Gynecomastia: Causes, Grades & Surgery Options

Gynecomastia: Causes, Grades & Surgery Options

Gynecomastia: Causes, Grades, and Surgical Treatment Options Dr. Alain Polynice discusses gynecomastia, the overdevelopment of male breast tissue that often begins during puberty and usually resolves, but can persist in some men. He explains contributing factors such as medications like finasteride, steroid use, marijuana use, and rapid weight loss from GLP-1 medications like Ozempic, which can worsen chest tissue changes. Gynecomastia is described in four grades, from mild enlargement to severe cases with drooping (ptosis). Treatment options range from chest liposuction for mild cases to combined liposuction with a small incision under the areola to remove glandular breast tissue, and more advanced cases may require a breast lift to tighten excess skin. Removed tissue is sent to a lab for analysis due to the rare possibility of male breast cancer. 00:00 Gynecomastia: Causes, Grades, and Surgery Options 00:13 Introduction 00:26 What Causes Gynecomastia? 00:57 The 4 Grades Explained 01:15 GLP-1 & Ozempic Effects 01:30 Surgical Options https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Post Pregnancy Breast Reconstruction Options

Body By Poly Podcast with Dr. Alain Polynice Restoring Breasts After Pregnancy & Breastfeeding: Lift, Implants, or Fat Transfer This episode explains how pregnancy and breastfeeding can enlarge the breasts and later lead to volume loss, overstretched skin and ligaments, and drooping. It outlines three restoration options: a breast lift alone, a lift with implants, or a lift with auto-augmentation using the patient’s own tissue. If there is enough breast tissue, a lift can reposition and preserve it while removing excess skin to restore shape and fullness, but upper-pole volume loss may require additional augmentation. The script also describes fat transfer as a popular approach: after a lift, fat is harvested from areas like the tummy, flanks, or hips, filtered, and reinjected under the skin to naturally restore upper-pole volume, improve symmetry, and add fullness. It emphasizes considering these options after finishing breastfeeding and pregnancy. 00:00 Mommy Breast Changes 00:24 Why Breasts Droop 00:39 Three Surgical Options 00:52 Breast Lift Alone 01:08 Lift With Implants 01:17 Lift With Fat Transfer 01:42 When to Consider Surgery 01:53 Final Recap https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

GLP-1's & Surgery Risk

Ozempic & Surgery: Why One Shot Can Raise Aspiration Risk Under Anesthesia Dr. Alain Polynice explains that GLP-1 medications like Ozempic can delay gastric emptying, causing food to remain in the stomach longer than expected and increasing the risk of reflux and aspiration during general anesthesia, which can lead to serious, potentially life-threatening aspiration pneumonia. He emphasizes stopping GLP-1 medications before any surgery to reduce this danger, noting that the American Society of Anesthesiologists recommends discontinuing them at least one week prior, while he takes a more conservative approach by advising patients to stop all GLP-1 medications two to three weeks before surgery to minimize the chance of aspiration during anesthesia. 00:00 Ozempic Surgery Warning 00:24 Why GLP-1 Slows Digestion 00:32 Fasting Risk Under Anesthesia 00:39 When to Stop Before Surgery 01:04 ASA Guidelines Update 01:20 Conservative Two-Week Rule 00:00 Final Safety Takeaway https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Peptides Explained: Benefits, Risks, and What to Know Before Using Them

Peptides Explained: Benefits, Risks, and What to Know Before Using Them Dr. Alain Polynice explains what peptides are—short-chain amino acids that can regulate body functions—using insulin as an example. He discusses the growing use of peptides among patients, noting that some are controversial due to limited human research and lack of FDA approval. He highlights peptides like BPC-157 and TB-500 for potential tissue, gut, and soft tissue healing after surgery, and mentions growth hormone–related peptides such as CJC and ipamorelin. He cautions that peptides are easy to buy online but quality is uncertain, urging “buyer beware.” He recommends discussing peptides with a qualified physician, obtaining them as prescribed medications, and sourcing them from an FDA-approved compounding pharmacy while doing thorough research. 00:00 Peptides Explained 00:44 Benefits and Examples 01:04 Growth Hormone Peptides 01:12 Safety and Sourcing 01:24 Doctor Guidance 01:44 Final Cautions https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Ozempic Body & Skin Laxity: Plastic Surgery Considerations After Rapid GLP-1 Weight Loss

Ozempic Body & Skin Laxity: Plastic Surgery Considerations After Rapid GLP-1 Weight Loss Dr. Alain Polynice discusses Ozempic/GLP-1 medications, rapid weight loss, and the resulting “Ozempic body” skin laxity seen in many patients who lose large amounts of weight quickly and dislike the loose skin in areas such as the neck, arms, breasts, abdomen, buttocks, and thighs. He explains that skin often cannot retract fast enough, leading to a need for tailored combination or staged procedures like tummy tucks, lower body lifts with thigh lifts, arm lifts, and breast lifts. He also notes GLP-1–related muscle loss as an important factor in surgical planning. Key pre-op guidance includes being weight-stable for 3–6 months on a maintenance dose and stopping the medication 2–3 weeks before surgery due to delayed gastric emptying and increased reflux/aspiration pneumonia risk. 00:00 Ozempic Body Explained 00:23 Loose Skin After Rapid Loss 00:53 Combination Body Contouring 01:20 Muscle Loss Considerations 01:50 Timing Surgery Safely 02:16 Stopping GLP-1 Pre Op 02:43 Wrap Up Key Takeaways https://www.bodybypoly.com https://www.youtube.com/@bodybypoly