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“What to Expect the Day of Gynecomastia Surgery”

Posted on: February 13th, 2015
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D. Gynecomastia Specialist

★★★★★ Ratings: 4.74 -118 Reviews

Gynecomastia Surgery Center of Excellence

Gynecomastia surgery is not “one size fits all”, each patient is individual and surgery is specific for that patient. However, the surgery process is fairly standard with additional surgery time allowed as needed.

On the day of surgery, you are to arrive 2 hours prior to the start of surgery. You will be greeted by the nurse who will escort you to the “Gynecomastia Surgery Center of Excellence”. You will be assigned a locker where you may store your clothing; all valuables are to be left at home or with the adult who accompanies you.

Pre-operative Preparations

You are then taken to a pre-operative exam room where the nurse will review your post-operative instructions. Dr. Delgado will meet with you to see if you have any further questions and at this time he will be making surgical markings to guide him in surgery.

After Dr. Delgado completes his pre-operative preparations, Dr. Gaynor, a Board Certified Anesthesiologist will meet with you. Dr. Gaynor will have called you the night before to review your

Dr. Randy Gaynor Board Certified Anesthesiologist

Dr. Randy Gaynor
Board Certified Anesthesiologist

medical history and discuss any previous surgeries you may have had. Dr. Gaynor will then start an IV, and you will be going into the operating room shortly. At this point, patients remember very little as the general anesthesia kicks in, and you go into a very comfortable sleep. As you wake up you are happy to find out the surgery is over, and you are wheeled into the recovery room. For standard gynecomastia surgery, the procedure lasts about 3 to 3.5 hours.

Comfortable Recovery

Once in the recovery room, you will be attended by our recovery nurse who will be monitoring your vital signs and making sure you are kept comfortable. Most patients are ready to go home in an hour and a half. For safety purposes, you will be taken down to your car via a wheelchair by the nurse, and released to a responsible adult who will care for you at least 24 hours.

The purpose of this blog is to give you an overview of what to expect the day of surgery. You will be given a detailed instruction booklet at the time of scheduling surgery that will answer many questions. However, Dr. Delgado and his staff are always available to you to guide you through the process with ease.

Contact Information

For any questions or to schedule a consultation with Dr. Delgado, you are invited to call (415 898-4161) or email (info@dr-delgado.com).


“Adolescent Gynecomastia Treated in One Stage”

Posted on: January 14th, 2015
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 Gynecomastia to the Extreme

★★★★★ Ratings: 4.74 -118 Reviews San Francisco, CA-Men with severe gynecomastia, who choose to have male breast reduction surgery, will find that they most likely will need their surgery done in two stages. Dr. Delgado found that by dividing the surgery into two stages that he could minimize the scarring that more aggressive one stage surgeries, performed by other surgeons, usually causes.

Two Stage Gynecomastia Surgery

Viewing the patient below, you can see how removing a tremendous amount of tissue and fat leaves a lot of loose skin and a breast fold, making the results for most men unacceptable.

Before and After Stage One Gynecomastia Surgery

Before and After Stage One Gynecomastia Surgery

Once the patient has healed from the first stage, after about 5 or 6 months, the second stage can be scheduled. The second stage is much easier than the first stage and can be done as an office procedure under a local anesthetic. During the second stage surgery, Dr. Delgado removes the excess skin in a donut shape around the areola. The closure is with purse string type sutures. The third picture of this patient shows the amazing results just two weeks after surgery.

2 Weeks After Stage Two Surgery

2 Weeks After Stage Two Surgery

There is a huge advantage for men to have gynecomastia surgery at a young age because the skin has a lot more elasticity.

One Stage Gynecomastia Surgery for Adolescents

The following pictures show a boy of 15 years of age who traveled with his parents from the East Coast of the United States to have surgery with Dr. Delgado. Due to the excellent quality of his skin, his surgery was completed in one stage.

Before Stage One Gynecomastia Surgery

Before Stage One Adolescent Gynecomastia Surgery

Recently his Mother sent a picture of her son one year later. She states how well he is doing and how thrilled they are with his results.

After Stage One Adolescent Gynecomastia surgery

After Stage One Adolescent Gynecomastia surgery

If an adolescent has gynecomastia surgery but hasn’t finished developing, there is a possibility that there may be additional breast growth. For all the years that Dr. Delgado has been performing this surgery, he has not had the need to re-operate on any of his patients. It is imperative when seeking a surgeon that you choose a Board Certified Plastic Surgeon that specializes in gynecomastia surgery to be able to evaluate a young man’s options.

Contact Dr. Delgado Today!

If you or someone close to you is suffering from large male breasts, call (415 898-4161) or email (info@dr-delgado.com)today for a consultation with Dr. Delgado.


Why the Compression Vest is Mandatory for the Gynecomastia Patient

Posted on: December 17th, 2014
By: Miguel Delgado

Custom made Gynecomastia Surgery Recovery Vest In San Francisco, California

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

The Compression Vest Aids in Healing

Some San Francisco Bay Area men express concern, at the time of their consultation, about the requirement of wearing a compression vest after their gynecomastia surgery. They have heard the vest can be bulky and uncomfortable.

Dr. Delgado, a Board Certified Plastic Surgeon, who has specialized in gynecomastia since 1989, explains the necessity of the compression vest for proper healing. Although the vest may cause temporary discomfort, it plays an important role in the healing process. There are several advantages the vest provides including:
• Helping the skin contract
• Increasing the blood flow
• Preventing fluid collection
• Helping to control the amount of swelling
• Decreasing post-operative pain
• Aiding the chest tissues in binding together

New Vest Design Gives Relief

Understanding his male breast reduction patient’s reluctance to wear a compression vest, Dr. Delgado made it his mission to design a vest that would make the healing period more comfortable. His unique design has pockets for the drain bulbs. The pockets are detached when the drains are removed. Then there is a second vest that men graduate to that is thinner with a soft t-shirt type lining and has compression only over the chest area. These thinner vests are very popular with Dr. Delgado’s patients. Men who wear dress shirts do not complain about the vest being visible. The custom vests come in black and white.

Wearing the Vest 24/7

It is necessary to wear the vest for six weeks, only removing it for showering. It is recommended to have a second vest so that you have one while the other is being laundered. The vest needs to be worn snug, but not too tight. Once the six week period is up, men can return to normal activities.

Call or emailMen who are suffering from male breasts are invited to call (415 898-4161) or email (info@dr-delgado.com) for a personal consultation.


Bodybuilder + Steroids = Gynecomastia

Posted on: November 16th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

 

The use of Steroids among bodybuilders and men who compete in professional sports is not unusual. Steroids are known to increase muscle growth for the bodybuilder and performance can be enhanced for the athlete.

Up until 1990, steroid use was legal, and then Congress added steroids to Schedule 3, which puts it into the same category as controlled substances such as; heroin, cocaine, and LSD. Unless a doctor prescribes anabolic steroids for a medical condition, they are illegal to use.

Dr. Delgado warns his male breast reduction patients about using steroids and purchasing them online or by mail order. They come in many different forms, from pills, injections, creams and gels. Steroids are very potent and have many serious side effects. Some side effects are; impotence, infertility, heart attacks, mood swings, and an increase of bad cholesterol, liver cancer and development of the male breast.

Anabolic steroids convert into estrogen-like compounds in a process known as “aromatization,” resulting in a change of balance between estrogen and testosterone. The result of this change may be the development of breasts in men, and the testes may reduce testosterone production.

Many men hope that by stopping steroid use that their breasts will return to normal, unfortunately, once the breast tissue has formed male breast reduction surgery is the only way for it to be removed.
Dr. Delgado is quick to point out that not all men who take steroids will develop breasts, but it is not possible to predict who will. It has been noted that young men who may already have some degree of development may be more prone.

Arnold Schwarzenegger is credited with bringing bodybuilding to

Arnold Schwarzenegger

Arnold Schwarzenegger

life with his movie “Pumping Iron.” He did not admit to taking steroids at first, but said that you should do anything you can to get an advantage. In later interviews, he admitted to taking steroids and said he did not regret it, but back then it was legal.

If you have developed male breasts due to taking steroids, or even if you don’t know what caused them, call (415 898-4161) or email (info@dr-delgado.com) today for a personal consultation with Dr. Delgado to find out what options may be available to you.


Gynecomastia, a Side Effect of Risperdal, Leads to Multiple Lawsuits

Posted on: October 18th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

Gynecomastia is attributed to several different causes, and some remain unknown. Dr. Delgado tells his California male breast reduction patients from San Francisco, Sacramento, San Jose and beyond, that most are due to an imbalance of hormones, in particular increased levels of prolactin. Legal and illegal drugs are known to cause the development of male breasts.

In one of the country’s largest health care related settlements, Johnson and Johnson agreed to a settlement of $2.2 billion for the marketing of Risperdal “off-label.” “Off-label” use means a doctor can legally prescribe a drug for uses other than what the FDA approved it for, but the drug companies are not allowed to promote their drug for anything other than what it was approved for.

Risperdal is an anti-psychotic drug that was developed to treat schizophrenia and bipolar disorder in adults and adolescents. However, sales reps were rewarded large bonus’ for promoting the drug to pediatricians and other physicians for “off-label” use. They promoted Risperdal for; attention deficit hyperactivity disorder (ADHD), depression, sleeps difficulties and anxiety. Additionally, claims were made that j & j paid for doctors’ golf outings, and financially rewarding consulting deals.

Omnicare, which is the nation’s largest risperdallong-term care pharmacy, was implicated by a “whistle-blower,” one of their previous pharmacists, of being involved in “kickback for switches.” This is where pharmacists were “encouraged” to switch patients from approved drugs to Johnson and Johnson medications, which included Risperdal.

Some feel that the $2+ billion in fines is just a slap on the wrist. In a survey done by Stanford University and the University of Chicago, 54% of prescriptions for anti-psychotic drugs were for “off-label” uses and determined this was the result of good marketing.

Including global sales, between 2003 and 2010, Risperdal generated $24 billion in sales for johnson & johnson. Federal investigators state that j & j was aware that Risperdal could increase the risk of developing diabetes, stroke in the elderly, and development of breasts in boys, but chose to keep quiet about it.

As new evidence emerges, more individual and class actions lawsuits are being filed.

If you have gynecomastia and have taken Risperdal or other drugs, you are invited to call today (415 898-4161) or email (info@dr-delgado.com) to schedule an appointment with Dr. Delgado for an evaluation to determine what your options are.


Vitals.com Recognizes Dr. Miguel Delgado as a Top 10 Doctor!

Posted on: September 17th, 2014
By: Miguel Delgado

Vitals.com

Shopping online for almost anything has become the norm. From vacations, to appliances, books, restaurants, clothing and even for choosing doctors, dentists, medical plans and health care facilities. Consumers can give unbiased ratings and reviews which help people make informed decisions.

Vitals.com is one of the most highly regarded websites that gives ratings for the medical industry. Launched in 2008, Vitals.com has received several awards for outstanding performance in providing consumers with reliable information. Vitals.com has been quoted for medical statistics numerous times by various media sources such as; Fox News, NPR, The Wall Street Journal and Huffington Post.

The website, Vitals.com, gives detailed information on doctors including; biographies, hospital affiliations, board certifications and most importantly ratings and reviews by actual patients of the doctor. The patients rate the doctor on many different categories such as; ease of making an appointment, wait time, friendliness of the office staff, bedside manner of doctor, time spent with the patient, and follow-up care. Selecting a doctor is much easier with Vitals.com that now has over 3 million reviews and ratings.

Dr. Delgado was recently notified by Vitals.com that he is recognized as a Vitals Top 10™ Doctor. Out of 870,000 doctors, only 1% achieves this honor. The results are based on the ratings made by the doctor’s patients. Dr. Delgado was also awarded “Patient’s Choice Award, Fifth Anniversary” which reflects ‘excellence for care’ for five consecutive years. In addition, the “Compassionate Doctor Certification” was awarded to him.

As a gynecomastia specialist, compassion can’t be over-rated for men who suffer from this devastating condition. Dr. Delgado gets continuous comments from his California male breast reduction patients, from San Francisco, Sacramento, San Jose and beyond, who respond to the understanding and compassion that they receive from him.

Dr. Delgado appreciates all the great reviews from his patients that enabled him to win these awards.


“Puffy Nipples” are Gynecomastia

Posted on: August 11th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

San Francisco, California-“Puffy Nipples” are true Gynecomastia, states Dr. Miguel Delgado . When the nipple areola has a protuberance and fullness causing a dome shape, it is because of the dense Gynecomastia breast tissue under the nipple. This is the original placement of the breast bud during development in puberty; it can grow during adolescent years to various sizes.

“Puffy Nipples” are seen more often in younger men. The cone shape is due to the fact that there is very little fat and the excess gland makes for the embarrassing projection, known as “Puffy Nipples.”

 

Puffy Nipples

This young man is 17 years old, 5’6” and 140lbs. He has had gynecomastia since sixth grade, having dealt with years of teasing at school. As a result, his self-confidence suffered greatly and prior to surgery he never took off his shirt in front of others. His primary concern was to reduce the nipple protrusion.

 

Many San Francisco Bay Area patients from Sacramento, San Jose and beyond, ask what treatments are available as seen in this post on gynecomastia.org. You may need to become a member in order to read the posts, but there is no charge, and it is a great forum with many questions and answers posted by members and Board Certified Plastic Surgeons. In about 80% to 90% of young men with “Puffy Nipples,” once they pass puberty, will find their chests will resolve on their own without any treatment. For the few that continue to have “Puffy Nipples” into adulthood, they most likely will need male breast reduction surgery to remove the excess breast gland by surgical excision as in the treatment for “true gynecomastia.”

 

The good news is that while young, the skin has great elasticity. Once the fullness is removed, the nipple areola will shrink and flatten out nicely.

Many patients feel that the “Puffy Nipple” Syndrome improves when they are cold. This happens when a muscle in the areola is stimulated, then it contracts, tightens and flattens. However, the puffiness will return once the coldness or stimulation is removed, and the muscle relaxes.

Often “the light pull-through procedure” can be performed. This is a much less invasive procedure where the gland is removed with a small incision around the areola. The advantages of this method are many including; no need for post-operative drains, less time in surgery, faster recovery, a smaller incision resulting in a smaller scar and the scar heals to almost invisible at the edge of the areola.

 

The treatment of “Puffy Nipples” is very successful with an extremely high satisfaction rate. If you suffer from “Puffy Nipples,” you are invited to call (415) 898-4161 or email (info@dr-delgado.com) for a consultation with Dr. Delgado to learn what your options are.


Gynecomastia Adolescent’s and Skin Contracture

Posted on: July 13th, 2014
By: Miguel Delgado

 

Miguel A. Delgado, M.D.
Miguel A. Delgado, M.D.

 

San Francisco, California-Gynecomastia effects up to 60% of boys by the age of 14. The cause is not certain but usually is attributed to an imbalance of sex hormones brought on by puberty. Other causes may be the use of steroids, prescription drugs, heredity, marijuana, soy milk, and lavender oil, to name a few.

San Francisco Bay Area parents, including Sacramento, San Jose and beyond, need to be aware of the possibility that their son may be experiencing this condition so they can help him understand what is happening to his body. The breasts may look enlarged, or puffy nipples or he may have unusually large nipples.

Though it is a benign condition, many young men are embarrassed and humiliated, they try to hide their chests by keeping their shoulders hunched over and avoid situations where they need to remove their shirts, such as swimming or some sports. Classmates can be very cruel, taunting boys, especially in gym class where they need to remove their shirts.

For 80% to 90% of adolescent gynecomastia cases, the female type breasts will resolve by themselves usually within several weeks but can last up to three years. For the remaining 10% to 20%, the male breast may be a permanent condition. If the gynecomastia breast does not return to normal on its own, once a young man has gone through puberty, he could be a candidate for gyne surgery.

The big advantage for a young man to have male breast reduction surgery is the good quality of his skin, compared to the older man. In many instances, the skin will contract on its own avoiding a secondary surgery to remove loose skin. See the photos below of a young man with enormous breasts whose skin retracted nicely without additional surgery.

15 year old boy before Gynecomastia surgery

15 year old boy before Gynecomastia surgery

After Gynecomastia surgery

After Gynecomastia surgery

It is not unusual for a 16 year old to have gynecomastia surgery, and in some cases even younger, but it is a case by case decision made by the parents, their son and their surgeon. Consideration needs to be given to the fact that recurrence can occur due to continued hormone fluctuation if the patient has not completed puberty.

The age of the patient is not as important as the maturity. For the boy that has a clear understanding of what the surgery entails and wants to move forward may have an easier time than the boy who has developed emotional problems.

For a young man suffering from the effects of the gynecomastia, it is highly recommended that he see a Board Certified Plastic Surgeon that specializes in gynecomastia for a consultation with his parent(s) to find out what options are available to him.

In the search for information about gynecomastia, Miguel Delgado, M.D. recommends boys and their parents, and anyone suffering from man boobs visit www.gynecomastia.org, known as the web’s best resource for information on gynecomastia. On this website, they will find others who share their stories and offer support through the many forums on the site. In addition, there are numerous before and after pictures of men that have had the surgery. It also offers a directory of surgeons around the United States and beyond who specialize in male breast reduction surgery.

Dr. Delgado has specialized in male breast reduction surgery since 1988, treating young men in the greater San Francisco Bay Area; including Sacramento, San Jose and Los Angeles. He has a clear understanding of when it is appropriate to proceed with surgery. For an evaluation of your son, call or email today for a consultation (415) 898-4161.

 


Welcome!

Posted on: May 30th, 2014
By: Miguel A. Delgado Jr., MD

Dr. Delgado welcomes you to his new blog page on his newly revised and updated website for California gynecomastia patients, including Sacramento, San Jose and beyond.

Dr. Delgado, a Board Certified Plastic Surgeon, has been specializing in gynecomastia surgery since 1988 and is known worldwide for his expertise in male breast reduction. He is called upon frequently by patients and other surgeons for the most complex and complicated cases. He stays current with all the latest techniques and research developments so that he can offer his patients the best possible results.

Gynecomastia.org is the world’s best resource for information on gynecomastia. Dr. Delgado was a contributor since its inception in 1999. The site was created by Merle Yost, a psychologist who specializes in treating men who suffer from gynecomastia. He knows only too well what men are going through as he was patient of Dr. Delgado’s himself.

In 2010, Merle sold the site to Dr. Delgado who gladly took it over so that he was able to maintain its integrity, and has since updated and enhanced the site.

The purpose of this blog page is to present any new developments in  gynecomastia and answer questions that are presented to Dr. Delgado in his practice. You are invited to email Dr. Delgado with any questions you may have at info@dr-delgado.com or call (415 898-4161) for a personal consultation.


The Importance of Before and After Pictures of Gynecomastia Patients

Posted on: December 30th, 2013
By: Miguel A. Delgado Jr., MD

Before and After Gynecomastia Surgery

This 31-year-old San Francisco, CA man is 5’3” and 150lbs, having dealt with gynecomastia since adolescence. His father had the condition as well. He underwent glandular excision and suction-assisted lipectomy of the chest at Marin Cosmetic Surgery Center. His goal was to achieve “a better shape.”

San Francisco, California-It is interesting to note that all Board Certified Plastic Surgeons receive special training in the correct way to photograph patients before and after surgery. It is an exceptional tool for surgeons to accurately document their surgical planning. In addition, before and after pictures can play a vital part in helping a patient choose their surgeon.

Pictures show the patient what the surgeon’s aesthetic values are. The patient can see how organized and attentive to detail the surgeon is. If you do not see consistency and care in photographs, how do you know great attention to detail will be done in surgery?

For patients looking at a surgeon’s before and after surgery pictures of men with gynecomastia, there are a number of things to look for in determining the accuracy. Men should look for pictures of a man with a similar build and similar man boobs or moobs. Remember there are no two patients alike, so you will not find someone who looks just like you, but you should be able to get a good idea of the results you can expect. It is important to note that all of the photographs shown in Dr. Delgado’s photo albumsand displayed on his website have written consents from his patients. It is greatly appreciated that many patients are willing to share their pictures for other men to see what possible results they can expect. Sharing of pictures is by no means a requirement; all patients have the option to keep them private.

Hopefully the surgeon will show you different angles of each patient as looking at just one view may not give the true results, almost anything can be made to look good if it is from only one angle. The pictures need to be set up so that the background is consistent, such as a black drape. In addition, the positioning of the patient in the frame needs to be as close as possible for both the before and after picture. The lighting and color saturation need to be as close as possible for each picture. Body position should be identical with the arms down at the sides. If arms are raised even partially in one picture and not the other, it will change the look of the male chest, making it impossible to assess the surgical result.

Finding the right gynecomastia specialist can be very challenging for men. Some men have heard stories of plastic surgeons on gynecomastia.org that tried to remove their male breasts by liposuction alone, necessitating a secondary surgery. The only time that liposuction alone will reduce the male chest is for the man that has “pseudo-gynecomastia”, which means their gynecomastia is caused by fat only and not additional breast tissue as is the case for the man with true gynecomastia.

Now available to Dr. Delgado’s patients with “pseudo-gynecomastia” is an alternative to liposuction, CoolSculpting. CoolSculpting is a non-invasive procedure that will reduce the fat in the chest over a period of 2 to 4 months. This procedure reduces the cost of gynecomastia treatment.

For the man searching for the best top plastic cosmetic surgeon trained in gynecomastia surgery, viewing the before and after pictures of the surgeon’s patients will be extremely valuable in determining the surgeon’s skills. In addition, be sure to ask lots of questions such as; how many male breast reductions surgeries are done each year? How does the surgeon plan to do your procedure? Where will your surgery be done? If the surgeon has his or her own surgical suite, ask for a tour and note if it is organized and clean. Do you feel comfortable with the staff? Make sure the surgeon is Board Certified in Plastic Surgery and the surgical center is accredited. Call for a consultation today at (415) 898-4161 or email.

 


 

__ Contact Us For a Consultation

To schedule a consultation with Dr. Delgado in San Francisco, California or Novato in Marin County call 415-898-4161. You may also send us a e-mail at info@DR-Delgado.com or fill out our quick contact form. Send photos of your chest for a complimentary virtual consultation TODAY. We have a complimentary travel package for out of town patients that include travel to and from the airport, four nights stay at the Novato Oaks Inn and travel from the hotel to the office.

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Dr. Delgado has offices in Marin and San Francisco for your convenience

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450 Sutter Suite 2433
San Francisco, California 94108
Phone: 415.989.2221

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165 Rowland Way #300
Novato, CA 94945
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