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While patients can almost always identify what they don’t like about their breasts, they don’t always know which operation will best address their concerns. While a breast lift surgery (mastopexy) and breast augmentation  share many features, they are very different operations designed to accomplish very different goals. If you’re dissatisfied with your breast size and […]

If you’re tired of hiding your “man boobs” with baggy clothes and want to enjoy summer without worrying about how your chest looks when shirtless, you’ve probably been considering gynecomastia surgery. While gynecomastia surgery can help you feel excited to wear fitted shirts with confidence or head to the beach without hesitation, you might have […]

Naturally, patients over 30 begin to lose the elasticity of their skin. The best way to think about your skin is to imagine it as a rubber band. When we’re young, our skin is like a new rubber band, fresh and highly elastic. When we stretch the rubber band out and let go, it snaps […]

In most cases, modern implants last 10–20 years or longer, depending on a variety of factors. Some people go decades without any issues, while others may need a breast implant revision or replacement significantly sooner. If you’re thinking about breast augmentation, you know that it’s a worthy investment in your appearance and your confidence. However, […]

If you’ve spent any time online reading about plastic surgery of the breast, whether it’s a breast lift (mastopexy), breast augmentation, breast reduction, or even implant removal—I’m going to guess you’ve come across the term “internal bra” more than once. If this is true, I’m also going to guess that, like so many of my […]

As you start researching gynecomastia treatment, one of the biggest considerations is often cost. The price of gynecomastia treatment can vary widely depending on your anatomy, surgical plan, and provider. If you’ve ever changed outfits multiple times before leaving the house or skipped plans altogether because of how your chest looks in certain clothing, you […]

One of the most common questions patients ask during their gynecomastia consultation is whether they will need surgical drains during recovery. Gynecomastia, or enlarged male breast tissue, is a more common problem than many people realize. It can develop due to a variety of factors, including hormonal changes, certain medications, weight fluctuations, or genetics, and […]

“When will we talk about how to take care of my scars?” This is by far one of the most common questions I get from patients—often before surgery has even happened! So, I figured it was time to talk about this and put my philosophy on scar care down on paper once and for all. […]

Dr. Alexander Gougoutas is proud to be featured on this distinguished list of top Seattle plastic and reconstructive surgeons, endorsed by his surgical peers because of his experience, results, and high level of care and training. When exploring your plastic surgery options, the most important step is finding the right plastic surgeon for your procedure. […]

Have you noticed that your breasts seem to be slowly migrating downward? Maybe you’ve lost weight or have gone through pregnancy and breastfeeding. Maybe the natural aging process and gravity are starting to change the way your body looks. Or maybe you have breast implants which no longer seem centered under your breasts? Whatever the […]