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Why Choose Dr. Parakh?

Dr. Parakh, MD, FACS, is a meticulously detailed and precision-oriented plastic surgeon who takes great care to create a welcoming practice space where patients feel at ease and receive personalized attention. Early in life, she was inspired by her physician parents’ dedication to the art and science of the medical field. Today, Dr. Parakh is a sought-after leader in her industry, drawing clients from not only Englewood, NJ, but from all over the country and the globe.

Dr. Parakh is certified by The American Board of Plastic Surgery (ABPS), ensuring she has undergone extensive specialized training, completing exhaustive oral and written examinations to excel at any aesthetic procedure she performs. Dr. Parakh has been recognized as one of the Castle Connolly Regional Top Doctors®: 1st Edition and Castle Connolly Top Doctors for the New York Metro Area in 2019, 2020, and 2021. Additionally, Dr. Parakh has been named as one of Bergen County’s Top Doctors in the field of plastic and reconstructive surgery.

After completing her General Surgery training at the New York Presbyterian Queens Hospital, Dr. Parakh was accepted at the highly competitive combined Plastic Surgery training program at Cornell and Columbia Universities at New York Presbyterian Hospital. She also underwent additional elite training at the prestigious Manhattan Eye, Ear and Throat Hospital, Lenox Hill Hospital, Memorial Sloan Kettering Cancer Center, and Hospital for Special Surgery.

Smiling shirtless man wearing white gym shorts.

What is Gynecomastia Treatment?

Gynecomastia is a common but treatable condition in which a man’s glandular chest tissue becomes enlarged, compromising the upper body aesthetic. Gynecomastia can occur in males of all ages and is typically caused by hormonal fluctuations, medications or usage of steroids. To treat this concern, Dr. Parakh can utilize both liposuction and excision to sculpt a flatter, more chiseled physique.

What Causes Gynecomastia?

While it is difficult to trace the exact cause of gynecomastia, research has shown that the condition may be due to an imbalance between the hormones estrogen and androgen. Low testosterone (hypogonadism) in some men may also be a culprit. Note that being overweight is not necessarily an indication of gynecomastia. Some patients suffer from pseudogynecomastia rather than medically diagnosed glandular tissue overgrowth. Root causes of gynecomastia may include the following:

  • Steroid use
  • Kidney, thyroid, or liver disease
  • Adrenal tumors
  • A genetic condition (Klinefelter Syndrome)
  • Fungal or bacterial infections
  • Abnormalities in the prostate gland
  • Certain medications prescribed for mental health
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What Are the Advantages of Gynecomastia Treatment?

  • Creates a more masculine-looking upper body appearance
  • Sculpts, trims, and refines the chest
  • Removes fat, breast tissue, and excess skin
  • Allows patients to expand their clothing options
  • Enhances social comfort and self-confidence
  • Long-lasting results
  • Effective where diet and exercise have failed

Who is a Good Candidate for Gynecomastia Treatment?

Ideal candidates for treatment of gynecomastia in New Jersey are men who are frustrated by enlarged breast tissue and feel self-conscious when going shirtless. They may have tried dieting and exercise in the past to no avail.

Good candidates are at or close to their ideal weight, are non-smokers in good health, and have realistic expectations for what the treatment can accomplish. A private consultation is required, however, in order to ensure the procedure will be the right fit for your body contouring goals.

A photo of pink & white flowers in Dr. Parakh's office.

How is Gynecomastia Treatment Performed?

Liposuction

Liposuction can be used to remove excess fat cells and restore a flatter, more streamlined chest appearance. It is typically performed under IV sedation. A cannula, or slender suction tube, is threaded through a small incision near the armpit area away from the chest. The fat is then vacuumed out of the area and discarded. Dr. Parakh also utilizes a special arthroscopic cartilage shaver that can break up tough glandular tissue through the liposuction incision, leaving no visible scars on the chest. After gynecomastia treatment, patients will need to wear a compression garment for several weeks to minimize swelling.

Excision

When there is excess breast tissue and skin, a skin excision procedure will be necessary to achieve proper contours. Incisions are carefully created encircling the areolas, where scarring will later be inconspicuous in the darker pigments of the region.

Additional incision in the breast fold may be required. Once the excess skin and tissue are removed, Dr. Parakh will close the incisions with fine sutures, and a compression garment is fitted.

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What Can I Expect From My Recovery?

Recovery times will vary depending on where the patient undergoes excision, liposuction, or both in combination. In the case of excision, drains may be placed for 2-3 days to escort excess fluids and blood out of the body. A compression garment will be provided, along with prescription pain medications, to help ease any lingering discomfort after surgery.

Minor swelling, bruising, and tenderness are all normal side effects, but these will dissipate over time. Most patients can resume work within about a week or two and can expect to return to their exercise routines within 3-4 weeks.

FAQ

What are the risks?

Can male breasts grow back after surgery?

What are the risks?

Dr. Parakh works to minimize surgical risks through a conservative and detailed approach. However, as with any aesthetic procedure, some degree of risk is always present. These may include poor reactions to anesthesia, bleeding, blood clots, asymmetry, contour irregularities, temporary numbness, changes in skin sensation, seroma, infection, poor wound healing, and unfavorable scarring, among others.

Can male breasts grow back after surgery?

For most patients, results are long-term and sustainable over time. However, if a patient gains weight, uses steroids or other drugs, or experiences hormone fluctuations, a recurrence of enlarged breast tissue is a possibility.

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