Posted on: October 18th, 2014
By: Miguel Delgado
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 long-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 (email@example.com) to schedule an appointment with Dr. Delgado for an evaluation to determine what your options are.
Posted on: September 17th, 2014
By: Miguel Delgado
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.
Posted on: August 11th, 2014
By: Miguel Delgado
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.”
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 (firstname.lastname@example.org) for a consultation with Dr. Delgado to learn what your options are.
Posted on: July 13th, 2014
By: Miguel Delgado
- 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
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.
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 email@example.com or call (415 898-4161) for a personal consultation.
Posted on: December 30th, 2013
By: Miguel A. Delgado Jr., MD
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.
Posted on: November 30th, 2013
By: Miguel A. Delgado Jr., MD
San Francisco, CA-Pseudo-gynecomastia is man boobs that are caused by fat alone. True gynecomastia is a combination of fat and breast tissue. As discussed in previous blogs, true gynecomastia must be treated by a combination of surgical excision of the breast tissue with liposuction of the fat. Many surgeons try unsuccessfully to remove true gynecomastia with liposuction alone causing revision surgery for many men; in fact, Dr. Delgado’s gynecomastia surgery is now up to 40% redo surgeries of this type. It is, therefore, highly recommended that men seek out the best top plastic cosmetic surgeon that specializes in gynecomastia to avoid needing a “redo” of their surgery. Revision gynecomastia surgery is more difficult because now there is scar tissue from the original surgery and in most cases the skin will have lost some of its elasticity.
For the man with pseudo-gynecomastia, liposuction can give great results and is a much less invasive procedure than surgical excision.
Now, Dr. Delgado has an even less invasive procedure than liposuction for pseudo-gynecomastia, in fact, it is a non-surgical procedure that does not involve needles, scalpels, scars or even any downtime!
Available now at Dr. Delgado’s “Non-Surgical Center of Excellence” is CoolSculpting, where other non-invasive treatments such as Ultherapy, PhotoFacial and more are offered.
CoolSculpting is a process where an applicator sucks an area of fat between two cooling panels and applies intense coldness. The fat cells are destroyed by the coldness without harming the surrounding muscles and tissue and then the dead fat cells are eliminated from the body naturally. The entire process lasts about an hour and many patients read a book, work on laptops or take a nap. Patients state that the treatment is not painful, but initially they feel pressure and coldness from the plates. The results are not evident immediately as the shedding of the fat cells is a process that takes time. The results from the treatment are first evident after 2 to 3 weeks, with continuing results for up to 2 to 4 months, at which time a secondary treatment can be done if desired.
CoolSculpting is an excellent treatment for smaller areas of fat that normally are hard to target with diet and exercise. Men with pseudo-gynecomastia may be excellent candidates for fat reducing of their moobs. Other areas that are popular are the love handles, and abdomen.
There are very few risks involved with CoolSculpting; redness, some bruising and temporary numbness, are noted with most patients returning to all activities shortly after the procedure.
It is important to note that CoolSculpting can be repeated to obtain the desired outcome, but it is not meant to treat large areas of fat. Liposuction remains a more effective procedure for the patient with larger amounts of fat to be removed.
Miguel Delgado, M.D.
San Francisco, CA
For the man with pseudo-gynecomastia, CoolSculpting is an exciting possibility for an alternative treatment to liposuction. It is important to remember, most men have true gynecomastia, which means surgical excision will be needed for the removal of breast tissue for the best result. Sometimes it can be difficult to determine how much breast tissue versus fat is on the male chest. It is recommended that the gynecomastia patient schedule a consultation with Dr. Delgado to determine the best course of treatment for ultimate results and to determine the gynecomastia costs. It is possible for the male breast reduction patient to schedule a combination of procedures to save time and expenses. Call Today 415-898-4161 or email.
Posted on: October 21st, 2013
By: Miguel A. Delgado Jr., MD
San Francisco, CA-Gynecomastia.org is known as the world’s best resource for information about gynecomastia, also known as male breast reduction, moobs, man boobs, etc. Before the inception of gynecomastia.org in 1998, there was very little information available on the subject, and men suffered in silence, not aware of the prevalence of the condition.
With the advent of gynecomastia.org and other media outlets, gynecomastia is becoming recognized as a condition affecting about 60% of men at some point in their life. It has become a topic of the more you know, the more you want to know, for example watch for next month’s blog here on “CoolSculpting for Pseudo-Gynecomastia”.
In addition to the forums where men and young men can share stories and get support, the site offers a directory to help men find a gynecomastia specialist in their area. In addition to all these features, there is a huge photo gallery showing many before and after pictures of the member surgeons, including videos of patient’s experiences and results. There is a section on scientific articles covering topics from the history of the procedure, pathology, indications, treatment, etc.
Lastly, there is a blog section where the member surgeons can post on a variety of relevant topics, most recently a blog by Dr. Delgado. The recent post is on “Minimally Invasive Male Breast Reduction”. This is one of Dr. Delgado’s favorite topics that he refers to as the “light pull-through procedure”. This procedure has been around for a long time but has been greatly improved upon in recent years.
The blog explains that not all men are candidates for this procedure; it is for the man with puffy nipples and/or a small breast mound, no more than the equivalent of an A or B cup. There is a short 1 minute video showing some of the procedure, where tissue is being removed through a small incision after fat has been removed by liposuction. There are many advantages of this lesser invasive procedure including; no need for post-operative drains, a shorter amount of time in surgery, a faster recovery and with a smaller incision comes a smaller scar that heals to almost undetectable at the edge of the areolar.
Light Pull-Through Procedure on San Francisco, CA patient
To determine if you might be a candidate for this minimally invasive procedure or CoolSculpting, call for a consultation with Dr. Delgado at his 450 Sutter Street, San Francisco office or his 165 Rowland Way, Novato office in Marin County, at 415 898-4161.
In examining gynecomastia.org, be sure to check back from time to time for updates on the blog page and additions to the articles page for current information on gynecomastia. The most popular feature, however, is the forums. At any given time, there may be over 100 members’ or guests online, sharing stories, asking questions and giving first hand recommendations based on personal experience of such topics as; the best top plastic cosmetic gynecomastia surgeons, cost of male breast reduction treatment, social issues, opinions of over the counter treatments, etc. In order to participate, you do need to become a member, which helps preserve the privacy of all those who join. There is no cost to the members but there is a membership fee paid by the supporting surgeons which helps offset the cost of the maintenance of the website. The supporting surgeons are all Board Certified in Plastic surgery with a special interest in gynecomastia, with many participating in answering questions presented by the forum members.
Posted on: September 25th, 2013
By: Miguel A. Delgado Jr., MD
San Francisco, CA-It is hoped that young boys or men that have developed male breasts also known as gynecomastia, man boobs, and moobs will find this blog to help them understand what is happening.
Up to 65% of males will have detectable breast development by the age of 14, most likely caused by an imbalance of sex hormones. This is a normal condition brought on by puberty when the body starts to go through changes. You are not turning into a girl, you do not have cancer, you are normal!
Do you try to hide your chest with loose fitting shirts? Do you try to avoid taking your shirt off for gym? Do you avoid swimming? Are you embarrassed to let your parents know? You are not alone, there are many young men quietly suffering the same way you are.
Bullying has become prevalent in schools these days, and boys that have developed breasts are a great target for cruel nicknames that can cause self-hatred and isolation. It is important to understand that gynecomastia or the male breast is a benign (harmless) condition even though it is socially lethal!
The good news is that for most boys, 90% to 95% the condition will go away by itself without any type of treatment, within a few weeks to 2 years. But two years for a young man can feel like eternity, what can you do in the meantime? Getting emotional support from your family or other sources can be a great benefit.
First, check out a website called gynecomastia.org, there you will find many guys that are sharing stories of how they have suffered and what they have done about it. This is a website dedicated to getting out information on gynecomastia and support from other members through the discussion boards. You do need to sign up and become a member to have access to all the site has to offer, but there is no charge. Review the stories that have been posted such as this one “A Mother’s Story”. Notice at the end of this story that the Mother recommends that you tell your parents, as difficult as this may be; they probably have no idea that you are suffering and most parents will do whatever it takes to spare their sons this type of humiliation. Try to talk to your parents, they may be much more understanding than you realize.
If the idea of talking to your parents is just impossible for you, try composing an email telling them how miserable you have been with a link to the above letter, and a link to gynecomastia.org. There are many stories posted of parents who discover their child has been suffering, and they were completely unaware! For example, another story tells of a boy who finally went to his father and asked if the money that had been saved for him for college could be used instead for male breast reduction surgery. The father was beyond shocked to find out his son had been dealing with a situation he knew nothing about, and he had never even heard of the term gynecomastia before. The father was able to get a line of credit to cover the cost of gynecomastia treatment, and his son was still able to go to college. The surgery proved to be a life changing event for his son.
This is an 18 year old male who presents with adolescent gynecomastia. He complained about having “fluffy nipples”. His goal was to flatten the nipples to look more natural in his clothing. He had suction assisted liposuction with glandular excision. His post surgical recovery displays his newly flattened nipples.
As mentioned earlier, most boys will find the male breasts will go away on their own within a few weeks to a couple of years. If they do not, there are different surgical treatments available depending on the severity of the case.
Unless you have “pseudo-gynecomastia”, be wary of a surgeon that claims liposuction alone will give you the result you want. True gynecomastia consists of breast tissue and fat, liposuction will only get rid of fat, breast tissue is much denser and needs to be removed by surgical excision. Whereas pseudo-gynecomastia is caused by fat alone and can get great results with liposuction or weight loss.
In searching for information on the internet be careful about ads that claim you can take a pill to get rid of moobs. Save your money they do not work as attested to by many men on gynecomastia.org.
It would be wise to see a top cosmetic Board Certified Plastic Surgeon who specializes in gynecomastia surgery with your parents, to find out what your options are, and how likely the male breasts will go away on their own. Dr. Delgado stays abreast of all new innovations in plastic surgery such as “CoolSculpting” for fat removal which is now available at the “Non-Surgical Center of Excellence” at his Marin County location.
Posted on: September 2nd, 2013
By: Miguel A. Delgado Jr., MD
San Francisco, CA-Men who have quietly suffered for years with female type breasts, known as gynecomastia, are surprised to discover how many men have the same condition also known as moobs and man boobs. Information now readily available on the internet educates men about gynecomastia that only a few years ago were unknown, they are able to research and find the best top plastic cosmetic surgeons. In addition to the internet, there has been a lot of exposure through other media outlets such as television, radio and magazine articles that have led to further investigation on gathering information on costs of gynecomastia surgery and male breast reduction treatment.
What a relief it has been for men to find that it is a common condition, and there are options available that until recently were unheard of. Looking through the search engines, one site comes up repeatedly as the “web’s best resource for information about gynecomastia”, www.gynecomastia.org.
This website was started in 1998 by psychologist Merle Yost, who counseled many men with gynecomastia. He had great empathy for his patients as he was a sufferer of the condition himself. Understanding how important it was for men to have support, the site offered many different forums for men to reach out to each other, share stories, pictures and ask questions. As the popularity of the site grew different needs became evident. A section was added where questions could be asked directly to gynecomastia surgeons who monitor the site.
Gynecomastia is not confined to the United States; men all over the world are plagued with the condition. In order for men to get support in their own country and even correspond in their own language, there is a section on gynecomastia.org “Local forums/find a Surgeon in your area”.
The first country represented is the United Kingdom (UK), it appears that one of the main issues is trying to get their government insurance to cover the surgery which entails waiting several months to even more than a year to see a psychologist who then needs to recommend the patient for surgery. Of those who have experienced this, they report that they cannot choose their surgeon and some are more experienced than others, making it quite risky. According to the posts, it is recommended that guys from the UK save their money and have the surgery done privately. What a great advantage for a man to get this information from men who have already experienced it, instead of finding out by trial and error.
The next country is Canada; again a big concern there is trying to get coverage from their government insurance for male breast surgery. They also discuss the difference between local and general anesthesia, and post-operative scars.
In Asia, men are asking about the comparison of liposuction versus liposuction and excision. It is encouraging to see that contributors to the forum have learned that for the majority of all male breast reduction cases that liposuction alone will leave the patient very dissatisfied and they advise all readers of this. Also, Asian men discuss issues with the compression garment and trying to hide their man boobs from friends.
From the land “down under”, Australia/New Zealand; there are discussions about; what is the best time of year to have surgery, experiences with drains and changes the patient will deal with in adjusting to a new “body image”.
Europeans seem to be gravitating to Poland for surgery; there are many posts about this. In addition, they discuss the benefit of seeing before and after pictures of a surgeon’s own patients and wisely ask why some will not show photos.
South America/Latin America/Spain/Africa and the Middle East have their own forum with stories to share.
Sweden has an active site where members can converse in their own language.
The common thread with all the forums from the different countries is finding the right surgeon and hopefully one close to home or easy to travel to in a major city. In addition to asking about specific surgeons, men want to know how they do the procedure, where it will be done, the cost and the surgical results. It is most encouraging to see how men educate each other by sharing their personal experiences.