Dr. Ghricko Blog

Gynecomastia surgery

More men than ever are seeking to remedy male breast with surgery according to the American Society for Aesthetic Plastic Surgery’s latest statistics.

More men are seeking out aesthetic enhancements and refinements, particularly when it comes to ridding themselves of excess fat and tissue in the form of male breast reduction, for the treatment of gynecomastia. There was a 25% increase in the number of men undergoing this procedure from 2014 – 2015 according to ASAPS’ latest statistics.


Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease or the use of certain drugs. It can cause emotional discomfort and impair your self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • A combination of both excess fat and glandular tissue
  • Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts)

Gynecomastia surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

This procedure is a good option for you if:

  • You are physically healthy and of relatively normal weight
  • You have realistic expectations
  • Your breast development has stabilized
  • You are bothered by the feeling that your breasts are too large

Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue.

The American Society for Aesthetic Plastic Surgery’s (ASAPS’) preliminary survey findings from its procedural statistical data for the 2015 calendar year suggest that both surgical and nonsurgical procedures are on the rise. Both men and women are partaking in a variety of aesthetic procedures in steadily increasing numbers. Surgical procedures are up 7% with 1,912,468 procedures performed, nonsurgical procedures are up 22% with 10,879,909 procedures performed, and combined surgical and nonsurgical procedures are up 20% compared to last year’s data, with a total of 12,792,377 procedures performed.

Call our office today at 508-655-7070 and schedule your personal consultation with Dr. Hricko and see if Breast Reduction surgery (Gynecomastia) is right for you.

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Top Five Reasons Patients Seek Rhinoplasty Revisions

rhinoplastyRhinoplasty is commonly called a nose job. More people than you might think are harboring desires to get their nose corrected. Commonly, people seek a first nose job to make their nose smaller, fix a deviated septum, correct bumps, fix funny angles, and more. The majority of people are satisfied with their new nose. However, some patients are unhappy with the results and seek a rhinoplasty revision to get the look desired.

Unhappy With Appearance
Surprisingly, a number of patients go under the knife several times to correct a previous rhinoplasty procedure that did not improve their appearance. Perhaps, the procedure did not produce the expected results. Often, people have an idea about the results. They want a nose that looks like their favorite celebrity or another popular figure. Even the best surgeon in the world might have difficulty producing those ideal goals.

Minor Revisions Required
Certainly, rhinoplasty is a very complicated procedure. It takes a highly skilled plastic surgeon to perform this very involved operation. Certainly, strict detail is involved every step of the way. Still, it might take two or three procedures to correct minor problems that require extra attention to get the desired results. For example, a nose that is angled incorrectly or oddly shaped.

Healing Issues
A number of people anticipate good results after the surgery. However, healing might complicate matters. For example, the patient discovers that their nose did not heal properly and they are having nasal issues. Many patients complain that bumps show up on their nose several months later. This leads to dissatisfaction with the first rhinoplasty. A revision is necessary to correct the problem.

Nose Changes
One surprising fact is that the nose will continue to change after the first nose surgery. Certainly, the majority of patients are not aware of this fact. The patient might become very dissatisfied with the changes. Therefore, the only alternative is to seek another rhinoplasty to achieve the results desired.

Unrealistic Expectations
The real deal is that a growing number of patients walk into a plastic surgeon’s office with unrealistic expectations. Many are also addicted to plastic surgery. The problem is that it is very difficult to achieve their unrealistic goals with the first surgery.

View our rhinoplasty photo gallery and contact us if you have any questions.

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Have Your Heard Of SculpSure


Innovative technology to sculpt and define

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the flanks and abdomen. It’s a state-of-the-art, controlled light-based technology, ideal for patients looking to get rid of stubborn fat.

Flat, non-suction applicator design for consistent results
Treat multiple areas in 25 minutes
Simple and efficient attachment system

Bringing the science of light to the art of body contouring

The 1060 nm wavelength’s specific affinity for adipose tissue, coupled with minimal absorption in the dermis, allows SculpSure to efficiently treat areas of troublesome fat in just 25 minutes. Over time, the body naturally eliminates the disrupted fat cells with results seen as quickly as 6 weeks and optimal results usually seen in as few as 12 weeks.

Controlled hyperthermic fat reduction
• Elevates adipose tissue temperature between 42°C and 47°C
• No damage to dermal tissue
• Contact CoolingTM for patient comfort

Defined success: 24% fat reduction
• Clinically proven in multisite trials in over 100 patients
• Over 90% patient satisfaction rate
• Comfortable and well-tolerated treatment
• Can be used on all skin types

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When Considering Breast Augmentation

1. Be prepared to discuss what is bothering you about your breasts, including: breast volume, breast sagginess, asymmetry between the breasts, nipple location and cleavage.

2. Know the options for breast implants, including benefits and risks: silicone implants and saline implants as well as the different types of implants within those types.

3. Be familiar with the choices for breast implant techniques, benefits and risks, including: under the breast crease, through the nipple, under the armpit and through the belly button.

4. Breast implant placement location may be dependent upon the extent of existing breast tissue that is available to cover the breast implant on the patient. There are three choices, including: under the pectoral muscles, partially under the pectoral muscles and over the pectoral muscles.

5. Bring a complete list of medications, over-the-counter drugs, herbs, and supplements that you are taking to the plastic surgeon at least three weeks before you plan to have surgery. Some of these drugs may be required to be discontinued two to three weeks before surgery.

6. Stop smoking at least two weeks before breast augmentation. Know that smoking may play a role in the outcome of your procedure over time.

7. Inquire about the facility that the procedure will be performed in and the type of support you will receive following surgery.

8. Don’t be afraid to ask about the type of board certification that the plastic surgeon has and where the surgeon has hospital privileges to perform procedures.


Once you have asked your plastic surgeon about these items during an initial consultation, you will be able to make a better educated decision about breast augmentation. Plastic surgeons are happy to answer any questions you have to allow you to feel comfortable about your decision for surgery. A full understanding of the benefits, risks and alternatives to the procedure will help establish reasonable expectations for the outcome of the procedure. The beauty of breast augmentation generally results with an enhanced appearance, improved self confidence, increased self-esteem and a boost in social, professional and intimate activities.

To schedule an appointment with George M. Hricko, M.D., call 508-655-7070.

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Should I Get a Nose Job?

Getting Rhinoplasty, more commonly known as a nose job, can improve the overall appearance of your face. Many people either are not happy with the way that their nose looks or they might have been in an accident that changed the natural appearance of the nose. Knowing whether a nose job is the right option for you will give you the opportunity to see what this particular surgery can do for you. In general, nose jobs are one of the most common plastic surgeries being done today all over the world.

Things to Consider with a Nose Job

In order to know if a nose job would be the right option for you, you need to be aware of different things you’ll want to consider. One consideration to think about would be the cost of the procedure itself. It is not uncommon for plastic surgeons to charge thousands of dollars for this particular procedure. Most insurance companies will not cover the costs of plastic surgery unless the procedure is being done as a result of an accident. The overall cost is something you’ll want to talk over with your surgeon to see how much it will cost as well as whether or not they take payments over time.

rhinoplasty before and after

You also need to think about the surgery and aftermath itself. The surgery is something that takes just a couple of hours, but it is still considered a surgical procedure and infection could be a risk factor for some people. You will also need to recuperate for several days to about a week after the surgery, which means that you could lose out on valuable work time and income. Your plastic surgeon will be able to talk more about the healing time you will need for your particular surgery.

Rhinoplasty is a procedure that can definitely change your entire face for the better, but it is sometimes not the right procedure for certain people. Older people may be at risk because of the fact that anesthesia will need to be used. The cost factor is another thing that often scares people away from having a nose job done. The idea is to sit with a board certified plastic surgeon and get solid answers to your questions. If it helps, write down all of your questions and bring this paper with you while you are visiting a plastic surgery office in your local area.

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What is Kybella?

What is Kybella?

Kybella is first FDA approved medication for getting rid of the excess fat under the chin also known as submental fat. Kybella is actually made of deoxycholic acid and can improve the appearance and contour of the neck, jawline, and chin without surgery. In the past, the only treatment options for patients were liposuction or neck-lift surgery. With Kybella you can now avoid surgery.

On what part of my body can I use Kybella?
Currently it is used to treat submental fullness. That’s the area of fat under chin, often referred to as the double chin. Excess fat in this area can make you look heavy, look older, and have a displeasing appearance. Excess fat under the chin is not just in individuals who are overweight. It affects both men and women who are of normal weight and it is often that fat that just won’t go away with diet and exercise. If you’re frustrated with excess fat under your chin, you’re likely a great candidate.


How does Kybella work?
Deoxycholic acid is a naturally found molecule of the body. It functions in your body as a natural way to breakdown fat. Once Kybella is injected, it causes the breakdown and destruction of fat cells. Your body then clears away the unwanted fat and breakdown products. The results are permanent if you maintain a normal weight.

How is Kybella administered?
The area under the chin is numbed with a local anesthetic. From there the treatment is virtually painless. Kybella is then injected into the fat, similar to receiving Botox or filler injections. The treatment takes about 15 to 20 minutes. You can then resume all of your normal activities. To achieve optimal results, most patients will need two to four treatments at a monthly interval. A treatment plan will be customized for you.

Is Kybella safe?
Kybella has been the part of 20 clinical trials and over 1600 patients have been treated. Kythera Biopharmaceuticals, the company that makes Kybella, spent over eight years studying and researching the medication. 79% of patients were satisfied after receiving treatment.

What happens after the treatment?
Some patients may experience mild bruising, swelling, redness, numbness, or mild pain which will resolve in a few days. This can be treated with mild over the counter pain medication or ice. In exceedingly rare instances it is possible to have temporary injury to the marginal mandibular nerve. This is why it’s important to have the treatment performed by an expert in the field of cosmetic surgery.

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Types Of Liposuction

liposuction patient

There are a variety of different liposuction techniques that can be appropriated to help patients remove excess fat from their bodies. Two of the main ones include:

-Tumescent liposuction: With this technique, the doctor injects a solution into the patient’s fatty areas prior to removing the fat. The solution is made of saline as well as a mild painkiller. Finally, the solution includes epinephrine, a drug which contracts the blood vessels. In addition to making the process of fat removal notably easier, the saline provides pain relief before and after surgery while also reducing blood loss.

-Ultrasound-assisted liposuction: During this type of liposuction, ultrasonic energy is appropriated to liquefy the patient’s fat, after which point it is removed from his or her body.

Who Is A Candidate For This Procedure?

The ideal candidate for liposuction is within 30% of their appropriate weight and has good muscle tone. Additionally, individuals who wish to have this procedure performed should have no serious medical conditions or life-threatening illnesses that could complicate the healing process. Candidates should also be non-smokers and have very specific objectives regarding what they want the body contouring process to accomplish. Many people out there, are not happy with their body the way it is. For the perfect body, many will exercise, diet, even deprive themselves of their favorite foods. Some also get a personal trainer, and do anything under the sun, to lose weight. Many people don’t want to do the hard work that it takes to achieve the perfect body, in this case, liposuction could be the key.

If you’re looking into liposuction, here is some crucial information you will want to know. Liposuction, consists of having Dr Hricko make an incision, in your body, insert a suction, and suck the fat out of your body. Liposuction can be done anywhere on the body. Common areas are the chin, cheeks, chest, legs, arms, buttocks, and stomach. Anywhere on the body with excessive fat deposits can have liposuction performed.

Liposuction is not perfect, so it cannot collect all the fat in your body, but it can dramatically increase the results desired for weight loss. This is not a, “get thin quick”, scheme, it’s more like a jump start to weight loss. If you choose this surgery, then be prepared for everything that comes with it. You must do a consultation with a doctor in order to know if you’re eligible for this type of surgery.

If you have pre-existing heart condition, then this surgery is not for you. Not every health problem means you’re not a candidate for liposuction, but certain conditions will not allow surgeons to operate on you. You must be in good overall health; extra weight aside, in order to do this procedure.

Dr Hricko will advise you on what your options are, as well as letting you know that realistically, it’s unlikely that you are to lose more than a few pounds with this procedure. Many will get liposuction, expecting to be completely thin afterwards, and this is just not reality. If you’re looking to shape up and get rid of small pockets of extra fat, then liposuction is a good choice.

Since surgery requires anesthesia and cutting will be involved, please know that you will have some pain afterwards, as well as some grogginess. You will also need recovery time; even if it is just a small incision. Dr Hricko will recommend how much time to rest and heal, as well as give you the prescriptions needed, to help with the pain. Dr Hricko will also tell you to limit your physical activity, while healing from this surgery.

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What are the three most important products for your skin?

Sounds like Real Estate

We know for a fact that overexposure to the sun causes premature aging of the skin (wrinkles and brown spots) as well as skin cancer. With warmer weather finally here, if you do not already use a daily sunscreen, now is the time to start. Would you leave the house without brushing your teeth? Then think of using a daily sunscreen in the same way.

Do not let the SPF number be your only buying criteria. Broad-spectrum and physical blocks( Zinc oxide and Titanium Dioxide) are the keywords you want to look for. And make sure you like it enough to wear every day. There are many good sunscreens on the market but you have to be a wise consumer . Not all sunscreens are alike. Read the label and choose carefully–there is alot dependent on it. We make sure anything we sell in our office or online meets the above criteria.

Any questions please contact me or any of our knowledgeable staff at beauty@ghricko.com or 508-655-7070

Happy Summer!

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What is Kybella?

img_faceliftKybella is an injectable (deoxycholic acid) medication recently FDA approved for the treatment of fat under the chin.

The product is injected in the area of the fat underneath the chin.Usually more than one treatment is needed and treatments are spaced about 1 month apart.

Who is potentially a good candidate for this procedure?

  • An adult who has good skin texture and tone in the chin area
  • Is at an ideal body weight but still has a pocket of fat in the chin area.
  •  This is not a substitute for a facelift or necklift. A facelift or necklift is done to lift and tighten the neck skin. Kybella is used to remove fat under the chin in a person who already has good skin tone and their neck is not sagging.
  • To receive more information on Kybella, contact our office at beauty@ghricko.com or call us at 508-655-7070
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Breast Augmentation: Three popular consultation questions

img_breastSilicone or Saline? Both types of implants are FDA approved and have been used safely for many years. I tell my patients that if you are 22 years of age then you have the option of choosing. Between ages 18 and 21 years old, saline implants are available. Both implants are comprised of a silicone outer shell. Silicone gel filled implants are pre-filled to the desired volume with a silicone gel. Saline filled implants are filled with sterile salt water after they are inserted. We have samples of the implants in our office and I recommend that patients see and feel them during the consultation. I usually place either type of implant under the chest muscle so that they can be covered by both the patient’s muscle and overlying tissue.

Implant size? Implant size is a very personal choice. Factors that should be considered are the patient’s height, weight and the size of the breasts before surgery and the patient’s desires. All of this is discussed in detail with the use of images and measurements.

Costs? Before leaving a consultation, patients want to be sure they know exactly what their procedure will cost including surgical fee, anesthesia fee, facility fee, and all office visits. Financing option and payments plans are discussed with our surgical coordinators. Consult with a board certified plastic surgeon, understand the details and complications of the procedure, and be clear on the financing options.

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