In Men With ‘Good Physique,’ Steroids Are Common Cause of Breast Enlargement, Reports Plastic and Reconstructive Surgery

February 19th, 2015

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

ASPS Member Surgeon Mordcai Blau, MD, a plastic surgeon in private practice in White Plains, N.Y., reviews his extensive experience with gynecomastia surgery in bodybuilders. He highlights key patient characteristics and technical issues, including the causal role of anabolic steroids and hormone supplements. Dr. Blau’s coauthor was Ron Hazani, MD, a plastic surgeon in Beverly Hills, Calif.

Focus on Gynecomastia Surgery in Bodybuilders

An expert in male breast reduction, Dr. Blau has performed gynecomastia surgery in nearly 1,600 bodybuilders and other patients with “good physique.” The new report focuses on 1,073 such patients, followed up for one to five years after surgery.

The men ranged in age from 18 to 51 years; 15 percent were competitive bodybuilders. All were free of hormonal or other diseases that can cause gynecomastia. In some cases, gynecomastia developing in adolescence—usually a temporary condition—became permanent after the patient started using steroids or hormone-containing supplements.

For several reasons, gynecomastia surgery in bodybuilders calls for a different approach, Dr Blau believes. In contrast to other groups of gynecomastia patients, who tend to be overweight or obese, bodybuilders usually don’t need removal of excess fat or skin.

However, they do need special attention to prevent bleeding and scarring. Bleeding risk is higher because of increased blood flow in the highly developed chest muscles. Steroids and unregulated supplements including protein shakes, vitamins, and fish oils may also increase bleeding risk.

Emphasis on Complete Removal of Breast Gland Tissue

Bodybuilders are “perfectionists with regard to their physique and chest aesthetics; hence their level of expectations is higher,” Dr Blau writes. He performs the procedure through a one-inch incision, made on the underside of the areola surrounding the nipple.

In outlining his surgical technique, Dr. Blau highlights the need for complete removal of all breast gland tissue. After surgery, pathology reports usually show excessive development (hypertrophy) of the gland tissue, although a few patients had precancerous cells.

Most patients are “extremely satisfied” with their surgical results, Dr. Blau reports. He also notes that the “vast majority” of patients continued to use anabolic steroids. Because the gland was completely removed, there were no problems with recurrent gynecomastia.

Complications were uncommon and generally minor. There was a six percent rate of hematomas—blood collections causing pain, swelling, and bruising. Dr. Blau notes this problem became less common after he began providing stricter instructions regarding preoperative and postoperative care: stopping all use of steroids and supplements before surgery, and resuming exercise gradually after surgery.

Plastic surgeons may see increased interest in gynecomastia surgery among bodybuilders and other men with good physique, Dr. Blau believes. He suggests that surgeons performing gynecomastia surgery start with simpler cases, before proceeding to the more-challenging demands presented by bodybuilders.

While many men are affected by gynecomastia, most don’t seek treatment, according to this month’s introductory video by Rod J. Rohrich, MD, Editor-in-Chief, on the Plastic and Reconstructive Surgery website. The February issue also reports on a new technique for men seeking breast reduction after massive weight loss. “In these two papers, we see how the surgical treatment of Gynecomastia can improve both aesthetics and patients’ quality of life,” Dr. Rohrich comments. “Plastic surgeons are constantly studying and refining these surgical techniques to create the safest, most effective procedure possible.”

Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

About Plastic and Reconstructive Surgery

For more than 60 years, Plastic and Reconstructive Surgery (PRS)® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, PRS brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, and cosmetic surgery, as well as news on medico-legal issues.

Top Plastic Surgery Procedures for Men

January 31st, 2015

While some may associate plastic surgery with women, this is no longer the case. An increasing number of men are turning to both invasive and non-invasive cosmetic procedures to help treat unwanted signs of aging or simply achieve the appearance they desire. Let’s take a look at some of the most common cosmetic procedures sought out by men.

Top Plastic Surgery Procedures for Men

  • Rhinoplasty. Also known as nose surgery or nose reshaping, rhinoplasty is a cosmetic procedure designed to reshape, reduce or augment a patient’s nose to restore facial harmony. As many men want a strong, well-defined nose, this procedure offers an effective way to achieve this.
  • Eyelid surgery. The aging process can take a toll on men and women alike, especially when it comes to our eyelids. For men looking to fight these unwanted signs of aging, eyelid surgery (blepharoplasty) is the right choice. In this procedure, excess skin and fat is removed from the upper and lower eyelids, and muscles are tightened to restore a more youthful appearance to the eyes and face.
  • Male breast reduction. Gynecomastia is a condition that involves the over-development of male breasts, and is estimated to affect 40%-60% of all men. Male breast reduction works to relieve the physical and emotional discomfort brought on by this condition by removing fat or tissue from the breasts and restoring a more ideal contour.
  • Liposuction. Liposuction is an effective procedure that works to combat stubborn fat that’s resistant to diet and exercise. This minimally-invasive procedure uses a tube called a cannula to suction targeted fat out of the body, helping men achieve a slimmer and more contoured look.
  • Facelift. The facelift procedure works to rejuvenate the mid-to-lower face and neck, helping to correct issues likes midface sagging, deep creases under the eyes, jowls, loose skin under the chin and jaw and more. For men looking to take years off their face, facelifts offer an effective solution.

For More Information about Male Plastic Surgery, Contact Naples Cosmetic Surgery Center Today.

To learn more about any of the procedures we offer, contact us today to schedule an appointment. Our offices are located in Naples, and we can be reached at 239-348-4357. We look forward to hearing from you.

New Year, New Breast? Kaley Cuoco: Getting breast implants ‘the best thing ever’

January 5th, 2015

Kaley Cuoco is in the February issue of Redbook talking about what its like to suddenly be a multimillionaire, what she thinks of feminism, an why getting breast implants was the best thing that ever happened to her (sorry new husband).

On signing a contract for another three years of Big Bang Theory at $1 million per episode:

“All I think about is what it means for my family…and knowing there is security for all of us.  My parents spent 16 years hauling my butt to LA for audition after audition. Every day they were helping me learn my lines, dropping me off, waiting for me, picking me up, giving me pep talks when I didn’t get the jobs, taking me to tennis and horseback riding lessons. I remember always hoping I could help take care of them because they took such good care of me.  Knowing I’ll be able to just brings tears to my eyes.”

On if she considers herself a feminist:

“Is it bad if I say no? It’s not really something I think about. Things are different now, and I know a lot of the work that paved the way for women happened before I was around… I was never that feminist girl demanding equality, but maybe that’s because I’ve never really faced inequality.  I cook for Ryan five nights a week: It makes me feel like a housewife; I love that. I know it sounds old-fashioned, but I like the idea of women taking care of their men. I’m so in control of my work that I like coming home and serving him. My mom was like that, so I think it kind of rubbed off.”

Why she got breast implants:

“I had no boobs! And it really was the best thing ever! I always felt ill-proportioned. My implants made me feel more confident in my body. It wasn’t about trying to be a porn star or wanting to look hot and sexy.”


What Is Laser Skin Resurfacing?

December 11th, 2014

Patients looking to reverse the signs of aging, as well as eliminate blemishes and acne scars often look into laser skin resurfacing as a way to turn back the clock. Our patients are often pleased with the results of the laser skin resurfacing procedure.

What is the process of laser skin resurfacing?

Laser skin resurfacing removes the skin layer by layer. The skin cells are essentially eliminated through this precise laser-guided process, resulting in new skin cells developing during healing. The resulting skin is then tighter and younger-looking than the original skin.

Laser skin resurfacing is also beneficial to patients looking to combine the procedure with our other services. It’s also an outpatient procedure and takes typically one to two hours.

What can laser skin resurfacing treat?

Individuals looking to take care of crow’s feet, blotchiness, acne, chicken pox scars and potentially precancerous growths often turn to laser skin resurfacing.

What is the recovery time for laser skin resurfacing?

Your face may itch or sting a bit for a couple days after surgery. About a week or so after surgery, your face will become dry and will begin to peel. Healing usually takes a little over a week to three weeks for the average patient, though, of course, that varies.

Oil-free makeup is usually recommended to reduce redness, post-recovery.

Consult with Dr. Andrew Turk Regarding Laser Skin Resurfacing.

Dr. Andrew Turk is a plastic surgeon located in Naples, Florida, with extensive experience in cosmetic surgery of the face and body. If you are interested in learning more about Laser Skin Resurfacing, please contact our office in Naples, Florida today for a plastic surgery consultation. We can be reached at (239) 348-4357. We look forward to hearing from you.

How Vectra® 3D Imaging Can Benefit Your Plastic Surgery Consultation

November 26th, 2014

Fear of the future can prevent many people from making some of the best decisions of their lives. They simply do not want to face the risks, despite the potential benefits. The same is true of cosmetic surgery. Men and women who have been thinking about making a beneficial and life-changing decision hesitate because they are not sure exactly what they want for their bodies, or they aren’t sure the doctor will know either. Thankfully, during a plastic surgery consultation, doctors and patients now have the ability to lift the veil and peer into the future. It all starts with Vectra® 3D imaging.

What is Vectra 3D Imaging?

Vectra 3D imaging creates a 3-D image of the body, enabling a patient to see how his or her body looks now and how it could look in the future. It is a private and quick portion of a plastic surgery consultation and greatly enhances both the surgeon and patient’s planning abilities. A 3-D camera will take pictures of the patient’s body and create a three-dimensional image that can be modified according to the desired procedure and result. Essentially, it creates a changeable model of the patient’s body.

How Can Vectra 3D Imaging Help?

During the consultation, the surgeon is able to use Vectra 3D imaging to project what the body will look like after a plastic surgery procedure is completed. The patient can decide how they want his or her body to look and, along with the plastic surgeon, decide what is the best procedure to achieve that result. The patient and surgeon are able to come to an understanding faster when they can both see how the body should look after the procedure is finished. This also removes much of the fear that patients may have if they are concerned about what exactly will happen. They can finish their consultations knowing that the surgeon knows what they want, and how they want it to be done.

Consult with Dr. Andrew Turk and Experience Vectra 3D Imaging for Yourself.

Dr. Andrew Turk is a plastic surgeon located in Naples, Florida, with extensive experience in cosmetic surgery of the face and body. If you are interested in seeing how Vectra® 3D Imaging can help, please contact our office in Naples, Florida today for a plastic surgery consultation. We can be reached at (239) 348-4357. We look forward to hearing from you.


What can I do about Hair loss or Balding?

November 14th, 2014

Neograft is “state of the art” hair restoration solution for hair loss. 50 million men and 30 million women suffer from male/female pattern
baldness or thinning hair.  This game changing technology uses the Follicular Unit Extraction (FUE) method utilizing the Neograft system.

Individual hair follicles are removed from the scalp and/or body in their naturally occurring groupings of 1-4hairs and then placed in areas of the scalp where balding has

There is no scalpel, no stitches  and no unsightly linear scar on back head.  Very quick recovery time and patients can typically go back to work the next day.

Call for more information on this revolutionary hair
replacement at  239-348-4357 or visit


Top Questions On Breast Reduction Surgery

November 7th, 2014

Many women with overly large breasts seek out breast reduction surgery to achieve a more equal body proportion. Breast reduction surgery is considered a viable option for women who suffer from physical or emotional discomfort due to the size of their breasts.

Here are some of the most common questions asked by potential breast reduction patients.

When should breast reduction surgery be considered?

If you are experiencing neck or back pains due to the size of your breasts, it’s time to consider reduction surgery. Having breasts that are too large for your body type may also cause you to feel embarrassed about your appearance. Breast reduction surgery also corrects breast asymmetry, which occurs when one breast is significantly larger than the other.

What are my options for breast reduction surgery?

Breast reduction surgery is performed under general anesthesia, and usually takes between 2 and 4 hours to complete. There are several types of incisions that may be used, including the scarless breast reduction technique. Your surgeon will determine what technique will be best for you during the consultation process.

How long will it take for me to recover from breast reduction surgery?

Physical activity should be limited for about two weeks following a breast reduction. Patients may experience temporary side effects including soreness, swelling, and bruising. Your results will be noticeable immediately following surgery, and will continue to improve with time.

Contact Dr. Andrew Turk To Learn More About Breast Reduction Surgery

If you would like more information about breast reduction surgery, contact Dr. Andrew Turk today. Our offices are located in Naples, Florida, and we can be reached at 239.348.4357.


Stay hydrated with DIY Fruit & Spice Infused Spa Water Recipes

October 27th, 2014

These infused water drinks are each made from natural and readily available ingredients: Tangerine Fennel Thyme, a powerful combination of fruit and herbs low in calories and high in nutritional value that aids digestion, reduces inflammation and boosts metabolism; Ginger Pear, curative and preventative juicy gems good for the immune system, is packed with anti-inflammatory properties; Pomegranate Apple Rosemary, a heart healthy blend of super fruits, stimulates the immune system and brain function; Meyer Lemon Mint, a hybrid of lemon and mandarin, contains an abundant amount of vitamin C, antioxidants and photochemicals that soothe the digestive tract.

Meyer Lemon Mint

* Needs to infuse for at least six hours

1 gallon water
6 Meyer Lemons, zested and seeds removed
10 sprigs mint

Method of Preparation
Combine zest, lemon, and water in a large container. Allow to cold steep for 6 hours. Strain through fine mesh. Fill pitcher or jug with Meyer Lemon and mint water. Garnish with slices of lemon and sprigs of mint. Serve chilled.

Apple, Pomegranate and Rosemary

1 gallon water
10 apples, sliced
15 pomegranates, seeds only – muddled
½ cup rosemary, chopped
1 apple, sliced 1/8 inch
2 lemons, juiced in water for cylinder
20 pomegranate seeds for garnish

Method of Preparation
Combine apple slices and muddled pomegranate seeds with rosemary and water. Allow to cold steep for 6 hours. Strain through fine mesh strainer. Fill pitcher with Apple Pom Rosemary water. Fill cylinder with lemon water and garnish with pomegranate seeds, apple slices and rosemary sprigs.

Ginger Pear Water

1 gallon water
10 pears, sliced 1/8 inch
½ cup ginger, peeled and sliced 1/8 inch

Method of Preparation
Combine all ingredients in a large container. Allow to cold steep for 6 hours. Strain through fine mesh strainer. Fill container with Ginger Pear water. Garnish center cylinder with slices of Ginger and slices of pear.

Tangerine, Fennel, Thyme Water

1 gallon water
12 tangerines, zested and pith removed – use zest and fruit
8 sprigs thyme
2 bulbs fennel, shaved

Method of Preparation
Combine all ingredients in a large container. Allow to cold steep for 6 hours. Strain through fine mesh strainer. Fill container with Tangerine, Fennel, and Thyme water. Garnish center cylinder with slices of tangerine, fennel, and thyme sprigs

5 Things That Age Your Smile

October 13th, 2014

Just like your skin, face and body, the smile can age with time. But, certain factors, especially discoloration—think gray, yellow or brown stains—can instantly add years to your appearance. “The color of your teeth is the number-one factor that ages a smile,” says New York cosmetic dentist Irene Grafman, DDS. Keeping your teeth as white as possible is one of the easiest ways to age-proof your smile.

1. Discoloration: “The shade of your teeth is the most obvious factor that contributes to an aged smile,” says New York cosmetic dentist Steven E. Roth, DMD.

2. Chipped teeth: Often overlooked, tiny chips on the edges of teeth give of a jagged, worn look to the smile that equates to a mouth that’s experienced years of wear, tear and trauma.

3. Excessive wear: If your bite is not ideal or you are missing teeth, wearing can be a problem. You lose height in the face, the bite looks closed and everything collapses, giving an aged look.

4. Extreme asymmetry: “Anything that isn’t symmetrical isn’t perceived as being normal,” says Atlanta cosmetic dentist Ray Morgan, Jr., DMD.

5. Shifting: Everything from gum issues to missing teeth can cause your teeth to shift, resulting in a smile that’s not straight.

Top Plastic Surgery Myths

September 29th, 2014


Choosing a surgeon to perform a breast augmentation, liposuction or rhinoplasty (nose job) is a big deal. This person will have not only your beauty in their hands, but also, your life. And you’ll find that when searching for the perfect doctor, the one who is going to make you look and feel your best, there is a lot to consider.

For the laymen, first knowing what your doctor does and specializes in is very important, for instance, what really is the difference between a cosmetic surgeon and a plastic surgeon? One of the most common misconceptions in plastic surgery is the fact that both a plastic surgeon and a cosmetic surgeon are essentially the same.  “This is completely wrong,” says Scottsdale, AZ, plastic surgeon Marc Malek, MD.

“The difference is that all plastic surgeons are cosmetic surgeons, but the opposite is not true,” says Beverly Hills, CA, plastic surgeon Ritu Chopra, MD. “To be a plastic surgeon you have to go through a residency program for six to eight years to be eligible to become a board-certified plastic surgeon that is trained in cosmetic as well as reconstructive surgery,” he says. “While Plastic Surgeons and Facial Plastic Surgeons go through years of specialized training and have to take tough exams and meet rigorous criteria. A ‘cosmetic surgeon’ may be simply an internist who learned how to perform eyelid surgery by observation or a seminar,” says Chevy Chase, MD, facial plastic surgeon Shervin Naderi, MD.

So why does it matter if your surgeon is just a cosmetic surgeon and not board-certified? It is critical in the case that something goes wrong. “It is extremely important for doctors to understand the full extent of reconstruction when it comes to cosmetic procedures if any complications are to arise,” states Dr. Malek.

Moral of the story? “The take home message is, if your doctor calls himself or herself a cosmetic surgeon, make sure he or she is actually a Plastic Surgeons, Facial Plastic Surgeons, Maxillo-facial surgeons or Oculoplastic surgeon,” says Dr. Naderi. Then you can take the next steps to have a consultation and see if the doctor is a good fit for you.

Please click on the link to find out more baout Dr. Turk.

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