Knoxville Plastic Surgery Blog | Tennessee Cosmetic Surgeon, Dr. Kleto, M.D.

Serving Knoxville, Sevierville, Knox County & Nearby Areas of Tennessee

How Common is Gynecomastia?

Wed, 09/04/2019

Gynecomastia, which is the medical term for males developing female-like breasts, is more common than people think. Up to 70% of adolescent males may develop the condition, and up to 65% of men aged 50 and older.

Gynecomastia is usually harmless from a medical standpoint. However, it can cause embarrassment and self-esteem issues in men who develop it. Dr. Dean Kleto provides safe and effective gynecomastia treatment for men who want a more masculine-looking chest.

Call Dr. Kleto today at 865-524-2442 to schedule your gynecomastia consultation.

What Causes Gynecomastia?

Gynecomastia occurs because of hormonal imbalances. If a male has too much estrogen, he’ll start to develop breasts. A number of things can cause this hormonal imbalance, including:

  • Certain medical conditions, such as liver disease, hyperthyroidism, or tumors in the adrenal glands or testicles
  • Certain drugs, such as anabolic steroids or some drugs for chronic medical conditions
  • Puberty and aging

Obesity can cause a condition called pseudogynecomastia. Obese men generally don’t have true gynecomastia, where breast tissue develops. Instead, their chest takes on the appearance of breasts because of excess fat.

Both types of gynecomastia can be treated through liposuction, excision of breast tissue, or a combination of both.

At What Age Is Gynecomastia Most Prevalent?

Gynecomastia peaks at the following ages:

  • Infancy
  • Puberty, usually around ages 12-14
  • Middle age and older, between ages 50-65

In infancy, it’s normal for boys to have breast tissue due to the presence of excess estrogen from their mother. The estrogen will eventually decrease and the gynecomastia will resolve on its own.

In puberty, gynecomastia is again caused by hormonal imbalance, and often resolves on its own within six months to two years. However, if your adolescent child is being bullied or developing self-esteem issues due to their gynecomastia, it may be worth it to look into treatment options even though it’s likely to resolve on its own with time.

As men age, their bodies naturally start to produce less testosterone. This can lead to gynecomastia, and is very common in men over the age of 50. If you are in this group and are bothered by the appearance of your chest, contact Dr. Kleto about treatment to restore a more masculine look.

Gynecomastia Treatment Options

The most common options for gynecomastia treatment are:

  • Wait it out, especially in pubescent boys
  • Liposuction
  • Breast tissue excision

Dr. Kleto performs both liposuction and excision for gynecomastia. In most cases, liposuction alone is enough. However, if you have a large amount of breast tissue, excision may be necessary. Dr. Kleto will be sure to discuss the best treatment option for you during your consultation, and he will let you know exactly what each procedure entails.

Most men are very happy with the results of their gynecomastia treatment. They are thrilled to have a more masculine looking chest that they’re not ashamed to uncover at the beach, the pool, or in intimate situations.

Schedule Your Gynecomastia Consultation Today

If you are suffering from gynecomastia and want to obtain a more masculine appearance, call Dr. Dean Kleto today at 865-524-2442 to schedule your consultation.

We serve patients in Knoxville, Sevierville, Knox County, and other nearby areas of Tennessee.



How Soon Can I Wear a Bikini After a Tummy Tuck?

Mon, 07/01/2019

If you just underwent a tummy tuck, it's natural that you'd want to flaunt your new body as soon as possible. Whether you just went through pregnancy and childbirth, or you're putting the finishing touches on your weight-loss journey, a tummy tuck can be an amazing physical transformation that restores your self-confidence and body image.

How long until you can show off the new you? The answer to that is unique to every woman based on the specifics of her procedure, but it takes time for your body, and especially your surgical incision, to heal after surgery, so it’s likely you will need to wait several weeks before frolicking in the sun. Here's a general guide to the timeline you can expect after your surgery.

Women who undergo a Tummy Tuck with Board-Certified Knoxville Plastic Surgeon Dr. Dean Kleto often want to flaunt their new curves as soon as possible.

What Happens During a Tummy Tuck?

During your procedure, Dr. Kleto will do the following:

·         Remove excess, baggy skin

·         Repair damaged or weak abdominal muscles

·         Eliminate C-section scars

·         Remove stretch marks

What Happens After a Tummy Tuck?

How quickly you recover will depend on your body's natural healing abilities, your physical health, and other factors of the surgery. Generally, for the first week after your procedure, you'll want to walk slightly hunched over to keep tension off the incision area. You'll also want to sleep sitting upright, either propped up by pillows or in a reclining chair.

You will experience some discomfort and swelling afterward, as well. The pain should subside after about two weeks, and the swelling may persist for as long as six weeks. Your results will start to become apparent as your swelling diminishes. You'll be able to return to work about two to three weeks after your surgery.

Although you should go on light walks every three to four hours as soon as you're able, you'll need to take some time away from your workout routine. This is especially true of heavy lifting and rigorous workouts. There will be plenty of time for the gym once your body has mended. Enjoy your new look without putting the healing process in jeopardy.

When Can I Finally Show Off?

For many women, three months post-surgery is the prime time to hit the pool or the beach. This allows your body to heal properly and gives your swelling enough time to dissipate.Tummy tuck minfographic

Some women opt to have a tummy tuck immediately after childbirth. If this is your circumstance, the surgery may put more strain on your changing body and require more healing time. If you’re planning on getting a tummy tuck soon after giving birth, shoot for the winter months. That way, by the time summer arrives, you will be swimsuit-ready.

Schedule Your Knoxville Tummy Tuck Consultation Today

Dr. Dean Kleto is dedicated to helping his patients look and feel their best. He has seen firsthand the positive effect a tummy tuck can have on someone's life. Dr. Kleto serves Knoxville, Sevierville, Knox County, and nearby areas of Tennessee. Call (865) 524-2442 today to set up a consultation.

4 Reasons to Get a Breast Reduction

Tue, 06/04/2019

Woman after breast reductionOverly large breasts can be physically painful, inconvenient, and embarrassing. Many women who would like smaller breasts opt for breast reduction surgery to vastly improve their quality of life, and the procedure is exploding in popularity. The American Society for Aesthetic Plastic Surgery estimates the number of procedures has increased by 157 percent since 1997.

Dr. Dean Kleto has the attention to detail, artistic eye, and refined surgical skills to help make your breast reduction dreams into reality. His empathetic and compassionate manner will make your treatment as comfortable as possible. He understands the numerous reasons people opt for breast reduction and wants to help you achieve the results you deserve.

You Deal With Physical Pain Because of Your Large Breasts

Large breasts can cause physical discomfort in many ways:

·         Back pain

·         Shoulder pain

·         Neck pain

·         Bra straps digging into your skin

·         Interference with your ability to exercise

·         Rash or skin irritation under the breasts

Your Large Breasts are Impacting Your Self-Esteem

It's not uncommon for women to feel self-conscious about their breasts. Bigger breasts can magnify this insecurity. Your breasts may draw unwanted attention or attract inappropriate comments.

Large breasts may also make it difficult to fit into some clothing, bras, and swimsuits. A breast reduction could help you wear form-fitting clothes more comfortably and increase your confidence when wearing lingerie and bikinis.

Additionally, you could combine your breast reduction with a breast lift to further improve the appearance of your breasts. A breast lift could lessen any drooping or sagging, reposition your areolas, and give your breasts a perkier shape.

You've Just Finished Breastfeeding

Pregnancy and motherhood can be the most rewarding experiences of your life, but they can also cause changes to your body that diet and exercise may not be able to correct. Your breasts may become enlarged, heavier, and less firm.

As your breasts increase in size during pregnancy, the ligaments supporting them may stretch. If this happens, it can be hard for your breasts to regain their pre-pregnancy shape and size. A breast reduction combined with a lift could do wonders for restoring your previous appearance.

You Have Realistic Expectations for the Outcome of the Procedure

It's important to go into your breast reduction with an open mind. You may have a specific picture of how you think your breasts should look. While Dr. Kleto will do his best to achieve the outcome you desire, sometimes factors such as your age, weight, and body type determine the level of reduction you're able to have.

It's also vital to remember that plastic surgeons measure breast size using cubic centimeters, not cup size. For this reason, Dr. Kleto won't be able to change your breasts to a specific bra size. Instead, during your consultation, he will talk to you about your aesthetic goals and do his best to fulfill those.

Schedule Your Knoxville Breast Reduction Consultation Today

Dr. Kleto has years of experience helping his patients look and feel the way they've always dreamed they could. He serves Knoxville, Sevierville, Knox County, and nearby areas of Tennessee. Call (865) 524-2442 today to set up a consultation.

Breast Implants for Petite Women: What’s Best?

Tue, 04/16/2019

While petite women can certainly be good candidates for breast augmentation, it’s important they carefully consider their breast implant options. A smaller frame means that your implant size, profile and shape can all affect your ability to achieve natural, proportionate results.

Regardless of their stature, all of Dr. Kleto’s patients have slightly different body compositions. That’s why he works with each patient to choose the implant options that work best for them. To schedule a breast augmentation consultation with Dr. Kleto, call 877-907-0747.

Infographic With Quote About Breast Implants for Petite Women

Sizing Your Breast Implants

Many women pursue breast augmentation to make their breasts appear larger and fuller, but a bigger bust isn’t always better. This is especially true for petite women who could feel uncomfortable with breast implants that are too large for their body.

Breast augmentation is ultimately about enhancing your curves and natural form. The same implant size won’t look the same on every patient. To balance your desired cup size with other aesthetic components, Dr. Kleto will consider:

  • Your body type
  • Your weight, height and chest dimensions
  • Your skin elasticity
  • How much natural breast tissue you have
  • Your lifestyle and activity levels

With all of this information, you and Dr. Kleto will work to create the best implant size for your body and surgical goals.

Your Implant Profile

Implant size is not the only factor that will affect your final results. You should also determine what implant profile you would like. The profile refers to how far your breasts will project out from your chest.

There are three profile options:

Infographic About High Profile Breast Implants

  • Low profile: These sit low on the chest and have a flatter appearance than other implants. They work well for women with wide chests.
  • Moderate profile: These provide more projection than low-profile implants and tend to yield the most natural-looking results. They work well for women with small or narrow chests.
  • High profile: These provide the highest level of projection, which may look unnatural on certain patients. They work well for petite women with a narrow chest wall.

Dr. Kleto will measure the width of your chest and take into account your implant size to help you determine the right profile.

Your Implant Shape

You will also need to pick an implant shape that pairs well with your chosen implant size and profile.

  • Round breast implants make the top of your breasts look fuller, meaning more cleavage and a voluptuous, lifted appearance. They’re a good option for patients hoping to correct breast sagging or drooping.
  • Teardrop implants provide a more natural, subtle look. While you can still achieve the appearance of a fuller chest with teardrop implants, the fullness is concentrated at the bottom rather than the top of your breasts.

When deciding between these two options, ask yourself whether natural results or a more noticeable bust is your main goal.

Your Breast Augmentation Consultation

During your breast augmentation consultation, Dr. Kleto will help you understand how each implant option will affect your new look. He will guide you through the process of selecting the size, profile and shape that’s best for your physical makeup as well as your cosmetic goals.

Using advanced 3D imaging, Dr. Kleto will capture an image of your body that lets you see how your breast implants will look against your figure. With this technology, you can view up to six implant options side by side and make an educated choice about what’s right for you.

Contact Our Knoxville Plastic Surgeon

To schedule your consultation with Dr. Kleto, call 877-907-0747. Dr. Kleto serves patients in Knoxville, Sevierville and Knox County, Tennessee.


Correcting Your Tubular Breasts With Breast Augmentation

Thu, 03/14/2019

Tubular or tuberous breasts are a congenital abnormality caused by a narrow breast base that constricts breast tissue development during puberty. Instead of growing into a round, natural breast shape, tubular breasts grow in a more elongated, oval shape. Breast augmentation is a permanent solution to tubular breasts that reshapes and resizes your chest for a more feminine look.

Symptoms of Tubular Breasts

Tubular breasts are a benign condition that can affect one or both of your breasts. Tubular breasts are characterized by their appearance, which can include:Woman Hiding Her Tubular Breasts With Her Hands

  • Abnormally small or narrow breasts
  • Breasts that are oval, pointed or triangular in shape
  • Excessively droopy or elongated breasts
  • A large gap between breasts
  • Prominent, puffy nipples or areolas
  • Tight breast skin beneath the nipples
  • Nipples that point inward or downward
  • Significantly asymmetrical breasts

The condition can range from mild to severe depending on how your symptoms manifest.

Breast Augmentation for Tubular Breasts

Many women attempt to hide tubular breasts underneath excessive bra padding or bra inserts. Tubular breast augmentation can give you the rounder, fuller and shapelier breasts you desire.

Tubular breast augmentation can be performed as a single procedure or in a two-step process. The severity of your symptoms will determine what treatment method Dr. Kleto uses.

As a single procedure, Dr. Kleto will make targeted incisions to release your constricted breast tissue and round out the base of your breasts. He will then insert your implant and close up the surgical site.

If you have breasts that are significantly different from one another, Dr. Kleto may recommend a two-step approach. After he releases your constricted breast tissue, he will then insert a tissue expander to prepare your breasts for implants.

During the second procedure, Dr. Kleto will remove the tissue expander and replace it with your permanent implants. If your nipples or areolas have been affected by your tubular breasts, you may choose to have additional procedures to correct their appearance performed at this time.

Since tubular breasts can cause excessive drooping, Dr. Kleto may recommend tubular breast augmentation with a breast lift in some cases.

Candidates for Breast Augmentation

While tubular breasts are not harmful to your health, they can affect your confidence and self-esteem. If you feel self-conscious in your clothes or in front of a significant other, breast augmentation can help you feel sexy and beautiful once more.

Breast augmentation is not recommended for everyone, but you’re likely a good candidate if you have tubular breasts and meet the following criteria:

  • You’re at least 18 years of age (for saline breast implants) or 22 years of age (for silicone breast implants)
  • Your breasts are fully developed
  • You are not currently pregnant or breastfeeding
  • You’re in good overall health and at a stable weight
  • You do not smoke
  • You do not have any infections, illnesses or pre-cancerous symptoms

During your initial consultation, Dr. Kleto will ask about your medical history to determine if breast augmentation can help treat your tubular breasts.

Tubular Breast Augmentation in Knoxville, TN

To learn more about tubular breast augmentation and to schedule a consultation, call 877-907-0747. Dr. Kleto serves patients in Knoxville, Sevierville and Knox County, Tennessee.


Local 865.524.2442Toll Free 877.907.0747

Cross Park Professional Building

9123 Cross Park Dr - Suite 100

Knoxville, TN 37923

Sevierville Office, LeConte Medical Center

744 Middle Creek Rd - Suite 200

Sevierville, TN 37862

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