Sourced directly from Dr. Darrick E. Antell,'s social posts and replies.
Is gynecomastia surgery an outpatient procedure?
Yes, gynecomastia surgery is an outpatient operation.
Does Dr. Antell recommend filler treatments during pregnancy?
Dr. Antell personally believes it is not a good idea to undergo filler treatments while pregnant.
What should I do if I have existing fillers and am anticipating pregnancy?
If you have existing filler and are anticipating pregnancy, some recommendations include either leaving the filler in place or dissolving it.
How does recovery for a chin implant compare to a sliding genioplasty?
In most cases, a chin implant offers a much easier and shorter recovery period compared to a sliding genioplasty.
When is a sliding genioplasty (osteotomy) indicated?
A sliding genioplasty (osteotomy) may be indicated when there is a need to shorten the chin or precisely adjust its vertical height.
How is a hemangioma diagnosed?
A hemangioma can be identified using a blanching test: when pressure is applied (e.g., by pushing on it or using a glass slide), the lesion will temporarily go away as blood is pushed out. If the redness does not disappear, it may indicate a different type of lesion.
What is the patient experience like during hemangioma removal?
Dr. Antell performs hemangioma removal using a 'zap' method. The procedure is quick, easy, and patients are typically comfortable throughout.
What are the ABCDEs of melanoma detection and when should I see a doctor?
Melanoma, the most serious type of skin cancer, can be curable with surgery if detected early. Dr. Antell advises watching for the ABCDEs: Asymmetry (uneven shape), Border irregularity, Color variation, Diameter (typically > eraser head, but not always), and Evolving (changing shape or size). If a lesion is changing, it's a reason to have it biopsied and potentially removed. Always consult your doctor for suspicious skin lesions.
Who is a candidate for chin reduction surgery?
Chin reduction surgery is indicated for individuals whose chin is too large, either due to excessive forward projection or being vertically too long.
How is chin reduction surgery performed?
Chin reduction surgery can be performed through an incision typically placed under the chin or inside the mouth. Dr. Antell uses a burr to grind down the chin bone, either on the front to reduce projection or in the vertical dimension to reduce height.
What are the options for increasing chin projection?
Both chin implants and sliding genioplasty can effectively increase chin projection.
What are the goals and methods for chin contouring?
Chin contouring can be performed to lighten, feminize, or masculinize the chin. For a more masculine look, the chin area can be strengthened using fillers or specific chin implants designed to add volume in certain areas without necessarily increasing overall prominence. Both chin fillers and implants can enhance one's profile.
Are there anatomical differences in chin shape between men and women?
Yes, the chin area in women is typically a little bit narrower compared to men.
What is a sliding genioplasty and what can it achieve?
A sliding genioplasty is a surgical procedure where the chin bone is separated and then 'slid' into a new position. This allows for precise adjustments, including sliding it forward, tilting it if crooked, making it longer, or even making it smaller, offering more comprehensive contouring capabilities than a chin implant alone.
What is the primary purpose of a chin implant?
The primary purpose of a chin implant is to make the chin bigger or more prominent.
How does a sliding genioplasty compare to a chin implant in terms of invasiveness?
A sliding genioplasty is considered a bigger operation compared to a chin implant, offering more extensive contouring options but also typically involving a more involved recovery.
What are 'Slimplants' or 'mini-boob jobs'?
Slimplants, also known as 'mini-boob jobs,' refer to athletic-looking breast implants designed to provide a more subtle enhancement rather than a dramatic increase in size.
How does Dr. Antell help patients visualize breast implant sizing?
Dr. Antell uses Sizer implants, such as a 125cc Sizer, which are manufactured to help patients visualize what an implant might look like in a bra during consultation.
How does Dr. Antell measure breast implant size?
Dr. Antell measures breast implant size by volume in cubic centimeters (cc's), not by bra cup size. He sometimes uses a 500cc bottle of spring water as a reference for implant volume.
What is the process for determining breast implant size?
While it's best to visit the practice to try on Sizer implants, patients can also perform a 'rice test' at home. This involves putting rice in a baggie, placing it in a bra to simulate size, then measuring the volume of rice and emailing it to the practice. Dr. Antell's team can then convert this volume into cc's for implant sizing.
What is gynecomastia?
Gynecomastia is defined as a male breast that is slightly larger than what would be considered normal.
How does gynecomastia affect patients?
Many men with gynecomastia feel self-conscious, especially when wearing golf or polo shirts, due to their protuberant breasts not appearing masculine.
Can gynecomastia be resolved with diet and exercise?
No, some individuals cannot eliminate gynecomastia through diet, exercise, or intense workouts. In such cases, surgical excision is necessary to remove the protuberant breast tissue.
What are the surgical options for gynecomastia treatment?
Dr. Antell offers multiple surgical methods for treating gynecomastia. These can include liposuction alone, performed through a tiny incision out to the side of the chest, or through a small incision around the edge of the areola. The procedure involves 'scooping out' the protuberant breast tissue.
Are cosmetic fillers dissolvable?
Yes, most cosmetic fillers are dissolvable within 24 hours, which Dr. Antell considers a valuable aspect to consider.