Services For Men

Male Breast Reduction

Many men seen by Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples-Ft. Myers complain of enlarged breasts a condition known as gynecomastia,. Although common in men of any age it often appears first shortly after puberty because of hormonal changes. Gynecomastia can also be present in middle age men, particularly with weight gain or as their metabolism slows down. Breast enlargement in men can also be due to alcohol, cigarettes smoking as well as certain medications or drugs. In many cases the condition is often painful. The enlarged breasts may be symmetrical or asymmetrical. Often there is a significant amount of embarrassment or loss of self-confidence because of the appearance of the chest. Some men may avoid certain physical activities simply to hide their breast enlargement.

About the Procedure

Surgery involves removal of the breast tissue and occasionally the removal of excessive chest skin if the breast is significantly enlarged. Surgery is performed in the fully accredited on-site plastic surgical facility located in Naples, Florida under twilight sleep sedation or general anesthesia.

Most male breast reductions are done using only ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo) through small incisions hidden either in the arm pit or around the areola. Occasionally an additional incision around the areola is needed to remove additional firm breast tissue, below the areola.

After the Procedure

Most men return to their usual activity in three to five days. Exercise is resumed in about one to two weeks. Swelling may persist for several weeks following the surgery.

After your male breast reduction by Dr. Gulin at Plastic Surgery Associates of Naples-Ft. Myers, the contour of the chest is smooth either in clothes or out of clothes. The breasts are more symmetrical and have a more muscular male appearance. The surgical incisions go on to heal extremely well and to fade in time.


Facial Contouring

Many women and men are seen in consultation by Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples-Fort Myers because they wish to correct the excess sagging skin of the neck and improve the contour of the neck in the midline under the chin. In addition, jowling is often present giving poor definition to the jaw line.

Often these men and women are relatively young and seek better definition to the chin and neck area with a more contoured angle between the chin and neck.

About the Procedure

Neck lift surgery is performed under twilight sleep sedation anesthesia at the fully accredited on-site plastic surgical facility located in Naples, Florida. Surgery may involve an incision around the lower portion of the ear and under the chin or simply an incision just under the chin, depending upon the amount of skin laxity. Through the small incision under the chin the neck muscles are tightened and excessive fat removed. If excessive sagging skin needs to be removed this is usually accomplished through the incision hidden around the ear. In men Dr. Gulin is able to perform a cervicoplasty procedure, which tightens the neck skin through a Z-shaped incision placed only under the chin. To lessen bruising and swelling platelet gel is usually applied to the tissue.

Liposuction or tightening of the jowl area is often performed during the neck lift procedure.

After the Procedure

Following a neck lift procedure by Dr. Gulin at Plastic Surgery Associates of Naples-Ft. Myers, most patients return to their usual activity in approximately three to five days. The procedure may result in some mild bruising along the collar bone area. In some cases a chin strap is worn for approximately three days to assist in establishing the new contour of the neck.

After undergoing a neck lift patients have a more youthful outline to the neck and chin area, particularly in the profile view. There is no longer the hanging sagging skin in the middle of the neck and the lines and folds on the remaining portion of the neck have been smoothed out. The jaw line itself is more defined and youthful appearing.


Fat Transfer (Injection)

Over the past fifteen years Dr. Gulin has developed his own personal technique for transferring (injecting) fat to the face to improve areas of depression, folds, and wrinkles. Often this procedure is done in combination with other facial procedures or alone under local anesthesia. Unlike many synthetic fillers, fat injections last for many years and are not rejected by the body.

Who Chooses Fat Transfer (Injection)

Many patients seeing Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples/Fort Myers are concerned about lines, folds, and depressions in their face that have become apparent as they have aged. Many do not wish or are not candidates for a face-lift or other surgical procedure but would like improvement in these signs of aging. A number of other patients see Dr. Gulin not particularly for facial rejuvenation but to change the shape and contour of their face. They wish to have fuller cheeks, lips, or more contouring along their jaw line. In addition, these patients may also wish to smooth depressions either in the nasolabial area between the nose and lips and cheek or below the eyelids.

Besides improving lines and depressions in the face, fat injection brings in additional blood supply so that the overall quality of the skin on its surface is improved with better texture and color. Because of the stem cell properties of fat, there also is additional rejuvenation of the aging facial skin.

Over the past 15 years, Dr. Gulin has refined his technique of facial rejuvenation and facial contouring using one's own concentrated fat containing stem cells to which platelet gel is added. Fat transplantation provides needed volume and correction of lines and depressions. Stem cells help to improve the quality of the skin while platelet gel provides growth factors to nourish the transferred fat.

Fat transplantation replaces facial volume lost as result of aging, as well as re-contours various areas of the face. Sunken areas in cheeks, under the eyes, and around the lips and chin are markedly improved. avoiding the use of temporary tissue fillers or implants. Better facial balance as well as a look of health and vitality is obtained. Many times the volume improvement is sufficient alone, avoiding additional surgery such as a face or cheek lift.

About the Procedure

Fat transfer (injection) can be performed under twilight sleep sedation anesthesia or under local anesthesia with a small amount of oral sedation. All procedures are performed in Dr. Gulin’s on-site fully accredited surgical facility located in Naples, Florida. Fat is gently removed from the abdomen, hips, or inner thighs, prepared by centrifugation, and then gently injected with specialized blunt needles. No incisions are needed at the transfer site, while only single stitch incisions are used at the donor site.

After the Procedure

Most people resume their usual activities several days following the procedure. Patients having fat injections into the cheek and lip area may be swollen for up to a week or slightly longer. Mild bruising may also occur. Fat transfer (injection) as performed by Dr. Gulin at Plastic Surgery Associates of Naples-Ft. Myers, has been found to last for many years. The results are natural appearing. Although the grafts may feel firm for the first week or two, they gradually soften, blending into the surrounding tissue of the face or body. Dr. Gulin is able to perform any touch-ups under local anesthesia using fat that has been frozen and stored for up to four months following the initial procedures.


Ultrasonic Tumescent Liposuction

Many men and women seen by Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples-Ft. Myers wish to have undesirable areas of fat deposits removed so that their appearance in and out of clothes is much more contoured and proportioned. Often these areas of excessive fat are resistant to either exercise or diet. Many choose ultrasonic tumescent liposuction (Lipo-Selection) because of its ability to selectively remove fat while leaving nerves, arteries and surrounding tissue intact. This creates less bruising and swelling as well as shorter recovery time. The ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo) also aids in allowing the skin to more easily shrink down to the re-contoured area. Common areas of concerns are the chest, abdomen, hips and waist, thighs, calves, arms and neck. Ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo) allows Dr. Gulin to more accurately sculpt the areas that are out of proportion.

Although liposuction is not a treatment for obesity even men and women who are moderately overweight can benefit from ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo). Often one or two distinct areas are out of proportion to the rest of the body. This allows weight reduction exercise to proceed to a better overall body shape. In addition, the psychological incentive to lose weight and exercise is also greater when these particularly problematic areas have been addressed.

About the Procedure

Liposuction has made tremendous advances in the last twenty five years. Dr. Gulin of Naples, Florida was one of the first plastic surgeons to be formally trained in the technique of liposuction, having been trained by Dr. Bahman Teimourian who brought the procedure to the United States. Surgery is performed under twilight sleep anesthesia or epidural anesthesia with sedation in the state of the art fully accredited on-site surgical facility located in Naples, Florida.

Ultrasonic tumescent liposuction (Lipo-Selection) involves the removal of fatty deposits with a small tube or needle placed into the fatty tissue under vacuum through several quarter inch long incisions.

Prior to removal of the fat, the tissue undergoes tumescent infiltration with a solution containing numbing medicine and epinephrine to prevent bruising. Ultrasound is then applied through the incisions with a narrow probe-like device followed by suction removal of the fat using a tube or cannula under suction. Incisions are usually in either the hair bearing area or hidden under the bathing suit line. Following surgery the patient is placed into a compression garment to prevent swelling.

After the Procedure

Most patients return to their usual work activity in about five days to one week following ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo). The compression garment is worn for several weeks and exercise is resumed in about two to three weeks following liposuction.

The swelling in the liposuction areas persists for approximately two to four weeks but the impact of the procedure is seen already right after surgery. The final result may not be seen for approximately one to two months following the surgery.

Following ultrasonic tumescent liposuction (Lipo-Selection) at Plastic Surgery Associates of Naples-Ft. Myers by Dr. Gulin you will have a more proportioned and shapely contour to the various parts of your body. Clothes will fit much better and patients find that they have a renewed sense of confidence.

» To learn more about Ultrasonic Tumescent Liposuction, visit www.liposelection.com

For more information about Services For Men, or to schedule an appointment, please complete our online form or call 239-596-8000.

MeetDr. Gulin

“I see the role of a plastic surgeon as a surgical architect or sculptor, changing and enhancing the appearance or shape of various parts of the body.”

Plastic Surgery Associates Of Naples

Dr. Stanley P. Gulin, M.D., F.A.C.S

6610 Willow Park DR
Suite 104
Naples, FL 34109
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Tel: 239-596-8000
Fax: 239-596-4015
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