first week or so you will begin to regain your energy and be able to return to some of your normal daily activities such as desk work.

Expect Scarring from a Tummy Tuck

Depending on if you undergo a tummy tuck or a mini tummy tuck your scar will vary. For a tummy tuck, a horizontal incision is made in the lower abdomen and is usually as long as the overhang of skin. Whereas, a mini tummy tuck scar is significantly smaller. Patients who are candidates for a mini tummy tuck are those with minimal skin laxity in the lower abdomen. The scar should be easily concealed by most clothing, including a swimsuit or underwear. The scar will fade over time. During a consultation, Dr. David or Dr. Solomon Azouz will examine your abdominal area and decide which type of tummy tuck you is the best option to obtain your desired results.

Before and After Tummy Tuck Dr. Azouz Dallas TX

Understand the Tummy Tuck Healing Process

Dr. David and Dr. Solomon Azouz perform drainless tummy tuck . Dr. Azouz uses unique surgical techniques which allows him to perform a drainless tummy tuck. During your recovery time you will be required to wear compression garments. Dr. Azouz will guide you during your post-operative appointment on when you can increase your activity level. In most cases, patients are able to return to light desk duties after a week or so. Dr. Azouz usually allows you to return to more strenuous activities such as heavy exercise around six weeks. With this being said, each patient is different and Dr. Azouz will be with you during each step of your healing process.

Schedule a Consultation

To learn more about the tummy tuck recovery process, schedule a consultation with Dr. David or Dr. Solomon Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call our office at (972) 702-8888 or contact us online.

Nipple Reduction Surgery: What You Need To Know

Nipple Reduction Surgery will correct puffy nipples that are bothersome to men and women.  Puffy nipples in a man can be especially feminizing when the nipple and areola are prominent, large, and stick out.  Often, puffy nipples can be a side effect of gynecomastia or pseudogynecomastia (weight gain).  If you’re unhappy with the size, shape, or position of your nipple on your pecs, Dallas Plastic Surgeon Dr. Azouz is here to help.

What is Nipple Reduction Surgery?

Nipple Reduction Graphic

Nipple reduction is a minor plastic surgery procedure to create more naturally proportioned, (typically) smaller areolas and nipples. Both men and women alike can benefit from this cosmetic surgery procedure, but men who have mild breast enlargement or who dislike the look of their nipples can be very bothered, especially in tight shirts.  Nearly any change in size or shape can be achieved with a minimally invasive cosmetic procedure at Azouz Plastic Surgery in Dallas.

Can I drive myself home after Nipple Reduction?

Likely, you will not be able to drive yourself home from a nipple reduction surgery. This is partly because many nipple reductions take place at the same time as more invasive procedures, such as a breast reduction or breast lift, or for men, gynecomastia surgery. Whenever sedation is used to ensure safety and comfort, patients will not be able to drive themselves home.

Do I need To wear a special garment?

Most likely, men and women undergoing nipple reduction, whether alone or as part of a combination surgery, will likely need to wear a special support garment. This is done to offer support to the tissues as they heal, resulting in a more consistent result and helping to reduce swelling. Dr. Azouz will specify which garments and how long you should wear compression.

Can I shower normally after Nipple Reduction Surgery?

Dr. Azouz will advise when you can take your first shower after your nipple reduction or gynecomastia surgery. 

What is the best position to sleep after Nipple Reduction?

Dr. Azouz will advise you to sleep on your side or back after a nipple or breast cosmetic surgery is performed.

When will I see full results after Nipple Reduction?


As with all surgeries, there is a period of recovery time required to see full results. For people only undergoing nipple reduction surgery, recovery time is expected to be faster than in those who undergo an underlying breast procedure.  For more extensive surgeries, seeing full results may take longer. In either case, you won’t see full results until the swelling has resolved, which can take several months to longer in some cases.

Nipple Reduction Surgery in Dallas, TX

If you’re unhappy with the way your chest looks when your shirt is off, you’re not alone. Men throughout Dallas and Fort Worth have trusted Dr. Azouz for their nipple reduction and male breast reduction surgery to achieve the masculine, contoured chest they’ve always wanted. Learn more about our approach to nipple reduction and other procedures by calling our office at 972-702-8888 or contacting us online today.

Why women are seeking lipedema surgery in Texas

Cosmetic,Liposuction,Surgery,In,Actual,Operating,Room,Setting,Showing,Surgeon. lipedema

Lipedema is a medical concern that leads to the excessive buildup of swollen fat cells in the body, primarily in the arms and legs, but also elsewhere that causes swelling and sometimes discomfort. It corresponds with weight gain and renders diet and exercise less efficacious. Many women are frustrated with their large legs.  Beyond simply adding pounds, lipedema causes disproportionate swollen fat pockets that dramatically alter a person’s appearance.

Fortunately, there’s a special liposuction treatment called lymph-sparing liposuction that can reduce swelling, inflammation, fat cells, and discomfort that is caused by this genetically inherited problem.

What is Lipedema Surgery?

Lipedema treatment is called lymph-sparing because of the careful method used to avoid harming delicate lymphatic capillaries (tiny lymph vessels throughout the body) in the lymph node basins. The lymphatic system is the body system that promotes regular collection and proliferation of lymph.  Impaired lymphatics can swell fat cells and block access of the lymph vessels to clear out toxins and cellular waste.

The procedure is commonly performed using traditional liposuction tools with a specialized technique to avoid straining or damaging the lymphatic basins while removing a generous amount of fat from various body areas.

No General Anesthesia Necessary

Many people who suffer from lipedema can face further complications from the more intense anesthetics used during general anesthesia, making recovery more difficult and prolonged. Dr. Azouz can administer local anesthetic with sedation to minimize discomfort and maximum recovery.  This means you are asleep and do not usually remember the procedure while breathing on your own.

Reduce Fat Tissue

The most obvious and beneficial impact of lipedema surgery is how well it is able to reduce the amount of fat stored in your problem areas. The procedure removes fat cells, weakens tight fibrous tissue around the fat, and helps the lymphatic system which can be compressed by large amounts of fat. Proper postoperative care is essential for the best results, as is returning to a healthy diet and exercise routine as soon as you’re able. Dr. Azouz will instruct you on which compression garments will optimize your results after lipedema surgery. This also helps keep swelling down, which will be present with some bruising for many weeks or more after surgery.

Enhance Your Quality of Life

Along with the reduction in lipedema symptoms, patients who have fully recovered from lipedema surgery can enjoy activities and an enhanced body contour. The recovery process can take a while, especially in frequently used areas like the arms and thighs, but it’s incredibly worth it to be able to exercise, travel, wear shorts, regain confidence and even just move through your daily life with ease.

Lipedema Liposuction in Dallas, Texas

With many options for liposuction and lipedema treatment, Dr. Azouz is a leading choice for women tired of suffering from the symptoms of this often-overlooked condition. To learn more about your aesthetic and cosmetic concerns, don’t hesitate to contact us today by filling out our online form or by calling us at 972-702-8888.

Why choose Dr. Azouz for gynecomastia surgery

Choosing the best plastic surgeon to remove your gynecomastia is important.  Dr. David Azouz and Dr. Solomon Azouz are known for their expertise in gynecomastia surgery. Azouz plastic surgery located in Dallas, Texas is considered a high volume practice for gynecomastia which means Dr. David Azouz and Dr. Solomon Azouz perform numerous male breast reduction surgeries per week. These board-certified Dallas plastic surgeons have created customized surgical plans for gynecomastia patients.  Minimally invasive techniques are best utilized whenever possible to achieve optimal results with minimal scarring.

What is involved in Dr. Azouz’s surgical plan for gynecomastia?

When performing gynecomastia surgery Dr. Azouz uses a combination of liposuction and excision techniques to perform breast reduction surgery. Dr. Azouz uses custom liposuction cannulas which he created specifically for gynecomastia surgery. He uses liposuction cannulas to remove fatty tissue from the breasts. He also excises the more firm breast tissue. All of this can be done with a minimally invasive technique. Scars are camouflaged within the areola and are often imperceptible.

Nipple, Gynecomastia, Dr. Azouz

What are Dr. Azouz’s gynecomastia patients saying about their experience?

“Dr. Azouz and his staff were exceptional throughout the whole process of my surgery. They made it easy, I’m extremely glad that I chose Dr. Azouz for my gynecomastia surgery. I couldn’t be happier with my results and the recovery process was quicker than I had anticipated.  He is the best gynecomastia surgeon”

“Amazing experience with gynecomastia surgery and the best results!”

“I recently had surgery (gynecomastia). I cannot be happier with my results. Dr. David and Solomon Azouz were the best in guiding me and helping me recover. 10/10 would highly recommend.”

Gynecomastia surgery with Dr. Azouz in Dallas

What does the gynecomastia surgery experience involve?

So you’ve done your research or heard from a friend that Dr. Azouz is known for his expertise in gynecomastia surgery but what does the gynecomastia surgery experience involve with the top gynecomastia surgeons Dr. David Azouz and Dr. Solomon Azouz?

Dr. Azouz Surgeon Dallas Texas

Gynecomastia surgery consultation

First things first, you can call Dr. Azouz’s office and schedule your gynecomastia consultation at 972-702-8888.  Otherwise, you can send an email for a consultation request.  Dr. Azouz offers in-person office appointments and also offers virtual appointments for those who live outside of the state or country. During your consultation with Dr. Azouz, your medical history will be taken, a physical examination will be performed, and your questions about gynecomastia and surgery will be answered. At the end of your consultation, you are able to schedule your surgery or another appointment depending on your specific needs.

Preoperative gynecomastia appointment

Before your surgery day, Dr. Azouz will often have you return to the office for a preoperative appointment. During this appointment, any last-minute questions you may have can be addressed and your pre-operative photos will be taken. An Azouz plastic surgery team member will go over specific pre-surgery guidelines such as what time you have to stop eating and drinking the night before your gynecomastia surgery.

Gynecomastia surgery day

On the day of your gynecomastia surgery, you will arrive at the accredited facility at your scheduled time. You are wearing loose-fitting comfortable clothes with a top that buttons or zips on the front. You will be checked in and the pre-operative checklist with the nurses will be completed. Dr. Azouz will come to see you for preoperative gynecomastia surgery marking, once again see if you have thought of any last-minute questions and introduce your anesthesia provider. Soon after you will be taken to the operating room and before you know it you will be in recovery. Some patients do not remember the recovery area due to the aesthetic medication given to them during surgery. While at the facility, while you are recovering post-operative instructions are given to the person who is staying with you for the rest of the day. After a while, you are able to go home.  Dr. Azouz and/or an Azouz plastic surgery team member may call to check on you later in the day.

Surgerical Image Dr.Azouz

What does post-operative care for gynecomastia look like with Dr. Azouz?

Dr. Azouz will give you specific instructions to guide you after your male breast reduction surgery for your desired results. Post-operative care is a key factor in your healing process after gynecomastia surgery. Gynecomastia surgery is performed by Dr. Azouz as an outpatient surgery which means you will go home the same day as your surgery. After your male breast reduction surgery, you will be placed in compression garments which you will wear for a few weeks. It is recommended to take the rest of the day to recover after surgery and not to do too much activity. Within a few days of surgery, you can return to your desk duties. You will have follow-up appointments with Dr. Azouz in his Dallas office location or with virtual appointments. During each appointment, Dr. Azouz will monitor your healing process and gradually allow you to return to more strenuous activities such as heavy exercise.


Gynecomastia surgery postoperative appointments

After your gynecomastia surgery with Dr. Azouz, you will have many postoperative appointments to monitor your healing. Many of Dr. Azouz’s gynecomastia surgery patients return to their desks duties within days of surgery. After the first few weeks after surgery, your sutures (stitches) will be removed. You will continue with your compression garments until Dr. Azouz advises you that you no longer need to wear them. Dr. Azouz will also guide you back into your normal daily routine and when to incorporate your more strenuous activities such as heavy weight lifting.

Request your initial consultation with Dr. Azouz

Choosing Dr. Azouz for gynecomastia surgery is one of the best decisions you can make. Dr. Azouz has vast experience performing gynecomastia surgery for over 30 years. If you are concerned about your gynecomastia condition, call Dr. Azouz’s office in Dallas and request your initial consultation by calling 972 702 8888. After a physical examination, Dr. Azouz will suggest the best treatment to correct your condition.

Do I have Gynecomastia?

Gynecomastia is a condition that affects males at any age. Most men report that they have had male breasts since puberty. Gynecomastia can occur due to a glandular issue, stubborn fat, or an imbalance of hormones. It presents as female breast tissue, stubborn fat, and enlarged areolas. A simple test for Gynecomastia involves pinching the areolar and nipple and feeling for rocky, spongey, or fatty tissue in the breast.

Gynecomastia is also known as:

  • Gyno
  • Male gyno
  • Male breasts
  • Man boobs
  • Moobs

How can you tell you have Gynecomastia?

Gynecomastia is thick tissue underneath the nipple/areola complex. This thick gynecomastia tissue can feel like small rocks underneath your skin. An easy at-home test to see if you have Gynecomastia is to pinch the skin of your abdomen and then pinch the nipple/areola complex. If you feel harder tissue in the chest area, you potentially have Gynecomastia.

Gynecomastia, male, grabbing, chest,

What’s the best way to confirm Gynecomastia?

Gynecomastia can be confirmed on a physical exam by a qualified health care provider such as board-certified plastic surgeon Dr. Azouz. Dr. Azouz can diagnose Gynecomastia by performing a history and physical exam for confirmation. Experienced plastic surgeon Dr. Azouz can also perform virtual consultations to diagnose and make plans to treat Gynecomastia. Virtual consultations with securely emailed photography and video chat allow Dr. Azouz (in most cases) to be able to confirm the diagnosis of Gynecomastia. With that being said, some healthcare providers who do not have a high volume of Gynecomastia patients in their practice will have you undergo a mammogram or ultrasound to confirm the diagnosis of Gynecomastia.

How do I treat Gynecomastia?

Gynecomastia most often requires surgical intervention to remove the thick, stubborn tissue and fat in your chest. You may have noticed that your Gynecomastia remains present even with diet and exercise. Dr. Azouz performs high volumes of gynecomastia surgery in Dallas, Texas, on a weekly basis for gynecomastia patients all over the country.

Gynecomastia surgery in Dallas with board-certified plastic surgeons Dr. David Azouz and Dr. Solomon Azouz also addresses the removal of armpit fat.

Gynecomastia Dr. Azouz Before and After Graphic Drawing
Dr.Azouz Surgery_operating room_Dallas

How is Gynecomastia surgery performed?

Dr. Azouz uses a combination of custom-made liposuction cannulas to remove fatty tissue surrounding the chest and lateral chest wall (armpit area). Dr. Azouz also directly excises thicker tissue from the breasts during gynecomastia surgery. This is all done through a tiny incision that is camouflaged in the nipple/areola.

What kind of anesthesia is used during Gynecomastia surgery?

In most cases, male breast reduction surgery with Dr. Azouz is performed under a combination of local anesthetic and sedative medications. This means that you are breathing on your own for your procedure unlike when general anesthesia is used and a machine breathes for you. Dr. Azouz finds that his patients have a quicker recovery with less grogginess and post-operative nausea with the use of sedation and local anesthetic.

What is recovery like for Gynecomastia surgery like with Dr. Azouz?

Gynecomastia surgery performed by Dr. Azouz is done as an outpatient surgery which means you go home the same day as your surgery. You will leave surgery wearing compression garments. It is suggested that you take the rest of the day after your gynecomastia surgery to relax and recover. Many of Dr. Azouz’s gynecomastia patients return to their desk duties within the first few days after surgery. You will have post-operative appointments with Dr. Azouz in his Dallas-based location or with virtual appointments. During each of your follow-up appointments, Dr. Azouz will monitor your healing progress and will guide you back into more strenuous activities such as heavy weight lifting or exercise.

Contact Dr. Azouz to treat Gynecomastia

Board-Certified Plastic Surgeon Dr. Azouz has treated Gynecomastia patients successfully in Dallas, TX for more than 30 years. Request your consultation in-person or virtual consultation by calling 972 702 8888 and take the first step to get the sculpted and masculine chest you are dreaming of.

How do I know my grade of Gynecomastia?

Gynecomastia is a condition that can occur in men of all ages. Fat is trapped and intermixed with firm breast tissue with any amount of Gynecomastia. With diet and exercise, the firm breast tissue (Gynecomastia) makes it very hard to lose. This unusually dense breast tissue can distort the chest and lead to unwanted aesthetic changes. Some patients can have considerable breast tissue, and their skin can sag. Gynecomastia is graded according to skin elasticity and the amount of firm breast tissue.

A highly skilled plastic surgeon can diagnose, grade, and treat Gynecomastia in all age groups. Dallas Plastic Surgeons Dr. David Azouz and Dr. Solomon Azouz are known for their techniques to correct Gynecomastia in primary and revision gynecomastia surgery in Dallas, Texas, for men of all ages and body types.

Determining the grade of Gynecomastia

 Board-certified Dr. Azouz explains what Gynecomastia of varying grades looks like below.

Gynecomastia, Grade, Determining Scale,

Grade one: “mild” Gynecomastia without sagging

In mild cases, the chest looks normal and does not have excess skin. Some grading scales quantify the amount of Gynecomastia in grams, but this isn’t easy to do before the time of surgery. Therefore, most plastic surgeons define Grade one Gynecomastia as a slight or “mild” enlargement of the breast glands without skin excess. 

Grade 1, Gycomastia, Dr. Azouz, Dallas, TX

Grade two: “moderate” Gynecomastia with or without some sagging

When a patient has moderate Gynecomastia but still does not have skin excess, they are usually deemed a grade 2.   This means they have more breast tissue than a mild grade one but do not have breast sag. Some plastic surgeons break upgrade twos into 2a and 2b, which means that 2bs have a minor skin excess. Regardless of the grading system, most plastic surgeons label a grade 2 as those with a “moderate” amount of Gynecomastia.

Grade 2, Gycomastia, Dr. Azouz, Dallas, TX

Grade three: “severe” gynecomastia with mild sagging

When a patient has a severe amount of Gynecomastia but still does not have extreme skin excess, they are usually deemed a grade 3.   This usually means they have more than 500 grams of fat and breast tissue within their chest.

Grade 3, Gycomastia, Dr. Azouz, Dallas, TX

Grade four: “severe” gynecomastia with “severe” sagging

When a patient has a severe amount of Gynecomastia and sagging usually deemed a grade 4, this usually means their breasts sag as a women’s would when she had large sagging breasts. A patient with grade four gynecomastia would usually have severely enlarged areolas pointing towards the floor.

Grade 4, Gycomastia, Dr. Azouz, Dallas, TX

How Can I Tell If I Have a Gynecomastia?

Early signs may include a firm or fatty tissue in the breast or a feminine appearance to the breast or areola. As the condition progresses, some patients may notice sagging to their breasts with contours that resemble a woman’s breast. Men who are dissatisfied with the look or feel of their chest should seek evaluation and treatment by a board-certified plastic surgeon who performs a high volume of gynecomastia surgery, such as Dr. Azouz.

How Common is Gynecomastia?

Overall, research shows that Gynecomastia is very common and may affect as much as seventy percent of men at some point in their lives. There are different levels of severity ranging from almost unnoticeable to severe with sagging of the breast and female appearance. Regardless of age, gynecomastia surgery can be beneficial to patients of all body types and severity.

Can I Prevent Gynecomastia?

In many patients, Gynecomastia is unavoidable and genetically inherited. Avoiding the triggers of Gynecomastia is essential even after surgery to prevent a recurrence. 

What Causes Gynecomastia?

The cause of Gynecomastia varies from person to person. There are several accepted theories on what causes Gynecomastia.

The most common cause is usually genetics. When patients think of their family history, they often recognize a family member with a similar body type who also had Gynecomastia.

There are many different drugs and medications that can cause and contribute to Gynecomastia. These include:

  • Anabolic Steroids
  • Antiandrogens (Finasteride)
  • Antimicrobials (Isoniazid, Ketoconazole, Flagyl)
  • Antireflex drugs (Cimetidine, Omeprazole)
  • Cardiac Drugs (Calcium channel blockers, Captopril, Digoxin, Methyldopa, Reserpine, Spironolactone)
  • Psychiatric Drugs (Diazepam, Thioridazine, Tricyclic antidepressants)
  • Illicit Drugs (Alcohol, Amphetamines, Anabolic steroids, Opioids, Heroin, Methadone, Marijuana)
  • Drugs for HIV/AIDS (Antiretrovirals)

Medical conditions can also cause Gynecomastia. These include

  • Medical problems:
  • Androgen resistance syndrome
  • Klinefelter’s syndrome
  • Hyperthyroidism
  • Hyperprolactinemia
  • Kidney Disease
  • Obesity
  • Cancer

Some cases, however, do not seem to have a genetic link or identifiable risk factor.

Even in patients with no risk factors, some patients will still have Gynecomastia.

What Does Gynecomastia Feel Like?

Depending on the severity, Gynecomastia usually presents as firm, spongey or lumpy tissue underneath the areola. Gynecomastia can cause a lack of confidence and poor aesthetics in men at various severities.

How Can I Get Rid of My Gynecomastia?

Gynecomastia surgery is the most effective treatment to get rid of Gynecomastia. This procedure involves liposuction and removal of the thick breast and fatty tissue.

Gynecomastia can be very frustrating as many patients report having it for many years, beginning in puberty. Most patients report being unable to improve their Gynecomastia despite effective workouts and dieting. 

Gynecomastia Specialists in Dallas,TX

If you are worried about the appearance of your breasts, the first step is to schedule a consultation with Dr. David Azouz and Dr. Solomon Azouz, leading plastic surgeons in Dallas, Texas. Expertly trained, both board-certified plastic surgeons are highly skilled in the correction of Gynecomastia.

After a thorough evaluation and discussion of your goals, Dr. Azouz will develop a plan of care to restore and rejuvenate your chest to a more sculpted appearance free from Gynecomastia. If you consider gynecomastia or revision gynecomastia surgery, Dr. Azouz can assist you in his Dallas office through an in-person or virtual consultation. Schedule your consultation by calling at 972 702 8888.

Why you might need to remove your breast implants?

Have you had a breast augmentation with implants in the past, but are considering having them removed? If so, you may be able to benefit from breast implant removal with Dr. Azouz. Our team of board-certified plastic surgeons is dedicated to providing the best natural-looking and beautiful results to each of our patients. With many breast implants banned in the United States or recalled by the FDA, many patients are turning to plastic surgeons to remove their breast implants and capsules. 

Why Breast Implant Removal?

Breast implants removed | Dr. Azouz | Dallas & Plano

Breast implants that have been present for many years can have silent leaks, ruptures, and capsules.  Dr. Azouz often finds leaked and free-floating silicone which causes severe capsules and scar tissue.  Capsular contracture, can be painful or distort the look of the breast.

Breast implants can be removed through a variety of incision lines and in combination with many other plastic surgery procedures including breast lifts, liposuction, and in conjunction with a tummy tuck.

Breast implant removal:

During this procedure, incisions can be created in the same places they were during breast implant surgery, to reduce the need to create more scarring.  A total capsulectomy is routinely performed at the same time as the implants are removed.  If a lift is performed in conjunction with breast implant removal, a separate incision may or may not be necessary.

Breast implant removal with a breast lift:

If desired, a breast lift can be performed at the same time as your breast implant removal. This can help to lift your breasts to a perkier position. The areolas can also be resized to fit your new, smaller breast shape.

How do you prevent sag after breast implant removal?

Breast surgery Dallas | Dr. Azouz

Breast implant removal with a lift is the best way to prevent sag after a breast implant removal.  Many patients elect to have liposuction of the lateral breast (side boob) and/or the axilla (armpit fat) at the same time as their breast implant removal.

Contact Dr. Azouz for breast implants removal

For more information regarding breast implant removal, please contact Azouz Plastic and Cosmetic Surgery in Dallas, TX today to schedule a consultation with Dr. David Azouz or Dr. Solomon Azouz. You can also fill out an online contact form for a prompt reply or call at 972 702 8888.

Can I get fat after a non-invasive body sculpting?

Yes, a patient can get fat after a non-invasive body sculpting procedure. Paradoxical adipose hyperplasia (PAH) is a condition where patients paradoxically gain fat after non-invasive hot or cool body contouring or sculpting procedure. This can be very frustrating to patients who have spent time and money on non-invasive body sculpting but may have not seen a result or feel like they have gained fatty tissue in treatment areas. Even centers highly experienced in non-invasive body sculpting can see cases of PAH.   Dr. Azouz is a board-certified plastic surgeon who is able to permanently remove fatty tissue with a minimally invasive technique. 

Graphic-Paradoxical adipose hyperplasia | Dr. Azouz, Dallas, TX

How effective are non-invasive procedures to remove stubborn fat?

Non-invasive treatments continue to become more and more popular. One of the most popular non-invasive ways to remove stubborn fat is by “freezing fat.” This procedure is known as cryolipolysis. Cryolipolysis is when fat cells are cooled and damaged, decreasing the fat cells in the treated area. Cryolipolysis results are not seen right away, it takes a few weeks for patients to see results. Body contouring and body sculpting are said to be achieved in this non-invasive-freezing treatment.  Conversely, liposuction is a permanent minimally invasive solution to remove fat through small hidden incisions.  Patients who do not see results with non-invasive body sculpting often turn to liposuction for more definitive results.

Adverse effects of non-invasive fat removal procedures

How can I tell if I have Paradoxical Adipose Hyperplasia (PAH)?

Women, stomach, fat,paradoxical-adipose hyerplasia, Graphic, Dallas, TX, Dr.Azouz

The word “non-invasive is appealing to many patients when it comes to the removal of stubborn fat. However, paradoxical adipose hyperplasia (PAH) is an adverse effect of cryolipolysis. After a few months patients who experience the adverse effect of PAH start to notice the accumulation of hard thick fat in the treated areas.

The fat accumulation occurs in the shape of the paddle which was used when the cryolipolysis treatment was performed.

Is Paradoxical Adipose Hyperplasia (PAH) putting my health at risk?

Although, paradoxical adipose hyperplasia (PAH) may not directly put your health at risk. The hard fat which has accumulated can potentially increase your BMI. PAH can create an unflattering and unwanted body contour. This adverse effect can have you searching for a new and permanent solution for your body contouring.

How do I correct Paradoxical Adipose Hyperplasia PAH?

Paradoxical Adipose Hyperplasia (PAH) can be corrected with liposuction by a board-certified plastic surgeon. Dr. Azouz performs high volumes of liposuction with custom-made liposuction cannulas to meet your specific needs. Some patients require a full or mini abdominoplasty and are not candidates for liposuction.  This can be determined during a consultation with plastic surgeon Dr. Azouz at his Dallas office.

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The importance of a board-certified plastic surgeon to correct PAH

When choosing a surgeon for correction of PAH with liposuction it is important that you select a board-certified plastic surgeon. Board-certified plastic surgeons have undergone extensive training in cosmetic procedures such as liposuction.

Correct Paradoxical Adipose Hyperplasia (PHA) with Dr. Azouz

Plastic Dr. David Azouz and Dr. Solomon Azouz are board-certified plastic surgeons who perform high volumes of liposuction in their Dallas-based practice and can help you to correct your Paradoxical Adipose Hyperplasia. We encourage you to contact Dr. Azouz by calling 972 702 8888 and request your initial consultation to achieve a stunning silhouette.

Poland Syndrome: What Patients Should Know

Poland Syndrome, in which one pectoral muscle is absent, is a congenital birth defect of the chest wall that affects both women and men alike. Poland Syndrome can range from the subtle asymmetry of the chest to stark differences in appearance. While the impact of Poland Syndrome is primarily aesthetic, many people with Poland Syndrome seek out reconstructive treatment in order to achieve a more symmetrical appearance.

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The defining feature of Poland syndrome is a congenital absence of the sternal head of the pectoralis major muscle.

Is Poland Syndrome a rare disease?

Poland Syndrome is a rare condition.  Many people struggle to obtain an official diagnosis with Poland Syndrome because it is such a rare disorder– it occurs in only 1 out of 100,000 births. It is not uncommon for patients to visit several doctors before they are diagnosed, or go many years without any diagnosis at all.

What does Poland syndrome look like?

Women with Poland Syndrome | Dr.Azouz, Dallas, TX

While all patients with Poland Syndrome experience chest wall asymmetry, there are many other deformities that may– but do not always– appear. Some individuals also have asymmetrical arms, syndactyly, or a missing hand.

Treatment options to fix Poland Syndrome

While there is no single test to determine if you have Poland Syndrome, receiving a diagnosis can be as simple as a consultation with the right plastic surgeon. Dr. Azouz has years of experience in treating men and women with Poland Syndrome and is able to diagnose Poland syndrome through virtual or in-person appointments. 

The primary complaint of most Poland Syndrome patients is with physical appearance. The chest wall is a central aspect of body image for both men and women, and achieving a more symmetrical look is beneficial both functionally and emotionally. Depending on body type and the severity of your asymmetry, plastic surgeon Dr. Azouz will recommend either a breast implant or fat tissue graft for treatment to achieve dramatic results without the need for potentially deforming muscle flaps and tissue expanders. 

Dr. Azouz often uses a direct to implant approach to correct Poland Syndrome in men and women.  Some patients are even able to achieve their desired results without an implant. Regardless of treatment options, surgery is typically done after puberty when the breasts have reached full development. In addition, some Poland patients have an asymmetrical or absent nipple on the affected side. Changing nipple size and shape via surgery or cosmetic tattooing can also give a more symmetrical look.

Do I need a fat graft?

Some people with Poland Syndrome are candidates for receiving a fat graft in addition to a breast implant. Fat grafting is an excellent way to add volume around the breast implant to make your chest look as natural as possible– in this procedure, fatty tissue is removed from one part of your body and placed in another. Fat grafting can be performed at the same time as your implant surgery and does not largely affect recovery time.

Life Post-Operatively

After receiving surgical treatment, Poland Syndrome patients often find a newfound sense of confidence and improved body image. With a more symmetrical chest, fitting into clothing items like gym shirts, bras is easier and more comfortable than before. Newfound confidence also allows many patients to feel comfortable wearing bikinis, changing in the locker room, and low-cut tops for the first time in their life. Compared to before surgery, patients often find they not only look different but they feel different too. For the first time, these patients are not limited by fears of embarrassment or being judged for their own bodies.

Contact Poland Syndrome Surgeons in Dallas

Board-certified plastic surgeons Dr. David Azouz and Dr. Solomon Azouz have extensive experience in treating Poland Syndrome patients in Dallas, Texas. Internationally renowned for his superior techniques, Dr. Azouz is here to help you get results often with outpatient surgery.  Call or contact us online to get started today at 972 702 8888 or by filling out our online form.