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Gynecomastia is an enlargement or swelling of breast tissue in males. It is most commonly caused by male estrogen levels that are too high or are out of balance with testosterone levels.

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Before and After Photos


Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple).


A new shape and dimensions for your nose can enhance your wellbeing and your self-confidence! At your consultation with Dr. Kouli, you will gain a better understanding of what the surgery entails, and how it can improve your daily life. A rhinoplasty offers benefits that include:

  • Ability to customize the contours of the nose for a more pleasing aesthetic
  • Improves breathing and overall facial appearance
  • Can address the dimensions of the tip, bridge, and nostrils
  • Correct asymmetry
  • Improve proportions for better harmony with other facial features
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The office and procedure room were immaculate. Dr.Kouli and staff checked up on me often post.


I had an incredible experience at esthetica. Dr. Kouli is both personable and professional. Everyone in the office is friendly and aim to make you feel as comfortable as possible. I’d highly recommend their services.


I would recommend this office to anyone seeking a procedure. They answered any and all of my questions immediately. No matter how big or small.


Dr. Kouli is the best!, best surgeon, best bedside manner, best follow up… just the best


I can’t say enough about dr. Kouli. He looked a my problem which was pretty bad and immediately knew that he could fix it.