Author Archives: Rexford Surgical

Why are More Men Seeking Male Breast Reduction?

More and more men are seeking male breast reduction with the rise of gynecomastiaNew figures published by the British Association of Aesthetic Plastic Surgeons (BAAPS) indicate a record number of “man boob” reduction operations, as the surge in demand outstrips that for all other cosmetic procedures, including women’s breast enlargement. In the last few years, overall male cosmetic procedures have increased by 21 percent, corrective surgery for breast reduction in men rose by 80 percent.

Possible Causes of the Rise in Breast Reduction for Men

Gynecomastia is the scientific name for ‘man boobs’, a condition that affects thousands of men in the UK today. While surgeons have encountered the condition in many cases, it is rarely talked about. But increased media attention has enabled men to realize the positive results that can be achieved from breast reduction surgeries, increasing patient and consumer confidence.

Hormone Levels

Gynecomastia is caused by several medical conditions that cause a disruption of hormone levels – testosterone and estradiol, as well as certain medications, like anti-depressants, some cancer drugs, and heart and liver pills. But health experts argue that obesity and anabolic steroid use are the major causes for increasing cases of male mastectomy. Most men undergoing the procedure are between the ages of 25 and 34, followed by those aged 15 to 24.

Embarrassment and Discomfort

The increasing awareness among men for their grooming needs, combined with common symptoms of breasts, such as tenderness around the nipples, discomfort, and embarrassment, has also led to the increase in ‘man boob’ procedures. There has also been a lot of pressure on men, especially between the ages of 15 and 35, to shape up. They want to have less prominence in their breast area as it affects their usual activities.

For instance, a teenager with large breasts is shy about taking off his shirt in the swimming pool or at the beach; a problem that also discourages him from taking up sports because he feels uncomfortable when undressing with team members in the locker room. Such patients are reluctant to report the problem to their parents, causing them to prolong their dilemma of inactivity in sports while inviting their peers to tease them.

All human beings have breast tissue, though some men’s breast tissue is more responsive to surges in estrogen hormone during puberty; hence, the high number of teenagers seeking male mastectomy procedures. Generally, ‘man boobs’ is a very common issue that many men experience, and some choose to fight it with dieting and exercise, while others look for a faster way out through surgery to remove the breast tissue.

Life After Breast Augmentation – FAQs – Beverly Hills Plastic Surgeon Explains

Beverly Hills plastic surgeon, Dr. Golshani, talks about life after breast augmentationThe recovery process from breast augmentation surgery varies from woman to woman. Some women have an easy time while others experience more difficulty. Recovery times are also individual, and like with any other surgery, some tend to bounce back faster than others. The recovery time also depends on the placement of the breast implants: those placed under the muscle take longer to recover compared to those placed over. The technique used also affects the recovery time.

After surgery, your breast augmentation surgeon should describe to you the basic postoperative recovery process, likely complications, and time frames for the recovery process. Some useful questions and answers include:

What is the recovery period for breast augmentation?

It typically lasts a few weeks, with some women claiming to resume their normal activities after 8-10 weeks. For the first two days after surgery, you will feel groggy and tired upon getting up, but you should receive a prescription for pain medication from your surgeon. Soreness around the breast area lasts 1-2 weeks, with common side effects such as redness, bruising, swelling, and tenderness lasting for a month or longer.

When should you resume activities?

when to resume activities after breast augmentationMany surgeons advise women to wait 4 weeks before resuming any tasks that involve physical activity, during which time you will be wearing a post-operative bra or compression bandage for positioning and extra support while healing. You should wait at least 2 weeks before performing any activities that can increase your blood pressure, including sex. Avoid all activities that involve your arms for the first 3-4 weeks.

When do you start feeling 100% again?

You will be 50% after 3-4 weeks, with slight discomfort, 75% after 6-8 weeks, and 100% in your third month, when you can function normally without being concerned about hurting yourself.

How long do incision marks take to fade?

The incisions for breast implants are usually 1-3 inches long, and are strategically placed to reduce scarring. The incision sites tend to itch as they heal, and the red scar formed tends to fade gradually in appearance for 6-12 months, returning to the color of surrounding skin. You should keep the suture lines dry and avoid rubbing creams or lotions on the incisions to avoid inflammation. If there are drains to help remove excess fluid, your surgeon will advice you on how to drain and take care of them for several days.

When should you visit a doctor?

Your surgeon should prescribe pain and/or nausea medications, and schedule for follow-up visits immediately after the surgery. But if you experience redness of the breast, warmth, fever, bleeding, and other symptoms of infection, report these signs to your surgeon for advice.

It is important to note that women who have received mammograms silicone gel-filled breast implants should receive MRI screening for silent rupture after 3 years from the date of the surgery, and every 2 years afterwards. Also, continue to screen for breast cancer, and always tell the person testing that you have implants since standard mammograms cannot see breast tissue with implants in the way, so they can use alternative methods.

Thanksgiving Healthy Eating Tips for Staying Thin (2014)

Beverly Hills plastic surgeons offer thanksgiving healthy eating tips for staying thin.Thanksgiving is almost here, a time where we are encouraged to be thankful for the many different people, opportunities, challenges, friends, family, and other positive aspects in our lives.

We wanted to personally thank our patients, readers, and followers for their sincere loyalty to use over the years. It is an honor knowing that you all have entrusted us in supporting you with your decision to improve certain areas of your life – allowing you to feel young, thin, and beautiful.

Staying Thin During Thanksgiving

Thanksgiving is meant to be about giving thanks, but many of us absolutely cannot wait to indulge in all the appetizing food. As tempting as it is, here are a few tips to keep in mind if you’re concerned about staying thin or if you simply do not want to feel guilty.

Don’t Skip Meals
– some people enjoy sleeping in and skipping out on breakfast knowing that they will be loading up during Thanksgiving dinner. We advise that you stick to your normal routine of eating so that you aren’t “going off of the deep end” come dinnertime.

Eat Healthy Options – Thanksgiving is not full of unhealthy options – in fact; many traditional options can be healthy for you. Lean turkey, yams, customized salads, we’re sure you’ll have healthy options available. Just go easy on the gravy and try pacing yourself.

– alcohol consumption typically leads to worse decisions – especially around food. For some, simple moderation on the alcohol front is enough to help them stay smart and thing throughout the day.

– working out the day after Thanksgiving is a great way to tackle the regret if you overdosed on dinner. It doesn’t take much either – a simple walk around the block is enough, but brownie points for you if you take it a step further (maybe brownie points are a great option in this scenario?).

All in all, whether you decide to indulge or not, make sure you enjoy your time with your families – and be thankful for the positive things in your life!

Happy Thanksgiving from the team here at Rexford Surgical Institute!

Just How Popular is Breast Augmentation in America?

Just how popular is breast augmentation in AmericaBreast augmentation is a wildly popular cosmetic procedure; so popular that is happens to be the #1 cosmetic procedure performed on women. For curiosity sake, ever wonder just how popular breast augmentation is in America?

Based on data provided by the American Society for Aesthetic Plastic Surgery since 1997, a specific user was able to come up with this interesting percentage.

1 in 26 women have undergone breast augmentation in America.

This amounts to around 4% of the total population of women in America. Depending on how you look at the situation, this may or may not seem like a large number. Most would likely see this as an astonishingly high number.

However, there are certain considerations to be aware of to account for the possibility of overestimating this statistic that was generated by a writer at DataLab. The considerations can be found here.

Main Takeaway from the Numbers

Regardless of whether you believe this number to be large or small, one thing is for sure: breast augmentation is indeed popular. Why is it so popular? Well, you can speculate many reasons as to why it’s a popular procedure, but it comes down to one important factor: society cares about the way you look. From job searching to your friends and family, people are quick to judge.

Cosmetic surgery is not necessarily a bad thing either. In fact, for many women it helps them restore their confidence because of a heightened self-esteem. Confidence goes a long way in our society, too. And with the advanced techniques and tools in the field offered today – breast augmentation becomes much more affordable as well as more convenient.

Dr. Golshani is a breast augmentation surgeon located in Beverly Hills and has performed a countless number of breast augmentations to many of his satisfied patients. He offers comfortable, private consultations in his office at Rexford Surgical Institute.

Removing Saline from Breast Implants to Reduce Size?

removing saline from breast implants to reduce sizeThose with breast implants are familiar with saline and how much of it was used to generate appropriate-sized breasts that catered to their needs. However, some patients receive breast implants that end up being too large for their tastes – often depressing these individuals. Many women wonder if it’s possible to remove saline from their existing breast implants in order to avoid replacing them. Is this even possible?

RSI Breast Surgeon’s Feedback

Dr. Golshani of Rexford Surgical Institute provides his very own feedback on removing saline from breast implants in order to reduce their size. The full answer is provided on where he has also answered many other thought-provoking questions related to cosmetic surgery procedures.

In short, Dr. Golshani first mentions that you should always wait at least 6 months before going back for a revision. Often times, patients quickly jump to the conclusion that they need their implants tweaked or fixed because of something they noticed early on. Make sure you follow your surgeon’s directions on post-op procedures – including healing times.

To answer the initial question… Yes, removing saline from a breast implant is possible but Dr. Golshani warns those who are considering it: “Removing saline from an implant may damage the port at the time of tubing insertion into the hub, but this is a rare event.”

Schedule a Consultation

Over-filling an under-filling implants also result in unwanted scenarios, so it’s important to discuss these matters in person with your surgeon. If you’re concerned, then schedule a consultation with a board-certified breast implant surgeon in order to discuss the matter in more detail, despite what you are able to find on the Internet. There are various factors that must be considered before deciding to remove saline from a breast implant. Surgeons cannot suggest the best plan of action unless you are physically examined in person.

Skin Care Tips to Prevent Skin Damage this Halloween

halloween skin care tips, skin care advice, skin damage, beverly hills dermatologist Halloween is a great time for dress up, which often times requires a fair amount of makeup to be applied in order to bring your costume to life. However, there are many makeup brands that will often leave its users itching to wash it off as soon as they can. Your Beverly Hills dermatologist gives you a few pointers this Halloween in order to help prevent skin damage from makeup application.

Label Reading is Key

Many cosmetic products are cheap and tempting to purchase, but cheap is not always the best. When you’re looking for various cosmetic products, make sure you are reading the labels on the back. The emotional distress from cheap products may not be worth the price tag despite the fact that you will only be using most of these products for one day/night.

Specifically you should be searching for cosmetic products that are FDA approved, made in the United States, and contain organic ingredients. This often times denotes a product of quality.

Test It

After you’ve made your purchase on a product you believe seems to be of high quality, then you are going to want to test it out on a separate area before applying it to your face.

Products may be FDA-approved, made in the US, and contain all organic ingredients, but this doesn’t mean your face will approve of it. Our best advice is to simply apply the makeup to your arm and see if there is any reaction that occurs. If there is, then you know it’s time to return that product and search for a new one.

Did You Moisturize Your Skin?

Both your body and skin need hydration. Before applying your fancy Halloween makeup, you are going to want to apply a layer of moisturizer to your face as your base. This will help your skin stay fresh and hydrated throughout the night.

Don’t Forget to Wash It Off

It’s sounds incredibly obvious, but believe it or not people will go to bed with all of their makeup on which inevitably leads to clogged pores. Clogged pores often result in nasty breakouts of acne that could have been avoided had you washed the makeup off the night before. Our advice is to set an alarm at midnight reminding you to wash it off.

We hope these tips keep you from skin damage this Halloween so that you can enjoy your time and have fun with your friends and family.

Happy Halloween from the team at Rexford Surgical Institute!

Post-Op Rhinoplasty Concern: Lump or Bump on my Nose?

rhinoplasty bumps, lumpy rhinoplasty, rhinoplasty swelling, bumps on nose rhinoplasty

Board certified professionals should make the final decision!

You decided to undergo a rhinoplasty procedure, took off the tape and splint, looked into the mirror, and were generally pleased with your new nose. However, after more careful observation, you discover what appears to be a lump or bump on or around your nose. Does this scenario sound familiar to you?

Lumps/Bumps are Common Post-Op Rhinoplasty

Many women begin wondering if their nose bumps will be permanent. The truth is, this is actually a very common occurrence in patients that have went through with a rhinoplasty procedure in order to correct or enhance the features of their nose. And no, they are not permanent.

Your Beverly Hills board certified rhinoplasty surgeon comments on the issue: “A minor bump can develop under the skin of the nose for a variety of reasons following rhinoplasty.

Causes are commonly scar tissue, underlying normal bony or soft-tissue anatomy, and underlying modified bony or soft-tissue anatomy. I don’t necessarily like steroids and use them in very dilute amounts as they can alter skin thickness or color, however it should be safe to inject them in very small amounts.

A gentle, directed massage of the nose by the patient, and only as instructed by the surgeon is sometimes helpful. If the bump doesn’t go away, it is best to wait 6 months to a year before having revision surgery.”

It May Take Some Time

Chances are, not many others will notice these bumps. We all have a tendency to scrutinize our bodies looking for any minor imperfections or flaws. This is understandable, but with any surgery there is a long period of time that is required for your body to heal.

These lumps or bumps you discover on your nose are swollen areas that are trying to heal and the more you focus on it, the longer it will seem before you get the results you seek. Stick to Dr. Golshani’s advice as he answered a concerned user’s experience with rhinoplasty on wait up to a year and see where you stand.

However, you should still get in touch with your plastic surgeon in order to make absolutely sure that the lumps or bumps are indeed a case of swelling and not a different complication such as a cartilage irregularity which can be successfully corrected by your surgeon. It’s always best to let a licensed board certified professional make the final decision.

Understanding Fall Allergies and How to Fight Back Naturally

fall 2014 allergies, understanding allergies, fighting allergies natural foods

Don’t let allergies get to you this fall, fight back naturally!

Fall is officially here (and has been for a couple of weeks now) leaving many of us who suffer from allergy-related sinus attacks in a hurry to figure out the best ways to fight back. Allergies may be so severe in some people that it causes them to believe they’re coming down with a sickness.

Understanding Fall Allergies

Many patients that seek sinus treatment often ask why their allergies cause them so much trouble. We’ll explain this concept. Allergies are commonly caused by pollen that literally floats through the air and enters your body either through your nose, mouth, ears, or eyes. During fall, most of the pollen is generated from a plant found throughout the U.S. known as ragweed.

When ragweed enters our system, our body begins to process it as a threat and therefore acts to rid of it, even though it’s harmless. It’s an autoimmune response in which the body attacks itself in order to rid itself of a foreign substance.

Allergic rhinitis, also called hay fever, is centered in the nose causing a variety of symptoms including sneezing, runny nose with mucus discharge (clear colored), watery eyes, and other bothersome symptoms that decrease our productivity. Later on, symptoms may turn into a stuffy nose, sore throat, and other symptoms related to the common cold.

Fall Foods that Fight Back

Antihistamines have shown excellent relief in treatment of fall allergies, but sometimes we prefer a more natural option. Does one even exist? Of course. Try eating more of natural fall allergy-fighting foods and see if they help you out. Don’t expect an overnight cure, however.


Some of the best fall foods also happen to aid in allergy treatment. Pumpkins, kale, and carrots are all rich in carotenoids, which can help you fight off the fall allergies naturally.

Vitamin C

Sinus problems are largely related to inflammation problems and vitamin C has shown effectiveness as an anti-inflammatory and boost to your immune system. This fall, look for broccoli as a great way to obtain a high amount of healthy vitamin C.

When All Else Fails…

If you cannot find relief through natural foods or over-the-counter medications, then sinus surgery may be your best option. It aims at addressing the cause, rather than the symptoms. Rexford Surgical Institute features a board certified sinus surgeon that uses an advanced technique to clear open your sinus passages.

Why You Shouldn’t Worry About Capsular Contracture In Breast Implants

capsular contracture breast implants

Don’t Worry, Be Happy About Your Breast Implants!

What is Capsular Contracture?

First off, it’s important to understand what capsular contraction is and how it can potentially arise. Capsular contracture is a phenomenon that has a very low possibility of occurring after breast augmentation procedures such as receiving breast implants.

We’ll illustrate the situation for you. You just received your breast implant, which in your body’s eyes is a foreign object that it is not exactly sure what to do with. Naturally, our body prevents the object from growing or moving around by forming a capsule of scar tissue around it. Again, this is all supposed to happen. Now, if this capsule begins to contract, or increase in size, then it has a possibility of squeezing the implant causing symptoms such as pain, stiffness, shifting, distortion, and breast hardness. The contracting of this capsule is known as capsular contraction.

Should You Be Worried About Capsular Contracture?

Women who are aware of this phenomenon will often worry is it will happen to them. Dr. Golshani, a board certified breast augmentation surgeon, took it upon himself to address this concern on a popular community known as A concerned user wanted to know what her options would be if capsular contracture had occurred in her 11-month-old breast implants.

Dr. Golshani’s Response: “At 11 months, with saline implants the chances of capsular contracture are very low, but it could still happen. Mobilization, Shoulder rolls, Singulair off-label use are all ways to prevent is from progressing as well as the use of a bandeau. But I wouldn’t worry about it yet if you don’t have any symptoms.

Rates of capsular contracture have been as high as 20-30%, but these risks can be lowered with the use of 5th generation textured silicone implants under the muscle, modern scientifically supported surgical techniques, and good patient compliance.The new 5th generation Silicone textured implants under the muscle have superior look and feel, and one of the companies has a capsular contracture rate reported at less than 5%, and they even provide a warranty against capsular contracture within the first two years based on their research results.”

In short, no you should not be worried about capsular contracture because there’s a very low chance of it occurring, especially in saline implants and with modern surgical techniques. However, if you are still worried then there are precautions you could follow in preventing it.

Preventing Capsular Contracture

If you are unable to shake the anxiety off of your shoulders, then there are a few steps you could take in further decreasing your already low chances of capsular contraction from occurring.

-Follow any post-op procedures that your surgeon advises.
-Take any medication as prescribed by your surgeon.
-Quit smoking before and after your surgery to allow for a quicker recovery.
-Light physical activity. You want to make sure to avoid adding pressure to the area if you decide to exercise.
-Do not expose yourself to radiation. Make sure any doctors are aware of your procedure before trying to give you an x-ray.

Board Certified

If for any reason you suspect capsular contraction is occurring in one, or both, of your breasts, then you could seek out a board certified breast implant surgeon who can give you a full evaluation in determining if this phenomenon is occurring and then suggest the following steps in order to reverse and correct it.

Dr. Golshani is a board certified Plastic Surgeon that has been performing breast augmentation procedures for over a decade. Visit our website or contact our office if you have any questions or inquiries regarding breast implants or other breast augmentation procedures.

Nose Job Surgery: Can Rhinoplasty Fix a Crooked Nose?

crooked nose surgery,  rhinoplasty straighten nose

Consult with a board certified plastic surgeon!

The nose is one of the most prominent features of our face. Unfortunately, many people suffer from a crooked nose that ranges in severity. Over time, a crooked nose will begin to take a toll on an individual’s self-image and confidence, leading them to search for answers, feedback, and support from friends, family, and even the Internet.

Yes, Rhinoplasty Can Fix a Crooked Nose

Rhinoplasty is a procedure that will not only straighten a crooked nose, but also will restore facial symmetry and reconstruct your nasal passages allowing you to breathe efficiently. A common problem those with a crooked nose suffer from is a constricted or obstructed airway that results in breathing abnormalities, also known as a deviated nasal septum. When reconstruction of the nasal passage is involved, then the procedure is referred to as a septoplasty. Both procedures correct the aesthetic appearance of the nose, while also restoring normal function.

I’m Not Sure if I need Rhinoplasty…

Dr. Golshani addresses many concerns on a popular community for discussing cosmetic procedures known as In addressing a user’s concern towards rhinoplasty, Dr. Golshani mentions “As for the aesthetic need for rhinoplasty that is a subjective evaluation and I would advise that you trust your feelings about your nose even more than the opinions thrown at you by other people. If you’re not sure whether you need cosmetic rhinoplasty, keep your natural self, and don’t hide it under minor interventions.” In other words, if you are struggling to make up your mind, then rhinoplasty may not be for you.

However, consulting with an experienced, board certified professional may be able to help you make a more informed decision on the subject matter.

Always Go Board Certified

You should always consult a board certified rhinoplasty surgeon if you’re considering the procedure. Board certified surgeons are more experienced than non-board certified general surgeons, as they possess more experience having performed thousands of procedures to satisfied patients, which effectively reduces your chances of developing risks such as infection.

Look for surgeons that are certified by the American Board of Plastic Surgeons, American Board of ENT, Head, and Neck Surgery, or American Board of Facial Plastic Surgery.

Dr. Golshani of Beverly Hills is board-certified and performs rhinoplasty and septoplasty, having performed many procedures for his patients with successful results. Consult with him today for free! You will be sure to receive a confidential thorough analysis.