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The purpose of this blog is to inform, update, and at times to entertain you about plastic surgery and the happenings around Advanced Cosmetic Surgery Center.

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What Causes Male Breast Enlargement?

Posted by administration on September 04, 2017

Male_Breast_Reduction.pngWhile often not a serious medical problem, enlarged breasts in men can be painful. It can also cause embarrassment, especially among young boys who may be teased because of their breasts. This condition, technically known as gynecomastia, is especially common in teen boys. Up to 65% of 14-year-old boys have enlarged breasts. This is largely due to the fluctuations in sex hormones that occur during puberty. For most of these boys, between 75-90%t, the excess breast tissue disappears without treatment within three years.

In most cases, the cause of enlarged breasts in men is unknown. Among older men, gynecomastia often results from decreasing levels of the male sex hormone testosterone which diminishes with advancing age. In addition, men experience an increase in body fat with age and a resultant rise in the ratio of the female sex hormones (estrogens) to the male sex hormones (androgens).

Certain medications and drugs may also cause male breast enlargement, including:

  • Anti-androgens used to treat prostate enlargement or cancer and some other conditions
  • AIDS medications
  • Anti-anxiety medications
  • Tricyclic antidepressants
  • Antibiotics
  • Ulcer medications
  • Cancer treatments
  • Heart medications
  • Anabolic steroids and androgens
  • Alcohol
  • Amphetamines
  • Marijuana
  • Heroin

Diseases may cause enlarged breasts as well. These may include:

  • Any conditions that interfere with normal testosterone production
  • Some tumors such as those involving the testes, adrenal glands or pituitary gland
  • Hyperthyroidism (the thyroid gland produces too much thyroid hormone)
  • Kidney failure
  • Liver failure
  • Malnutrition

In some cases, the appearance of fat on the chests of men and boys is not gynecomastia but pseudogynecomastia, a condition that may resolve with diet or exercise. By contrast, true gynecomastia will not improve with diet and exercise.

To learn more about what causes male breast enlargement or how to treat gynecomastia, contact Advanced Cosmetic Surgery Center at 303-367-9000 or to schedule a consultation with Dr. Serota.

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Breast Surgery Bra

Posted by administration on September 04, 2017

Breast_Surgery.jpgWomen who have had breast surgery - reconstruction, reduction, mastectomy or augmentation - are usually instructed by their doctors to wear a post-surgical bra for a specified amount of time. It’s a crucial step in healing and therefore, an important purchase. So, what exactly should you look for in a post-surgery bra?

For the first several weeks of recovery, patients should wear a comfortable, supportive bra that will also aid in healing and allow for a faster and easier recovery. It should be elastic enough to conform to the breast shape in order to provide gentle compression as well as strong support.

Suggested breast surgery bras have the following qualities:

For starters, the bra should be wire-free. Underwires will not only aggravate soreness but can also inflame the incision and can compromise the healing process.

You will want a bra that provides full-coverage – this isn’t the time for balconettes and demi-cups.

A soft and stretchable band around the body will provide gentle support to the breasts while also being comfortable for the patient and accommodating the expected normal swelling.

Soft, breathable materials, such as cotton, allow airflow that aids in healing. A racerback-style bra is structurally more stable and will prevent the straps from falling off the shoulders and needing to be repeatedly adjusted.

A bra that hooks or clasps in the front will be far easier and less painful to put on and take off as compared to bras that are secured in the back and require considerable contortions to manipulate.

Most of all, it is important that your breast surgery bra provides proper support as your breasts adjust to their new shape and size. Good support reduces pain and swelling, protects tender tissue and can speed healing.

During your breast surgery consultation, Dr. Serota can help you choose the type, style and size of bra that you will need based on your individual circumstances.

Breast surgery, whether it is an augmentation, reduction, lift, revision or reconstruction, usually results in improved self-esteem and quality of life. If you are interested in enhancing your appearance and improving your quality of life with breast surgery in Denver, contact Advanced Cosmetic Surgery Center at 303-367-9000 or

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Types of Breast Implants

Posted by administration on August 27, 2017

Breast_Implants.jpgDecisions, decisions, decisions. Once you have decided to undergo breast augmentation with implants, you will have a host of other important decisions to make.

One perk about breast implants is that there are several types to choose from. With multiple options available, how do you know which type of breast implant is right for you?

Choosing the right size for your new breast implants is important. The #1 reason that women go back for breast revision is because they wish they had chosen a larger size. However, bigger isn't always better and it isn’t for everyone — especially if you have a tiny frame. Once you have decided on your implant size, the type of breast implant will need to be chosen.

Silicone implants typically offer a more natural look, resembling normal breast tissue. However, silicone implants are more expensive, require a longer incision and can be complicated if they should rupture. Although they had been taken off the market by the FDA for several years due to safely concerns, studies have shown these implants to be safe.

Saline implants on the other hand are less expensive, require a smaller incision, can be adjusted in terms of the volume and it is very easy to know if they are ruptured. If a saline implant ruptures, it deflates, the body absorbs the saline and then the implant goes completely flat. However, these implants can feel a little firmer and unnatural in many cases. However, for some women, the saline implants can feel as natural as the silicone. Generally, these women have a fair amount of their own breast tissue and are not using very large implants. Unlike silicone implants, saline breast implants have remained on the market throughout the past several decades and are an excellent option for many women.

Implant fill — silicone or saline — is only one piece of the puzzle. Other choices include the implant surface (textured or smooth?), implant shape (round or contoured?) and implant profile or projection. To learn more about types of breast implants and what options are best suited for you, contact Advanced Cosmetic Surgery Center at 303-367-9000 or to schedule a consultation with Dr. Serota

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Why Get a Tummy Tuck?

Posted by administration on August 27, 2017

Tummy_Tuck.jpgMany patients, particularly women, mistakenly think that liposuction will solve their stomach woes. After all, the procedure can solve many body shape problems due to excess fat. Saddlebags, love handles, muffin tops, double chins, cankles and much, much more can be removed with liposuction. What liposuction cannot do, however, is fix body shape problems caused by skin that is loose or hanging. Instead, a tummy tuck is usually the more appropriate procedure.

So, why should you get a tummy tuck? If you have one or more of the following issues and want a flat abdomen (not just a less fat version of what you currently have), a tummy tuck will likely give you the results you desire.

Tummy Tuck for Loose Skin: It's common for skin around the stomach to stretch during pregnancy or when you've gained a significant amount of weight. Unfortunately, oftentimes after you've had the baby or dropped the pounds, the abdominal skin just doesn't bounce back. Instead, it may appear to be permanently stretched out and resistant to change, no matter how many crunches you complete or how much weight lifting you do. If your skin simply refuses to go back to its original shape, it may mean it's time for a tummy tuck. 

Tummy Tuck for Abdominal Crease: An abdominal crease is simply a fold in the stomach skin that appears as a result of excess skin on either side of the fold.

Tummy Tuck for Belly Overhang: Belly overhang occurs when the skin of the abdomen hangs down. The skin may end up covering the top portion of a person’s underwear or pants. 

Tummy Tuck for Frowning Belly Button: A belly button normally takes on a circular or oval shape. If the belly button appears to be frowning, it can be an indicator of loose or excess skin and fat. If you want to expose your stomach on the beach or while exercising and feel self-conscious about your navel, a tummy tuck may help.

If you have any of these abdominal problems, a tummy tuck may improve or correct them, but it’s important to have a cosmetic plastic surgeon evaluate your individual needs. Contact Advanced Cosmetic Surgery Center at 303-367-9000 or to schedule a tummy tuck consultation today!

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Neck Lift

Posted by administration on August 20, 2017

Neck_Lift.jpgConcerned about what aging is doing to your neck? You’re not alone. For many people, the neck is the first area to show age. The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions and stress. Sagging neck skin can also be a result of significant weight loss. Whether you suffer from band lines, excess skin, or fat, a neck lift can bring your neck back into a youthful shape.

Neck lifts are commonly performed cosmetic treatments. A neck lift is a surgical procedure that improves visible signs of aging in the jawline and neck.

Neck lift surgery can treat:

  • Excess fat and skin relaxation in the lower face that creates jowls
  • Excess fatty deposits under the chin
  • Loose neck skin
  • Muscle banding in the neck

A neck lift typically includes liposuction to remove excess fat under the chin and/or surgery to trim away excess skin. Neck lifts are primarily performed on an outpatient basis. During neck lift surgery in Denver, Dr. Serota makes incisions under your chin or behind your ears depending on the degree of laxity. Advanced Cosmetic Surgery Center offers many neck lift procedures for both men and women that result in a younger, more vibrant look – and overall outlook.

Rejuvenation procedures that can be performed in conjunction with a neck lift include:

Brow Lift: to correct a sagging or deeply furrowed brow

Fat Transfer: to add fullness to the lips and cheeks and reduce the appearance of wrinkles

Eyelid Surgery: to rejuvenate aging eyes

An elegant neck contour is not only associated with a youthful appearance, but also with health and vitality. If you don’t like the look of your neck, contact Advanced Cosmetic Surgery Center at 303-367-9000 or to schedule a consultation with Dr. Serota. 

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To find out more about our cosmetic procedures please contact us or take our online cosmetic self evaluation to find out what procedures might be best for you. To schedule your personal consultation with the Advanced Cosmetic Surgery Center in Aurora, Colorado call 303-367-9000.