Breasts come in all different shapes and sizes in nature. Women with small breasts, large breasts, and any size in between fall on the spectrum of normal development. However, a number of breast deformities do exist. One of these is Tuberous Breast Deformity (TBD), more commonly referred to as tuberous breasts. This is a congenital condition that women and some men are born with that becomes apparent when their breast tissue does not develop normally. It is not certain what causes this abnormality, but the results of one study of breast tissue specimens in 2011 suggest that it is genetic involving a disorder of collagen deposition.
Women with this condition do not merely have small breasts; tuberous breasts are structurally different from normally developed breasts in that the have an elongated, tubular shape. Characteristics of tuberous breasts include: “enlarged, puffy areola, unusually wide spacing between the breasts, minimal breast tissue, sagging, higher than normal breast fold, and narrow base at the chest wall.” However, tuberous breasts exist along a spectrum, with mild cases having just a slightly shorter than ideal fold to nipple distance and extreme cases having all the above mentioned deformities, so not all tuberous breasts look alike.
Tuberous breasts develop abnormally. The breast tissue that does grow herniates into the nipple. This is not a health concern, but some women with tuberous breasts cannot breastfeed their babies because their milk glands are too underdeveloped to produce milk.
How many women have tuberous breasts?
It’s difficult to say. It’s estimated that between 1 and 5% of breast augmentations done are due to TBD, but many women suffer unhappily with this condition and never try to get any kind of treatment. Some of them become so ashamed of their breasts that they hide them from everyone. They report that having TBD negatively impacts their sense of self, making them feel worthless or less than desirable or womanly. It can have a bad effect on their romantic relationships as well.
Women and men who seek out plastic surgery to improve their appearance need to know a number of things. They’re concerned about the types of outcomes they can expect, how safe certain procedures and plastic surgery facilities are, and they want to know the cost of various types of plastic surgeries.
Unfortunately, pricing plastic surgery isn’t like pricing athletic gear at the store; it’s more complicated. Many people will go online and search for typical costs. One resource many people use is the website of the American Society of Plastic Surgeons (ASPS). If you search the ASPS’s site for costs, one of the pages that comes up is the tummy tuck cost page which states that the average cost of a tummy tuck is $5,502, according to 2015 statistics from the American Society of Plastic Surgeons.
This $5,502 figure, however, only covers the surgeon’s fee. It does not cover anesthesia, operating room facilities, prescription medications, or other related expenses. When you consult a plastic surgeon in Houston Texas about the cost of a tummy tuck, the cost quoted to you will include any services provided, so it will likely be higher than the cost quoted on the ASPS website. Please keep that in mind.
Additionally, this $5,502 is the national average for that procedure. Price will vary based on geographical location as well. The cost of operating a business is different in California than in Kansas or Texas, as will the number of surgeons practicing in a given area and their level of training and skill. Many patients will travel long distances to ensure access to the best surgeons and medical care because a permanent surgical alteration is not something that can be taken back to the store and exchanged. It’s something you need a trusted professional to do right the first time. Great doctors are in high demand because surgeons with their training, skill level, experience are relatively rare.
Similarly, the surgery length or difficulty will also affect the cost of any procedure. Not every type of plastic surgery requires the same technology, skill, or resources. A mini-tummy tuck will not be as expensive as a full tummy tuck, and a breast augmentation is a more straightforward procedure than a breast lift or a combination of breast augmentation and lift.
The trend of men taking advantage of plastic surgery continues to increase in popularity. The most popular type of plastic surgery men men choose is liposuction, but a procedure to address either enlarged breast tissue or protruding nipples known as gynecomastia is now the third most popular in the United States. This procedure, called reduction mammoplasty, involves the removal of excess fat and glandular tissue and can be performed safely on otherwise healthy men of all ages.
What is gynecomastia? It is the “swelling of the breast tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone.” There are a number of reasons men today experience swollen breast tissue. Weight gain will cause breast size to increase, and hormone imbalances, specifically the decrease in the amount of testosterone produced relative to estrogen, will cause swelling. The latter can result in symptoms like pain, tenderness, or breast discharge. A number of medications can also cause swollen breast tissue, including antidepressants, anabolic steroids, cancer treatment medications, and AIDS drugs. Alcohol and other recreational drugs are other culprits.
While gynecomastia is not a serious or dangerous medical condition, having enlarged breast tissue often makes boys and men feel self conscious and embarrassed about their bodies sometimes for years or even decades. Between the ages of 50 and 69, this condition peaks in men with about 25% of them affected. This is the result of normal hormone changes that accompany aging, but overweight men are more likely to be affected.
While some men are able to reduce their breast tissue with weight loss, this is not the case if there is enlarged glandular tissue. In fact, in some men gynecomastia becomes more obvious with exercise. In these situations, the only effective, long-term treatment is to eliminate it completely with surgery. This can be done on either adolescents or men, although gynecomastia in teens is often temporary and resolves itself.
What is involved in a male breast reduction? It’s a procedure that creates a more streamlined silhouette that highlights the natural contours of the chest and produces a more manly look. The complexity of the surgery, and length/placement of scarring will depend on whether your surgeon must remove fat only, fat and glandular tissue or fat, glandular tissue and excess skin. Fat only may be reduced via liposuction, while glandular tissue and skin will likely require direct excision via open incision.
Are you worried about the wrinkles around your eyes and how they make your face look older? Unfortunately the skin all over your body becomes less elastic as you age. Drooping an wrinkles are the result. While there are a number of surgical procedures that can be performed in order to rejuvenate the face and smooth out lines, Bancroft Feldman recommends Botox as an excellent non-surgical treatment for rejuvenation of the face in the eye and forehead area. Botox has been a trend in plastic surgery for since the Food and Drug Administration approved it for smoothing wrinkles between the eyebrows in 2002. In addition to Dr. Bancroft, Bancroft Feldman also has nurse injector for Botox administration.
What is Botox?
It’s a drug that, when injected, blocks the signals sent by the nerves to your muscles directing them to contract. If the muscles around the eyes are prevented from contracting, this makes the wrinkles there less prominent.
Why go to a plastic surgeon for Botox if it’s not surgery?
Botox is available and for sale in many places at a discount. Beware these kinds of “deals.” Some sellers will advertise cheap Botox but will use counterfeit medication, dilute the drug with saline, or use similar competitive manufacturers in order to make more of a profit. Others begin injecting Botox after only a short training course or less. It’s much safer and wiser to get the procedure done in a surgeon’s office where you know that the drug and standards of care are both top notch and monitored for quality.
Social media is unavoidable for nearly everyone these days, and the Millennial generation is comprised of what social media experts refer to as “digital natives.” These young people grew up being surrounded by computers and the internet, they’ve lived more of their lives online than any previous generation, and now they are old enough to make their own choices. If this recent survey is correct, 98 percent of Millennials have cell phones, and 93 percent of them are a part of social networking.
One of the most visible things that has come out of this kind of internet saturation is the selfie. A generation ago, when people took photographs and had to wait to see how they turned out, they took a lot fewer of them and they rarely focused them on themselves. Now people can show others how they are living and having fun in real time either on Instagram, Facebook, Twitter, or another type of social media. When they do highlight their lives, they want to look good. Really good.
While people figure out the best angles and lighting for their own selfies, close-up photos do tend to highlight certain facial and figure flaws. Seeing other people post their best pics of themselves makes people compare their own good and bad to others’. Sometimes what’s bad can be fixed by solutions like exercise, weight loss, better clothing or makeup, or a more flattering haircut, but other times you need something surgical done.
Millennials tend to take their time deciding about having a surgical procedure done - often more than a year - and it’s online where they go to get information and opinions as well. A RealSelf survey found that almost half of the patients who responded had been influenced in their decision by social media. They asked their friends for their opinions, they checked reviews online, and they looked to see if the doctor they were considering had any sort of online presence and seems experienced and trustworthy.
Many patients will also use online tools like Instagram filters to alter their appearance and explain to their surgeon what kind of outcome they’d like to see. They look through before and after photos of various celebrities who have had cosmetic surgery, and they’ll tweet photos after their procedure is done and they can show off their improved bodies. Partly because of the internet and the openness it’s created, the stigma about talking about plastic surgery and deciding to have it is becoming a thing of the past.
We are all familiar with a certain type of breasts from mass media, but breasts come in a variety of sizes and shapes in nature. They can be large and small, matching or uneven, round, tuberous or conical. While Dr. Feldman sees many patients who wish to have bigger breasts, plenty of other women who will eventually have breast augmentation surgery aren’t concerned with the size of their breasts, but their shape or symmetry.
It’s a myth that breasts mirror each other exactly. Each breast has its own size and shape. Very often a woman’s breasts will be attractive and alike enough that the differences between them won’t be very noticeable. However, sometimes there will be large dissimilarities: one will be significantly smaller or the nipple will face in a different direction. If your breasts are not alike and, as a result, you’ve spent your life covering them up, know that you’re not alone. Many women with the same problem will avoid even changing clothes in front of other people. They find their breasts too embarrassing or ugly for other people to see.
It doesn’t have to be this way, though. Whether you’re in the Houston area or elsewhere, it’s possible to fix or improve all shape and symmetry issues with plastic surgery. Dr. Feldman has seen all types of breasts in his practice, and it is possible to improve your breasts and make them aesthetically pleasing from all angles with the proper evaluation, surgical planning, and procedures. Correcting moderate to severe asymmetry typically will require a more complex procedure than just implants.
In some cases, correcting asymmetry may require a reduction in the tissue of the larger breast so that implants of a similar size can be used. This is because the surgeon’s goal is always to create a breast profile that will remain attractive over time. If only one breast is augmented or very differing implants are used, as the patient’s breasts age, they will again be asymmetrical, with one remaining perky looking and the other aging more typically. Depending on the patient’s age at the time of the surgery, a breast lift may also be used in conjunction with breast implants to create the desired look.
If you have breasts that do not match each other and it bothers you, the first step toward correcting that would be to call for a free consultation with Dr. Feldman. At that time you can discuss if you like the look of one breast or if you’d like them both to be altered into a more pleasing form. With the correct plastic surgery, Bancroft Feldman can make a dramatic and life-changing difference in your appearance and life!
Aging isn’t always a bad thing. Many people embrace the good things that come with age like financial security, wisdom, experience, and deepening relationships. The physical side of aging is one most people would rather put off, however. No one looks forward to sagging skin or breasts, wrinkles, hair loss, cellulite, or stretch marks.
Some people manage to make it through their twenties and even their thirties without appearing to age at all? How is that possible? A recent study published in the Proceedings of the National Academy of Sciences recently confirmed that people do, in fact, age differently. In an effort to learn ways of combating the negative effects of aging, researchers followed 1,000 people born in the same town in the same year from age 28 to age 38, checking in on them every six years. At the end of the study, they did extensive testing to measure 18 different physiological markers like metabolism, blood pressure, and organ function to see “how old” these 38 year olds were. The results were surprising: people varied in “actual age” from 28 to 61!
If you’ve been to a high school or college reunion, seen your classmates, and thought, “Wow, they really didn’t age well,” here is your proof that you were right. Some people are better at aging than others. It’s too bad this isn’t an ability we all have, but how we age isn’t just affected by things we can do, such as eating nutritiously, exercising, limiting stress or avoiding smoking, excessive drinking, tanning, and drug use. It also depends on genetics, physiology, and chemistry - factors beyond our control.
Still, if your body isn’t what it used to be or what you’d like it to be, there are plenty of things people do to fix that. Some are as simple as losing weight or adding color to your hair. At Bancroft Feldman we specialize in surgical aesthetic improvement. Whether that means a breast lift when your breasts begin to sag, a tummy tuck to remove stretch marks or loose skin after a significant weight loss, we consult with patients every day to help them determine which steps to take to make sure they can remain in the best physical condition possible. Age isn’t just a state of mind, but it doesn’t have to overtake you before you are ready.
If you have been thinking about fighting the aging process harder or turning back the clock on your own appearance, Bancroft Feldman is a Houston-area, AAAASF-accredited plastic surgery facility, and both of our surgeons, Dr. Bancroft and Dr. Feldman, are board certified and very experienced in their fields of specialty. Call us today for your free consultation to discover the benefits of looking younger, no matter your age.
Generation Y, or Millennials as they are sometimes called, has been easing into adulthood for awhile. This is the generation that was born between the 1980s and the beginning of the twenty-first century. By 2020, in fact, one out of three American adults will belong to this generation, and they are already making their preferences and desires known with their spending decisions. For some Millennials this includes seeking out cosmetic procedures earlier than previous generations.
News outlets have been calling this trend a direct result of the selfie culture, and it’s true that with both cameras and social media literally everywhere they go, young people take and show a lot more photos of themselves than their parents or grandparents ever did. Millennials as a group are cautious, however. They do their research. They’re comfortable with seeking out information online, whether that is the specifics of various procedures from medical journals or the experiences of other people who have had them via online chatrooms, blogging communities, or on Tumblr.
The internet connects people in many different ways, and one of these is talking about and creating a new beauty aesthetic based on current pop culture. One obvious example of this is the demand plastic surgeons are seeing nationwide for buttocks augmentation. Kim Kardashian has made her mark on what is considered beautiful and desirable today. With reality television, vlogs, and YouTube channels, the barriers to entering the entertainment industry are lower than they’ve ever been, and young people want to look their absolute best if they’re going to be famous even in their smaller circles.
What kinds of surgical procedures are Millennials getting? They are very interested in breast augmentation, liposuction, and rhinoplasty. They are seeking a contoured look for their bodies that they can show off in current fashions that are unflattering on chubbier bodies.
Millennials also want to delay or avoid the aging process. They are interested in stopping it before it can begin with procedures like BOTOX. Where Baby Boomers and Generations Xers smoked and tanned, Millennials are avoiding these habits so they won’t experience their aging effects later on in life.
When the American Society for Aesthetic Plastic Surgery released their figures in 2015, they noted one specific trend: plastic surgery for men was up 43% over five years. This includes all cosmetic procedures, including surgical and non-surgical options.
In 2014 the top five surgical procedures for both men and women were: liposuction, breast augmentation, eyelid surgery, tummy tuck, and nose surgery. For men alone, eyelid surgery, male breast reduction, and facelifts were all up more than a third over the past five years.
While the majority of cosmetic procedures, including plastic surgery, are still performed on women, over time there has been a noticeable increase in interest from men on their options for enhancing their own personal attractiveness. We have seen this at work in our Houston plastic surgery center as well. What is behind this trend?
The economy - Five years ago the United States was still trying to pull itself out of the tailspin of the Great Recession, and many people had fewer financial resources to spend on self improvement. Today, with the economy looking brighter and more stable, that has changed.
Competition at work - The Great Recession forced a number of people to reevaluate their plans for the future as well as the now. Many Baby Boomers who assumed they would be retiring in a few years have found that they need to keep working to support their lifestyles and future goals. However, many men in executive positions, in order to project the kind of confidence they need to do their job, need to look their best. They are exploring plastic surgery as one way of accomplishing this goal.
Do you have a New Year’s resolution? This is the time of year everyone asks you that question. The old year is coming to an end, and we see an opportunity to “start fresh.” Many people begin every year resolving to better themselves so they will be able to live happier, healthier lives. Do you recognize any of these common resolutions?
All of these are admirable goals. Establishing a healthier, more productive lifestyle often means focusing on what you put in your body and how you spend your time because in our modern lives it’s too easy to eat too much and exercise too little.
Many of the patients that we see at our Houston plastic surgery center already live healthy lives. They exercise every day and maintain their weight, they eat a healthy and varied diet, they don’t smoke, and they protect their skin from too much sun exposure. They are already doing all or most of the things necessary to enhance their health and appearance. Still, there is a change or two they fantasize about that they feel would make a real difference in how others see them and how they see themselves.
If this is how you feel, know that you are not alone. You might read magazines, admiring the many beautiful models, athletes, or actresses out there, all the while making a wish list of how you would like your body to look like if you had the opportunity to have breast augmentation or liposuction. Maybe you’ve spent 2014 or 2015 dedicating yourself to getting physically healthier. You’ve lost a significant amount of weight, and now you’re ready to take the next step towards having that beach ready body: a tummy tuck.
Self-improvement is a process, one that is never really finished. There are so many things we can learn to do, experiences we can have, and goals that we can focus on and achieve. Sometimes we can do those things on our own, and sometimes we need a little assistance to recreate ourselves how we would like to be.
It may seem strange to put the words gift and surgery in the same sentence, but many plastic surgeons are noticing an increase both in the number of patients who receive “procedure gifts” and the number who choose to extend their own positive self-improvement experience to loved ones.
In a large number of these cases, the procedure in question is something simple, like a botox injection. Good Morning America did a piece about Tina Franklin, who asked her sister, Nicole Tuzzolino, for botox for Christmas. Like many sisters or good friends, the two often treat each other to items that make themselves feel happier this time of year, whether that is a spa treatment, a new outfit, or a makeover. But Nicole had just broken up with her long-term boyfriend, and a regular makeover wasn’t going to make her feel like enough of a new woman. So she put plastic surgery at the top of her wish list for Santa, and that’s what her sister gave her.
Botox isn’t the only procedure gift being given, however. Many patients who have thought about getting breast augmentation, a tummy tuck, or a full mommy makeover but have hesitated because of the cost or because the time wasn’t right find that in December their wishes may come true. Husbands, parents, or boyfriends may feel generous and want to give a very personalized gift this time of year. Interestingly enough, it seems to be a trend that women will sense that their husbands or boyfriends want to look a little younger but aren’t inclined to do anything about it while men will gift procedures that the women in their lives have talked about a lot but haven’t done anything about.
Of course, it’s important to remember that plastic surgery is surgery. It’s never a splurge purchase or something to jump into lightly, and you should always make sure that the surgeon you consult is board certified and that the surgical facility they operate in is AAAASF accredited. It’s also in bad form to weigh in on what the people in your life need improved on their bodies (and a great way to ruin Christmas morning!). However, if the people in your life are hard to buy for but have been talking about their options for whittling down their figures or giving themselves better curves, asking them if they’d like to explore plastic surgery as an option and as a holiday gift, that’s something else entirely.
Also, if you’ve seen great results from your Bancroft and Feldman Houston plastic surgery procedure, we appreciate referrals to friends and family any time of year - not just at the holidays. Helping our patients look great and feel beautiful is always our goal.