This patient had a tired appearance due to exaggerated dark circles under his eyes. Strategic placement of a combination of hyaluronic acid filler helped blend the lid cheek junction for a more refreshed appearance. In this location, filler results are very stable over time and may only need a small touch up over the course of several years.
This is a 5 week post op gynecomastia result, which involved a combination of liposuction over the entire anterior chest wall and careful resection of breast tissue through an incision around the areola. Great care needs to be taken not to remove too much tissue, which would result in an unnatural depression or dimple under the areola. Compression and limited chest movement in the first few days after surgery is important to optimize results.
This patient is an extremely fit and active 75 year old. This photo was taken 5 months after surgical facial rejuvenation and fat grafting. Of note, this was an update of a prior facial surgical procedure performed elsewhere over 10 years ago.
This patient underwent revision of a prior gynecomastia surgery and liposuction of the circumferential waist. Combination of liposuction of the waist and chest is important for many gynecomastia patients who have a common inherited distribution of diet resistant fat of both of these areas. Liposuction is ideal for management of fat which persists despite changes in body weight. Even for very young and fit people, some minimal liposculpture of the waist at the time of treatment of gynecomastia can be a great investment to manage this problem area that diet and exercise cannot treat.