Treatment Options For Gynecomastia, Also Known As Puffy Nipples Or Man Boobs

Gynecomastia is the term to describe male breast enlargement. Enlargement can take different forms from enlargement of the nipple with descriptions such as “puffy nipple,” to large excesses of the entire breast.

Gynecomastia is seen most commonly in boys in their early teens as well as in older men and is usually due to hormonal changes that can occur at these times. Most cases that develop at the time of puberty improve or resolve over the next few years. This enlargement, at any age, can cause emotional discomfort and impair self-confidence. It often makes it difficult for males to participate in certain physical activities or find clothing that doesn’t reveal their prominent chest.

Males with gynecomastia may benefit from breast reduction surgery. Operations to reduce the male breast vary based on whether the excess tissue is dense glandular tissue or more loose fatty tissue. Liposuction alone is appropriate for primarily fatty tissue excess while open excision will address the more dense glandular tissue. Sometimes a combined approach of liposuction and open excision is appropriate. If the enlargement is significant, some portion of skin may also need to be removed, thereby restoring the masculine contour of the chest.

The amount of excess tissue also helps determine whether the procedure can be done in the office under local anesthetic or if general anesthetic in the surgery center would be recommended. Either way the operation is a same-day surgery, taking approximately one hour to complete.

Postoperative restrictions are minimal, with a return to work within one to two days, and strenuous activities in two to three weeks. Patients are asked to maintain a compressive garment in place over two to three weeks to encourage the swelling to decrease. Other recommendations are to avoid direct sun exposure for at least six months.

The average cost of gynecomastia surgery is $3,196. That is the national average surgeon/physician fee according to 2013 statistics from American Society of Plastic Surgery.

Schedule a free consultation with Dr. Marion to discuss your specific options, get answers to your questions, and get to know Dr. Marion and his staff.


You may also click here to see before and after pictures of Dr. Marion’s gynecomastia patients.

Luscious Lips and Dermal Fillers

Even if you were not born with Angelina’s plump pout, there are ways to achieve the luscious lips you have always desired. The path for creating beautiful lips all begins with skin care, but your transformation can be enhanced with dermal fillers.

Exfoliating removes dead skin while stimulating blood flow to the lips. “You’ll get a rosy, juicier-looking mouth that looks great untouched or with a slick of gloss,” says celebrity makeup artist Charlie Green. Next, apply a simple moisturizer to create a smooth canvas for lip color application. If you want an added bonus, look for a lip balm that contains hyaluronic acid, a powerful natural humectant that binds water to lips for a fuller look. Choosing a light lip color and using a smooth brush for application will help the lips appear fuller. Choose light shades over darker ones; it is a basic color theory that light colors magnify. To make your pout pop even more, brush a nude eye shadow along the cupids bow of your upper lip, says Wende Zomnir, executive creative director of Urban Decay Cosmetics. Most women have a bigger bottom lip, and this trick helps create proportion. Finally, applying a dab of lip gloss to the center of the mouth will complete your look for fuller and more luscious lips!

If these simple make-up tricks do not work for you, medical fillers are the best option to achieve beautiful, long-lasting results.There are a number of commercially available injectable fillers (i.e. Juvederm, Perlane, Restylane, Scupltra, Radiesse, etc), and the best choice for any patient should be discussed with your plastic surgeon. Choosing the right injectable filler is based on understanding where they can be placed, the risk of side effects, how long they will last and how much they will cost. Natural collagen is what gives the skin a supple and youthful appearance. As we all age, wrinkles and loss of volume comes from the break down of our natural collagen. One of the best ways to achieve more youthful skin is to replenish the volume your skin has lost. Medical fillers can enhance fullness within minutes all while stimulating the production of your natural collagen.

We offer free consultations to discuss these issues and personalize your treatment plan. Call us 801.331.8554 or contact us to set up your consultation.

More detailed information and answers to common questions can be found here:

Breast Augmentation Funnel

Patients seeking breast augmentation invariably ask about scars. Will I have them? Where will they be located? How big or noticeable will they be? One of the advantages saline implants have over silicone is the ability to place the implant (which is initially deflated) through a small incision, then to inflate them once they are in position. This is not possible with silicone implants because they are fully filled prior to insertion, which requires a larger incision. One method to decrease the length of the incision, and in turn, the scar, is to use a funnel device.

The funnel device, known as the Keller Funnel, is shaped similar to a pipping bag a pastry chef would use to put icing on a cake. Here the implant is placed into the large portion of the funnel and the smaller end is placed into the incision. The implant is then delivered out of the bag through the small opening and into the pocket created in the breast. The funnel itself is a sterile device that is used for a single patient and then discarded.

This device was recently updated, now known as the Funnel 2, the new iteration is clear which allows for better positioning of the implant within the pocket. Along with better positioning of the implant and a smaller scar for most patients, the funnel also aids in potentially reducing the risk of infection. The implant is not directly touched when being placed it in its position, which means it doesn’t come in contact with the bacteria on one’s hands. In addition, it has a low friction surface which allows for easier, quicker insertion than manually pushing the implant into place. This method also reduces the trauma placed on implant and therefore reduces the risk of rupture.

A final potential advantage to using the funnel is reducing the overall time of the operation. The implant is quickly delivered, reducing risk to the patient related to anesthesia time, as well as the added benefit of reducing operating room cost.

I am happy with the use of the Keller Funnel and employ it in my breast augmentations without increased cost to my patients.

Mommy Makover

Among the many options for surgical enhancement, the mommy makeover ranks high among Utahans. This reflects the states population of healthy active mom’s who tend to have numerous pregnancies and often begin motherhood at a relatively young age. The goal is to reverse or undo some of the changes which occur to the breasts and abdomen as a result of multiple, often close together, pregnancies. This enhancement isn’t about changing the look of the person, but more of a restoration to a previous form.

Mommy makeover can include a collection of procedures to the breasts and abdomen, often combined in one surgery. The list of procedures that can be performed is long and the best options will be different for each individual patient. Common changes of pregnancy that are corrected are sagging and deflated breasts, excess skin, stretch marks or bulging to the abdomen. Options for enhancement include: breast augmentation, abdominoplasty (aka tummy tuck) with its variations of extended abdominoplasty, mini-abdominoplasty, marriage abdominoplasty, etc), liposuction, mastopexy (aka breast lift), breast reduction, etc.

Recovery after any procedure will depend on the nature and course of the operation itself. In general, after breast augmentation combined with an abdominoplasty patients stay overnight in the surgical center. Once patients are home they are limited in lifting or heavy exertion at least until seen in follow-up, which is within 3-5 days. Typically patients feel ready to return to work within 1-2 weeks. Patients will have some days that are better than others, but the general feeling after surgery is elation at the results.

For more information on what Dr. Marion can do for your Mommy Makover visit our procedure webpage here, or call to schedule a free consultation and see what Dr. Marion would recommend for you specifically.