Patient Groups

Not all cases of gynecomastia are the same. The condition affects men differently depending on age and life stage, as well as other factors such as hormones, lifestyle, and body composition.

Dr. Miguel Delgado tailors gynecomastia treatment to each patient on a case-by-case basis, taking into account the unique needs of adolescents, adult men, bodybuilders, and patients with isolated puffy nipples. With fully individualized care, Dr. Delgado can ensure each patient group receives the most effective treatment for a flatter, more masculine chest.

Adolescent Gynecomastia

Hormonal fluctuations during puberty are often responsible for gynecomastia in teens. An imbalance of estrogen and testosterone—perfectly natural for adolescents—can cause glandular breast tissue to enlarge, often creating anxiety and self-consciousness. While many cases improve naturally, some boys develop persistent adolescent gynecomastia that lasts months or years.

With his expertise, Dr. Delgado offers age-appropriate guidance to determine whether the condition is likely to resolve on its own, whether surgery is recommended, or whether lifestyle adjustments or a waiting period may help. When surgical intervention is indicated, teenage gynecomastia surgery provides long-term improvement with a discreet approach to protect future chest development.

Adult Gynecomastia

Persistent gynecomastia in men can include a condition that never resolved after puberty, or developed later due to hormones, weight changes, medication, or aging. Treatment for gynecomastia in adult males may include gland excision, liposuction, or both to address a full or enlarged male chest and restore a flatter, well-defined contour tailored to adult anatomy.

Bodybuilders + Steroid Use

Bodybuilders are a population that’s prone to steroid-induced gynecomastia, where male breast enlargement develops due to anabolic steroid use or sudden disuse. Even a small gland can distort chest definition when body fat is low. 

Dr. Delgado specializes in bodybuilder gynecomastia surgery, performing precise gland removal to eliminate nipple projection while preserving the sharp, sculpted look competitive athletes expect.

Puffy Nipples

Some men have no overall chest fullness—only puffy nipples caused by a subareolar gland that pushes the nipple outward. This can show through fitted T-shirts and negatively affect confidence, even in otherwise fit men.

Correction of this condition typically involves targeted gland removal for puffy nipples, creating a smaller, flatter areola and a more toned look without altering the rest of the chest. There are several surgical and minimally invasive options for treating male puffy nipples with a high success rate.