How does the male breast look immediately after liposuction surgery ?

A lot of patients often ask me - Doc, can you know immediately on the operation table how my breasts are going to look like after surgery ? The picture shown above is one of our patients who underwent gynecomastia surgery- both liposuction as well as some excision of glandular tissue which would not come out by liposuction:  fat is one that comes out through liposuction. Also resistant tissue underneath the nipple needs to be excised at times to prevent a puffed nipple appearance.  The picture shows the immediate correction that can be achieved by surgery+

Beware of - Dogs and dogbites!!!

Dogs and dog bites

A dog is supposed to be a man's best friend. Dogs are cute and humane. We once had a dog called Mickey a Labrador breed- jet black in color and with large eyes and a longish face. Looking in his eyes one felt like Mickey was actually talking and conveying something. For years Mickey remained my only friend and confidante; we went for long walks and sometimes I even talked to him, while he gazed back knowingly, sometimes evening nodding and barking in approval or disapproval. When my young niece (3 years) was brought home to be looked after by my parents, Mickey had to be given away. I never learnt whom dad gave away the dog to, but for years whenever I met a similar looking dog I used to call out loudly ‘ ! Mickey!’  Mickey! ’ thinking that maybe this is my lost dog -Mickey. Now 25 years later Mickey still remains in my heart having etched a permanent impression of love and friendship.

Dogs can be troublesome and sometimes dangerous too... they keep shedding their hair and this is a mess especially if you are staying in an apartment. In humid climates and rainy seasons they can actually stink. Fleas can be problematic and be all around them if not taken care of. They may even have intestinal worms and will have to be de –wormed regularly. 

Dogs can bite and their bites can cause wound infections and if the dog has rabies then this can be transmitted to the person who is bitten. Some breeds can be aggressive and one should refrain from keeping these breeds as pets. 

Dog bites may need multiple levels of treatment. Tetanus toxiod and immunoglobulin may be needed to start with depending on the extent of the wounds. Anti rabies treatment protocols need to be followed. The oral cavity of dogs has a lot of organisms and antibiotic coverage will be needed to prevent wound infection.

Local care of he wound is very important and a through wash and debridement should be done. Some wound may be closed primarily while other may be secondarily closed. Some wounds will also need injection of immunoglobulin into and around them.

I would suggest two good links for those who are looking for more info on dog bites as adding more details on the topic would only be a repetition:

http://www.cdc.gov/homeandrecreationalsafety/dog-bites/index.html

http://www.aafp.org/afp/2001/0415/p1567.html

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Why wear helmets?

Why wear a helmet? 
That's what a lot of people keep asking me.  We drive safely, don't over speed and  follow the traffic rules. Besides helmets prevent us from hearing well, as well as diminish our vision. 
Well,  it may be doing some things like that but still helmets protect you from accidents- things that happen even if you are following all the traffic rules. 
The gentleman shown below was a victim of a traffic accident. he suffered  a severe scalp injury - the ear has been badly damaged , the cartilage of the ear is all crushed up, the scalp skin is lost and the skull bones have been exposed. He underwent extensive plastic surgery and had some form and balance restored. The first stage of surgery has been shown in the picture below.

This young unfortunate child was hit by the glass of the windshield which resulted in multiple injuries

So do drive safely, follow the traffic rules and have a nice day!!!!

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Gynecomastia liposuction and surgery, male breast surgery, man boobs surgery, dr alexander, plastic cosmetic surgeon, cochin India+

This young gentleman had a painful  Gynecomastia or male breast enlargement and underwent keyhole liposuction to remove the fat and a cosmetic breast gland excision. Details of Gynecomastia surgery and discussion can be accessed as
http://thecosmeticplasticsurgeon.blogspot.in/2012/12/cosmetic-surgery-asthetic-surgery.html

preoperative picture  

preoperative picture

preoperative picture

intraoperative pic with gland excision

post op day 5 picture

post op day 5 picture

post op day 5 picture

postop day 5 picture