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Does Gynecomastia Surgery Last Forever?

Posted on: December 23rd, 2021
Posted by Dr. MiguelDelgado

Does gynecomastia surgery last forever?
Does gynecomastia surgery last forever

Can your man boobs return after gynecomastia surgery?

Gynecomastia patients often ask the question ” Does my gynecomastia surgery results last forever?” The simple answer is that it rarely returns.  There are, however, a few exceptions.

Usually, the Gynecomastia condition is not a permanent situation. It typically appears during early adolescence and undergoes a series of stages of inflammation, tenderness, and finally resolution. The resolution stage is final in 2 years. If the gynecomastia doesn’t resolve by this time frame, it becomes permanent. If gynecomastia surgery (male breast reduction) is required, it is a permanent solution and lasts forever. There are a few exceptions explained below.

The Causes of Gynecomastia

Gynecomastia occurs in boys or men when their breast tissue enlarges or overdevelops. The breasts grow larger than normal and are sometimes uneven. Often, the condition occurs during puberty, but it can happen at any age.

There are numerous causes of gynecomastia, including:

  • Side effects from certain medications
  • Use of illicit drugs
  • Certain diseases and medical conditions, including liver disease, kidney disease, and testicular cancer

However, gynecomastia is often idiopathic, meaning the cause is unclear.

Most cases of gynecomastia aren’t permanent. Before opting for male breast reduction surgery, a patient should take certain preliminary steps to find the cause of the condition. Some causes will resolve on their own over time.

If the condition is from taking a certain medication, they should stop taking it or switch to something else if possible. If it is from a hormone imbalance, an endocrinologist can treat the cause. Boys going through puberty should also wait until they enter young adulthood to see if the condition resolves itself. The same is true for men who are obese and currently losing weight. Reaching a normal weight could resolve the condition naturally.

Treating a known cause or waiting for the condition to resolve itself is typically the first line of treatment. Most health professionals consider gynecomastia surgery as the last resort after other treatments fail. However, some patients opt for a fast solution instead of waiting the condition out.

What Causes Gynecomastia recurrence?

Gynecomastia surgery in San Francisco

Complete removal of gynecomastia tissue.

One of the most common reasons for male breast reduction surgery revision is not breast tissue recurrence, but incomplete glandular breast tissue removal. This could be due to a surgeon who is inexperienced and did not remove the glandular breast tissue completely. In this specific case, the glandular tissue and excess fatty tissue can be stimulated by medications like anabolic steroids or the fat tissue can be stimulated by weight gain.

Options for Breast Tissue Recurrence?

Unfortunately, the only option for glandular tissue recurrence or failure to remove the glandular tissue initially is re-operation. The surgery can be performed through the same incision and the recovery is similar. If the re-growth is due to fatty tissue or psuedogynecomastia, liposuction can be performed. This is a shorter recovery. Plastic surgeons can select the best gynecomastia procedure for you.

Making the Decision for Gynecomastia Surgery

Does gynecomastia surgery last forever

Discussing the decision for gynecomastia surgery.

Sometimes, male breast enlargement doesn’t go away. Long-lasting breast enlargement can lead to discomfort and chafing of the breast tissue. It may also make boys and men the target of bullying. The condition may affect their self-confidence, driving them to seek a solution through gynecomastia surgery.

One of the most common questions from gynecomastia patients is whether the surgery lasts forever. The short answer is “yes,” gynecomastia surgery is curative. However, there are some exceptions to the rule.

During surgery, the surgeon removes the excess breast tissue, and the remaining tissue usually doesn’t grow back. However, some factors can lead to a recurrence of the condition.

Gynecomastia that results from the use of medications, hormones, or anabolic steroids could lead to a recurrence post-surgery. If the patient must continue taking the medication or hormones post-surgery, it is much more likely that the condition will recur.

Gaining weight after surgery is another potential cause. Although excess fat is removed during surgery, a good surgeon leaves some tissue in place to create a natural male shape. Gaining weight causes the remaining fat cells to enlarge, possibly causing the condition to recur. When that happens, it may or may not be as severe as it was previously.

The use of liposuction has made removing breast tissue a less invasive procedure. The development of new technology has given skilled surgeons a tool that improves chest wall contouring. Gynecomastia surgery is usually performed as an outpatient and takes 2-3 hours to complete. Most patients experience little to no pain and a short, gentle recovery time.

Finding a Board Certified Plastic Surgeon

 

Male breast reduction is one of the simpler procedures performed by a plastic surgeon. However, you should choose a surgeon with the experience and skills to get the results you want. The American Board of Plastic Surgery recommends looking for a surgeon with these three factors:

  1. Skills and Experience – In performing gynecomastia surgery specifically.
  2. Certification by the American Board of Plastic Surgery – Certification is voluntary and it ensures the surgeon has completed the required training and exams for all plastic surgery procedures.
  3. A History of Good Results – Patient testimonials are the best way to learn how other patients feel about their results.

Why Choose Dr. Delgado for Gynecomastia Surgery?

Dr. Miguel Delgado is a board-certified plastic surgeon who has treated thousands of males with gynecomastia. He is world-renowned for his authority on gynecomastia and is also the medical director of Gynecomastia.org, the largest forum for gynecomastia in the world.

Adam Alkhato, a previous patient of Dr. Delgado, says, “If you are looking for the most conclusive and exclusive gynecomastia private surgical experience in the North West, Dr. Delgado cannot be matched.”

If you are considering male reduction surgery, contact our office at 415-942-9286 or request a virtual consultation on our website.


Is gynecomastia surgery worth it?

Posted on: October 20th, 2021
Posted by Dr. Miguel A. Delgado Jr., MD

The survey says Male Breast Reduction Surgery 98% THUMBS UP!

According to the Realself survey, 98% of men say they would recommend male breast reduction surgery to a friend.

Male breast reduction surgery ( gynecomastia surgery), came in third in the list of worthwhile cosmetic procedures. Gynecomastia (man boobs) surgery, in the opinion of patients, is 98% worthwhile. The results were the same for women who had breast augmentation surgery as well as breast reduction surgery.

Gynecomastia, what is it?

Gynecomastia is sometimes known as “moobs” or “man boobs.” Men will have the appearance of having male breasts due to excess glandular breast tissue and excess fat. Tenderness and a large nipple are other common side effects. Some of these signs and symptoms may appear on only one side of the chest or both sides.

What Initiates the Growth of Male Breast Tissue?

High amounts of estrogen, the female hormone, can cause an increase in male breast tissues when the male and female hormones, testosterone and estrogen, spike throughout puberty. Gynecomastia in early puberty is treatable and self-limiting in over 90% of instances.

Male breast growth can also be caused by the use of anabolic steroids and other drugs and substances.

Testosterone levels in men begin to drop around the age of sixty. As a result, the development of male breasts is possible. Male menopause, often known as lower T, is a medical term that describes this phenomenon. It’s a lot like menopause for women.

Can my health insurance cover my gynecomastia surgery?

Gynecomastia is typically treated surgically, and insurance companies consider it an elective operation. However, depending on your insurance policy, you may be able to get coverage for your gynecomastia surgery.

Unless your doctor can show that having excess tissue of the breasts puts you at risk of developing skin infections or significant breast pain your case will most likely be denied.

Gynecomastia Surgery Costs on an Average

The American Society of Plastic Surgery estimates that the average cost of gynecomastia therapy in the United States in 2020 will be $4,239. The cost of general anesthesia, operating room amenities, and other associated expenses are not included in this average price – they are included as part of the total cost.

The cost of your initial surgical treatment may also be determined by your doctor’s level of experience, the cost of living index in your city and state, such as San Francisco, California. Bear in mind that this pricing quote excludes medical equipment.

Dr. Delgado’s prices are higher than the national average due to his location in the San Francisco Bay Area and his status as one of the country’s best male breast reduction surgeons.

Gynecomastia treatment has many advantages

Boosts confidence and self-esteem by building self-esteem.

As a result of their anxieties about their bodies, men suffering from gynecomastia are more likely to suffer from depression. Self-esteem in men with gynecomastia surgery can be quickly boosted by getting a firmer, more attractive chest shape.

A flatter chest after enlarged male breasts plastic surgery allows patients to wear better-fitting apparel, spend more time at the beach without a shirt on, and participate in social activities without feeling self-conscious.

Increase Your Masculine Appearance

When a man’s chest is compared to a female body, it’s not seen as a compliment. Many men with extra breast tissue are made to feel self-conscious about their appearance since their chests don’t look masculine.

Excess fat and breast tissue is removed from the chest area during a man boobs operation, resulting in a more masculine chest appearance. A male breast reduction treatment can provide men a more masculine appearance by reducing the size of their chests, as well as alleviate any associated guilt.

An active lifestyle is relaxing

It’s difficult to work out when you’re bothered by your breasts. Exercises like jogging and jumping become more difficult to hide when you are aware of the movements in your chest, as is the case with women who have undergone breast augmentation.

Compression athletic bras for women assist keep the breasts in place when exercising and prevent them from slipping around. Unfortunately, these bras are not available for guys. Men are able to move more freely with a flatter chest size, which encourages them to retain a stronger and firmer physique while also helping them stay in shape.

The Perfect Posture

Chest enlargement can lead to hunching and deformity of the cervical spine by altering a person’s posture. It’s possible that this will cause a back hump over time, which could lead to chronic back pain. Poor posture can give you a sad appearance in addition to having weak abdominal muscles.

Men with gynecomastia may adopt a slumped posture to hide their protruding chests. Patients with normal-sized chests are able to stand more confidently, with their backs straighter and their shoulders higher.

Freedom of Mind

Self-consciousness about one’s body image can lead to a person’s mind being overrun with negative thoughts. Many men with gynecomastia go through their days stressing over what to wear, how to cover their chests, and whether or not anyone notices they have breasts.

Male breast reduction surgery frees men from their anxieties and fears, allowing them to get on with their daily activities and socialize with their loved ones. Most guys who have had male breast reduction surgery say it has improved their quality of life and provided them with emotional relief.

Is Gynecomastia Treatment Right for You?

Male breast reduction surgery is best suited to men who are mentally stable and in good physical health. Candidates with the best surgical outcomes have firm, elastic skin that changes shape with time.

Gynecomastia can be treated with plastic surgery, however, it is may not be advised for obese or overweight men since more extensive surgery may be required, including the removal of excess skin. Dr. Delgado is happy to discuss the option in all types and severity of cases.

Dr. Delgado is a board-certified plastic surgeon San Francisco Bay Area in California, who welcomes your call.

To find out if you are a good candidate for gynecomastia surgery or if you have any other concerns, please contact us at 415-898-4161.

Gynecomastia video by Dr. Delgado


How Do I Know If I Have Gynecomastia?

Posted on: October 17th, 2020
Posted by Dr. MiguelDelgado

Man standing with gynecomatia

                                                      A young man with gynecomastia

Asymptomatic gynecomastia affects 60% to 90% of male infants and 50% to 60% of male adolescents. Up to 70% of men aged 50 to 69 years old also have this condition. 

All in all, scientists say that at least 30% of all men will experience gynecomastia during their life. That makes it the most common breast-related condition among the male population.

What exactly is gynecomastia, though, and how do you tell that you have it? Is it something that you should feel concerned about?

We’ll address all these questions and more in this comprehensive guide, so please be sure to read on.

What Is Gynecomastia?

Gynecomastia or manboobs is a non-cancerous enlargement of male breast tissue. An imbalance of two hormones, namely estrogen and testosterone, often causes it. It can affect only one breast, but in some cases, it can affect both.

Manboobs is usually not a severe medical problem, but it can be mentally taxing. Researchers found that many men who have it also experience anxiety and depression. Patients have also reported feeling an extreme embarrassment and even emasculation.

In men who have symptomatic gynecomastia, pain is one of the most common symptoms. Many of these patients also fear that they have breast cancer.

Some cases of the male breast enlargement may go away on their own. If it doesn’t, or it progresses, you should consider seeing a gynecomastia surgeon in San Francisco, CA. You may be a good candidate for gynecomastia surgery.

Is Gynecomastia Due to Fat Build-Up?

Having gynecomastia doesn’t mean that a person has extra fat due to being overweight or obese. It results from “proliferating” or additional breast tissue. As such, losing weight via dieting or doing exercise will not eliminate the extra tissue.

This doesn’t mean that exercise is one of the things you must avoid if you have gynecomastia. Physical activity and a proper diet are essential to your overall health. The thing is, a reduction in the fat may make the remaining breast tissue even more obvious.

“Man boobs” due to excess fat do exist, but it’s a condition separate from gynecomastia. In these cases, it’s pseudogynecomastia enlarging the male breasts. This often occurs due to fat build-up in the breast caused by being overweight or obese.

How Can You Tell That You Have Gynecomastia?

As mentioned above, the majority of patients with gynecomastia are asymptomatic. In people who have symptoms, the most common are pain, swelling, and tenderness of the breasts. Sometimes, these signs can appear in both breasts; in many others, they only affect one breast.

Another symptom is an increase in the size of the areola. This is the pigmented section of the skin that surrounds the nipple. Gynecomastia may cause this part of the breast to grow in diameter.

Nipple discharge is one of the signs of gynecomastia you have to be on the lookout for. The same goes for unusual pain, swelling, and tenderness that don’t go away. If you experience any or all of these, please don’t delay seeing a gynecomastia specialist in San Francisco, CA.

You may also want to head straight to a gynecomastia surgeon if you notice or feel any of these signs. Be sure to visit a board-certified gynecomastia surgeon, though! This way, you can be sure that you’re in the hands of one of the best, most qualified gynecomastia specialists.

How Does Gynecomastia Develop?

In many cases, gynecomastia happens when there’s an imbalance between estrogen and testosterone. Estrogen is the “female” hormone, and it causes the growth of breast tissue. Testosterone is the “male” hormone, and it stops estrogen from enlarging breast tissue.

Both men and women have these two hormones. However, testosterone occurs in higher proportions in men. In females, estrogen is the prevailing sex hormone.

Gynecomastia may occur when the male body produces too low levels of testosterone (T). The thing is, aging does lead to reduced T levels. Every year, T levels in men drop by an average of 1.6%.

As testosterone levels go down, there may not be enough to counter the effects of estrogen. This imbalance may then make the female sex hormone overpower the male one. This may then result in the growth of breast tissue in men.

Other Factors That May Suggest You Have Gynecomastia

Aside from hormonal imbalance, gynecomastia may also result from serious health conditions. These include diseases of the kidney and liver, as well as male hypogonadism. Extreme stress, which can cause your cortisol levels to shoot up, can also be a risk factor.

If you have any of these conditions, and you believe you have gynecomastia, see a San Francisco gynecomastia specialist as soon as you can. You may be a good candidate for gynecomastia surgery to get rid of excess breast tissue.

Here are a few other risk factors that may cause (or have caused) your “moobs.”

Medications

In 10% to 25% of gynecomastia cases, medications and drugs are to blame. Spironolactone (Aldactone) and cimetidine (Tagamet) are a couple of examples. However, even Ketoconazole, a drug used as a fungal infection treatment, may also cause it.

Gynecomastia also affects up to 75% of men who receive anti-androgen monotherapy. These are medications and therapies that help to treat prostate cancer. While the treatment itself must continue, there are still ways to prevent moobs.

In any case, if your gynecomastia stems from these drugs, you should talk to your doctor. There may be an alternative to the medications you currently take. You may be able to use substitutes that are less likely to cause moobs.

Do note that steroids and other recreational drugs may also lead to gynecomastia.

Other Risk Factors

Drinking too much alcohol may also lead to a growth in male breasts. One possible reason is that these substances can increase the levels of estrogen in the body.

Consider cutting back or avoiding alcohol to reduce your risks. If you already have extra breast tissue, it’s best also to see a gynecomastia specialist.

Some studies also link marijuana (AKA weed or pot) with enlarged breast tissue in men. It seems that one of the cannabinoids in the plant, namely, THC, lowers testosterone levels. In this way, it may cause hormonal imbalance, which can then lead to gynecomastia.

Note that estrogen is also in certain types of food, occurring as “phytoestrogens.” It’s a fancy way to refer to “plant-produced estrogen.” Some of these include soy, protein products, conventional meat, and dairy.

The Best Way to Confirm If You Have Gynecomastia

Seeing a gynecomastia surgeon in the SF Bay Area should be on your list of priorities in case you have moobs. These doctors are among your best option as they specifically deal with gynecomastia. They not only diagnose the condition but also treat and help manage it.

During your initial consultation, the gynecomastia specialist will ask about your symptoms. It’s best that you give a detailed look into your medical, drug, and family history too. This way, the good doctor can determine if your condition is due to any of these risk factors.

The male breast reduction surgeon will also conduct a thorough physical examination. This includes assessing your breast tissue, abdomen, and genitals.

If there’s an abnormally large, rigid, and immovable lump, the doctor may order a biopsy. This is a vital test that can help the surgeon rule out breast cancer.

You may also have to undergo some other tests to further eliminate other causes. The doctor will especially want these if the signs point to a cyst, benign tumor, mastitis, or hematoma. You may also need blood and imaging tests, such as a breast ultrasound, X-ray, CT or MRI scan, and mammogram.

Removal of Excess Breast Tissue With Surgery

In adolescent gynecomastia patients, it’s possible for the condition to go away in a year or two. However, in about 5% of adolescent cases, the breast tissue remains. In this case, gyno-reduction surgery is a viable treatment option.

In adults with pseudogynecomastia, liposuction may help remove the extra fat. In patients with gynecomastia, an excision surgery helps to remove the excess tissue. Sometimes, patients may need to undergo both types of procedures for the best results.

After the surgery, there will be bruising and swelling in the chest area. However, the surgeon may recommend the use of an elastic pressure garment to help with these. These wearables can help ease the inflammation and some of the discomfort.

It takes about six weeks for surgery patients to go back to their regular routine. Complications are rare, but to ensure your safety, choose a board-certified surgeon. 

Don’t Carry the Burden of Gynecomastia on Your Own

As you can see, gynecomastia is such a common condition that afflicts men of all ages. The great news is that it’s treatable.

The most important thing is not to delay seeking help. This way, you can also avoid putting yourself at risk of psychosocial issues.

Have you noticed signs and symptoms of gynecomastia, or do you think you have it? Whether you live in San Francisco, California, or out-of-town, please know that Dr. Miguel Delgado, MD, can help. Reach out to the good doctor’s office now so you can get the guidance and support that you need.


Does Smoking Pot Cause Man Boobs?: A Guide to Weed and Gynecomastia

Posted on: September 5th, 2020
Posted by Dr. MiguelDelgado

 

Does Smoking Pot Cause Man Boobs?: A Guide to Weed and Gynecomastia

 

 

Did you know that 47 states in the United States have legalized medical marijuana?

Whether you live in a state that has only legalized the use of medical marijuana or recreational marijuana, understanding the connection between man boobs and pot Can help you identify the cause of your Gynecomastia. With approximately 41% of men between the ages of 20 and 45 being affected by Gynecomastia, many men are looking into treatment options for their medical condition.

In this complete guide, Miguel Delgado, MD will help you to take a closer look at the relationship between marijuana and Gynecomastia. Keep reading to learn more! 

What Is Gynecomastia?

Gynecomastia is the development of An increased level of breast gland tissue in men or boys. Gynecomastia is caused by an imbalance of hormones, testosterone, and estrogen. In some medical cases, Gynecomastia can only affect one breast, while it commonly affects both.

Symptoms of a present themselves in individuals that are suffering from Gynecomastia include:

  • Excessive levels of breast skin
  • Increased amounts of localized fat
  • Increased level of glandular tissue development
  • Unilateral or bilateral development 

Many men suffering from Gynecomastia often suffer from a decreased level of self-confidence and emotional pain. This can cause the men to avoid physical activities and avoid wearing certain clothing because of a lack of self-confidence that they feel.

If you’re looking to learn more about Gynecomastia, check out gynecomastia.org. 

What Are the Causes of Man Boobs?

For many men, breast tissue doesn’t develop as it does in women because of the high testosterone levels in a man’s body.

One of the most common causes of the development of man boobs is Gynecomastia. However, another common cause of man boobs’ development is because of an excessive amount of fat in the chest area. The pectoral muscles are located underneath a layer of fat. 

By increasing your muscle mass and decreasing the amount of body fat you have, you can get rid of your man boobs. If your doctor confirmed that you don’t have Gynecomastia, it doesn’t mean that pot isn’t playing a part in the development of your man boobs.

Pot and Weight Gain

The THC found in marijuana is responsible for interacting with your brain’s regulations of your appetite. By targeting your brain’s olfactory bulbs, THC The world Works to heighten your sense of taste, sense of smell, and appetite.

In basic terms, THC in marijuana tricks your brain into thinking that you’re very hungry, even if you’ve just finished a meal. By flipping a switch in your brain’s hypothalamus section, the neurons in your brain are impacted by the THC, which tells your brain that you’re hungry.

If you’re smoking marijuana consistently, you’re likely also experiencing munchies on the regular. If you don’t manage your caloric consumption when you’re smoking marijuana, it’s easy for you to eat high caloric intake, carbohydrates, and fat. By not taking any action to balance out the massive caloric intake your ingest when you’re smoking marijuana, you can quickly gain weight.

The more weight you stack onto your frame, the more fat will collect around your pectoral muscles. Thus, leading to the development of man boobs without a gynecomastia diagnosis. 

What Is Gynecomastia Surgery?

Gynecomastia surgery, which is also commonly referred to as man boob surgery, is a male breast reduction. The purpose of gynecomastia surgery is to reduce breast size, which results in improving the chest contours and flattening the chest size.

In more severe cases, Gynecomastia can cause breast tissues to sag. Some patients may also suffer from the areola beginning to stretch. Gynecomastia surgery will improve the size of the areola and also work to reduce the amount of excess skin. 

Does Marijuana Cause Gynecomastia?

The National Institute of Health has found a link between tetrahydrocannabinol and the enlargement and male breast tissue. Studies have found that tetrahydrocannabinol, or THC for short, lowers testosterone levels in the body. This is because marijuana can act as an estrogen stimulator in the body, which will increase estrogen production.

While the exact cause of THC being a stimulator for estrogen production isn’t known, there are several theories about this cause. One idea that the scientific community has is that the THC in marijuana blocks the GnRH hormone’s release. GnRH It’s responsible for triggering the needs of producing other hormones in the body, such as testosterone. 

When a male has lower levels of testosterone in their body than they do estrogen, Gynecomastia will begin to form. Also, low testosterone levels can also lead to a reduction in sperm count, it decreased sex drive and erectile dysfunction.

Consistent exposure to THC can also lead to a reduction in the size of the testicles and sperm abnormalities. Long-term exposure to marijuana in the developmental years has also scientifically been proven to delay puberty. 

Understanding the Connection Between Man Boobs and Pot

Gynecomastia, or man boobs, is a medical condition that is embarrassing for many men that suffer from it. Not many men who have developed the condition understand their Gynecomastia’s cause or what they can do to get rid of it. Speaking with a medical doctor about your medical concern can help you to pinpoint the cause of your manboobs.

While there hasn’t been any hard evidence to prove that marijuana causes the development of men boobs, several scientific studies have shown that the connection between the two is probable. Are you interested in learning more about the causes of Gynecomastia and what you can do if you have this medical condition? Click here to contact us today! 


Gynecomastia Surgery, Where Will Your Incisions Be?

Posted on: October 28th, 2018
Posted by Dr. Miguel Delgado

Gynecomastia surgery in San Francisco

                                    Before and After Gynecomastia Surgery

Deciding to have male breast reduction surgery is only the first step in achieving a nice contoured chest. Picking just any surgeon who states that they do gynecomastia surgery might be a big mistake. Selecting a board certified plastic surgeon can also be a mistake.

A Gynecomastia Specialist is a Must!

Choosing a board certified plastic surgeon is essential, but you must go further and determine if the surgeon specializes in man boobs. Ask how many male breast reduction surgeries are done each year and view many before and after pictures.

Ask the surgeon if you have breast tissue and fat. This can be determined by a physical exam. If you only have fat, it will feel soft, but if there is breast tissue present, it will feel firm. The majority of men have “true” gynecomastia which is a combination of fat and breast gland.

True Gynecomastia Requires Excision

If you have “true” gynecomastia, ask the surgeon during your consultation, if you will be having liposuction and surgical excision of the breast tissue. If surgical incision is going to be done, ask where the incisions will be. You want to hear that the tiny incisions for the liposuction cannula will be high up in the armpit so that when it heals, it will be undetectable. You also want to hear that the incisions for the surgical removal of the breast tissue will be around the bottom half of the areola. The incision around the areola once healed will be barely visible.

Extreme Gynecomastia, 2 Stage Surgery

There are exceptions to this, and that would be for the man that has extreme gynecomastia and may need his surgery done in two stages. However, with proper planning, the second stage incisions are to be done around the areola, but fully around the areola, removing a donut shape of excess skin, and then closed with purse string sutures. Note at two weeks post op the patient below, when fully healed the incisions will be barely detectable.

gynecomastia first stage

    Extreme Gynecomastia

Gynecomastia, First Stage After 6 months

Six Months After First Stage

gynecomastia two weeks after second stage

Two weeks after second stage

If you have “true” gynecomastia and the surgeon tells you that the fat and breast tissue can be removed by liposuction alone, this should be a red flag for you. Dr. Miguel Delgado, M.D.’s gynecomastia practice is at 40% for revision surgery. Most of the revision cases are to correct surgery where only liposuction was done. If the male breast is only fat, it is referred to as “pseudo-gynecomastia” and liposuction alone is a successful procedure.

Horizontal Mastectomy Incision

Some surgeons use a horizontal mastectomy incision for male breast reduction. Dr. Delgado finds this unacceptable, he feels the resulting scars are as bad as the condition that is being corrected.

After gynecomastia surgery

Horizontal Mastectomy Incision

Having decided to proceed with surgery, do your homework and ask lots of questions of your surgeon. Get more than one opinion if you have any doubts. Revision surgery is expensive and should be unnecessary.

Call Now!

For a consultation with Dr. Delgado, call (415) 898-4161.

 


The Birds and the Bees and Gynecomastia, Talk to Your Sons!

Posted on: October 20th, 2018
Posted by Dr. Miguel Delgado

gynecomastia surgery in San Francisco

                                     Before and After Gynecomastia Surgery

Answering Your Children’s Questions

Talking about the “birds and the bees” with children is something that makes many parents uncomfortable. Parents need to decide how they will answer children’s questions. There are many self-help books and programs to help guide parents through tough questions. Children need to be prepared for changes as they go through puberty.

Wise parents will start early in discussions about puberty with their children. Using a matter of fact tone with age-appropriate information, is better than letting them hear stories from other kids, television, or other inappropriate sources. 

Adolescent Gynecomastia is Normal

As boys approach puberty, they may be excited to note that their voice is getting deeper and maybe getting new hair where hair didn’t grow before. They may be happy to see facial hair and can start shaving like Dad. However, there are more changes, up to 70% of boys may begin to develop breasts as they go through puberty, a condition known as gynecomastia.

Adolescent gynecomastia is a normal result of hormonal changes. Left untreated it will usually resolve itself within a few months up to 2 years. If boys aren’t aware that this is a normal phenomenon they may be terrified to see breasts appear on their chests. Most feel great shame and embarrassment and will try to hide their chest. They may be teased mercilessly from classmates, causing withdrawal from social activities. Usually, boys are too embarrassed to talk to their parents. Parents may be totally unaware that their son is suffering. Unfortunately, many parents are not familiar with gynecomastia.

Prepare Your Sons!

Today with the advent of the internet, information is readily available, and hopefully, the mystery of gynecomastia is a thing of the past. Parents need to prepare their sons of the possibility they may temporarily develop breasts before it happens.

If your son is having a hard time coping, it would be wise to seek a consultation with a board certified plastic surgeon that specializes in gynecomastia. Dr. Miguel Delgado, M.D. advises parents that in some cases male breast reduction surgery is available for young men, especially when it is affecting them psychologically.

Call Today!

If you have a son who is struggling with male breasts, call now (415) 898-4161 for an appointment with Dr. Delgado and learn what options are available.


Gynecomastia May Indicate a Serious Health Condition

Posted on: September 25th, 2018
Posted by Dr. Miguel Delgado

Before and After gynecomastia surgery in San Francisco

                                           Before and After Gynecomastia Surgery

For the majority of men with gynecomastia, having male breasts are mostly a benign condition and pose no health concerns. But, the psychological impact can be devastating and impact self-esteem.

Gynecomastia and Health Concerns

However, some serious health conditions may cause gynecomastia; men with moobs should seek medical evaluation.

Some of the serious conditions known to cause gynecomastia are:

• Liver disease

The liver has many functions including clearing excess hormones from the body. If there is liver damage and estrogen is not metabolized correctly, it can lead to the development of breasts in men.

• Kidney Disease

Hormonal imbalance can occur with impaired renal function. With decreased testosterone and an increase of estrogen, man boobs may result. A kidney transplant can reverse the problem, but some drugs used after a kidney transplant may cause men to have breast development.

• Malnutrition

Prolonged starvation can cause temporary moobs. When malnourished men have lower testosterone, some systems increase function before others when a man returns to a normal diet. This phenomenon was noted when World War II prisoners of war came home.

• Male Hypogonadism:

When the testicles don’t produce enough testosterone the ratio to estrogen will be skewed with the probable result of man boobs. This could be a problem with the testes, the pituitary gland, or the hypothalamus.

• Human Chorionic Gonadotropin (hCG)

If a man has gastric carcinoma, large cell carcinoma, or renal cell carcinoma, his hCG levels won’t be normal, and moobs may form.

• Increase of Cortisol Levels:

Your adrenal glands make a steroid hormone called cortisol. Cortisol helps the body respond to stress, fight infections, and regulate blood sugar. Men experiencing a lot of mental stress may have excess cortisol in the body. Men with increased cortisol and estrogen, along with low testosterone will very likely have the development of male breasts.

Dr. Miguel Delgado, M.D. states there are more conditions can lead to the development of man boobs. As mentioned before, gynecomastia is mostly a benign condition but it can be an indication of other health issues and should be evaluated.

Don’t Wait, Call Now!

For any gynecomastia concerns, please contact Dr. Delgado at (415) 898-4161

 


Body Dysmorphic Disorder and Gynecomastia

Posted on: August 21st, 2018
Posted by Dr. Miguel Delgado

Body dysmorphic disorder

Body dysmorphic disorder (BDD) is an obsessive-compulsive disorder. BDD is where someone cannot stop thinking about what they perceive as a flaw or defect in their appearance. This flaw appears to others as very minor or non-existent.

People with BDD can’t control their negative thoughts which can cause severe emotional distress. The distress may impact their ability to function in their daily life. They tend to obsess for hours a day which may interfere with school or work. Many will avoid social situations, and they may become very isolated.

Body Dysmorphic Disorder Affects Both Men and Women Almost Equally

Most often BDD develops in the adolescent years and early teens. It affects men and women almost equally. BDD sufferers may focus on any part of their body.  Most commonly they focus on their hair, nose, skin, stomach, or their chest.

 BDD may be caused by both environmental and biological factors. Possibly malfunctioning serotonin in the brain, genetic predisposition. Life experiences such as child abuse, or bullying could be to blame for BDD.

Cosmetic Surgery May be Addictive for BDD Sufferers

Some sufferers will attempt to hide their compulsive behavior by camouflaging their flaw with clothing or avoid mirrors. Engaging in excessive grooming, or intense exercise can be a symptom. Others will turn to multiple cosmetic surgeries looking for perfection.

Young men who are going through puberty and develop gynecomastia may experience extreme shame which can lead to low self-esteem. When left unchecked the adolescent boy may find focusing on schoolwork difficult, even failing classes. Interaction with classmates and teachers comes to a halt.

Board certified plastic surgeons are trained to be on the lookout for patients with unrealistic expectations versus patients with a healthy perception of what results they can expect. There is a big difference between low self-esteem and BDD for the gynecomastia patient. For those who are experiencing low self-esteem, corrective male breast reduction surgery can be a life-changing event. For moobs patients with BDD, the expectations of their surgery results will never be met. They will continue to see imperfections, most of which are imagined. It is essential for man boob patients having surgery to have realistic expectations. They need to understand that cosmetic plastic surgery can make tremendous improvements, but will never be perfect.

Moob Surgery or Therapy?

It is the skilled gynecomastia specialist who can communicate with patients to determine if the patient will benefit from surgery or if the patient needs to be managed by cognitive behavioral therapy and perhaps medication.

Call Now!

Call today for a private consultation with Dr. Miguel Delgado, M.D. (415) 898-4161 for any gynecomastia concerns. Dr. Delgado advises patients who think they may have BDD to consult with their healthcare provider.


Estrogen is in Your Food!

Posted on: August 6th, 2018
Posted by Dr. Miguel Delgado

Estrogen in Food Causes Moobs

                                         Before and After Male Breast Reduction Surgery

Men’s body naturally produces estrogen, the “female hormone,” but in a much smaller amount than for women. When estrogen and testosterone are perfectly balanced, the body works as it should. However, Dr. Miguel Delgado, M.D. warns that several factors can unbalance the ratio of hormones that will lead to unwanted side effects such as infertility, erectile dysfunction, and gynecomastia.

Change Your Eating Habits

It is possible for men to lower their estrogen levels by changing their eating habits. If caught early, by avoiding some foods that are high in estrogen, they may be able to reverse some feminine characteristics they may develop before they become permanent.

Estrogen Rich Foods to Avoid

Soy – known as phytoestrogens (plant produced estrogen). This includes soy milk, protein drinks, protein powder, and in thousands of packaged foods. Read the labels! Most grocery store foods that contain soy are genetically modified (GMO). More than 90% of soy grown in the United States is (GMO). However, the traditional crop grown in Japan is not GMO. Miso, natto, and tempeh are fermented soy products and are the safe for consumption.
Sugar and Carbohydrates – Both are highly processed, and in addition to the adverse health effects, they cause the body to produce more estrogen.
Conventional Meat and Dairy – Milk may contain up to 20 medications and growth hormones. Growth hormones are given to cows so that they will produce more milk and grow faster. Look for milk that is organic or labeled “bGH-free.”

Beware of BPA!

When cleaning up your diet, you should also be aware of Bisphenol A (BPA). BPA has been around since the 1960’s and is an industrial chemical often used in the production of plastic water bottles and food containers. BPA mimics the hormone estrogen. Research has shown BPA can leach into beverages or food and cause health issues. Avoid water bottles that have been exposed to heat and foods that are microwaved in plastic containers.

Detox Your Body

You can start to detox your body by avoiding the listed foods and products and add cruciferous vegetables like cauliflower, broccoli, cabbage, Brussel sprouts, kale, etc. You can also increase your probiotic and prebiotic consumption through supplements or fermented foods like sauerkraut, kombucha, and kimchi.

Call Now!

If your breasts are starting to feel tender or painful do not wait, call (415) 898-4161 for an appointment with Dr. Miguel Delgado, M.D.


Moob Surgery and Reasonable Expectations

Posted on: July 25th, 2018
Posted by Dr. Miguel Delgado

unilateral moob in San Francisco

22 year old male presents for unilateral right gynecomastia. Hormone testing proved normal. He had gland excision on the right with liposuction. He is seen here 4 weeks post op.

 

No one has a perfect body, most men carry some extra weight, some are barrel-chested, or some may have a somewhat concave chest. Like women, a lot of men may have one breast larger than the other. It is unknown why some people have more of a propensity to form scar tissue than others. All of these factors can contribute to moob surgery results.

Moob Surgery Complications are Rare

Complications are infrequent, but when they do occur they usually are minor, and most can be treated as an office procedure. However, all surgeries come with some risk such as:

• Bleeding (hematoma)
• Blood clots
• Infection
• Adverse reaction to anesthesia

Specifically for gynecomastia, there can be pigment changes, some asymmetry of the breasts or nipples, loss of sensation or numbness in the nipples which is possible to last up until a year, rarely is it permanent.

Under or Over Resection

Men who are seeking gynecomastia revision surgery usually have not had enough tissue and/or fat removed; this is referred to as “under resection.” Under resection is a common outcome when the surgeon only uses liposuction for moob reduction. Another complication is “over resection” where too much fat and tissue has been removed, also known as a “crater deformity.”

In some instances, men complain that a few weeks after surgery they have “puffy nipples” for most, this is due to the development of scar tissue which generally takes a few weeks to develop. Many times the scar tissue can be resolved with steroid injections done in the office.

Common Conditions After Moob Surgery

Dr. Miguel Delgado, M.D. states that after the trauma of surgery, moob patients will find that there will be swelling, and bruising, but when, where, and how much can’t be determined. Additionally, scar tissue will form, but again how much can’t be predicted.

After obsessing about their man boobs for a long time, some men will be looking for perfection. Plastic surgery is not a perfect art; however, significant improvement can be expected.

Find an Experienced Moob Surgeon

In the hands of an experienced board certified plastic surgeon that specializes in gynecomastia, many steps can be taken to assure a great outcome. A general surgeon and even some board certified plastic surgeons do not have the skills that a gynecomastia specialist has for a very complex surgery.

It is the expert gynecomastia surgeon who understands possible complications and how to treat them.  This is the surgeon who does 100’s of male breast reductions surgeries a year, not just a few. View many before and after pictures and select a surgeon with impressive results.

Call Now!

Dr. Delgado has 100’s of before and after pictures available for viewing, call today (415) 898-4161 for a consultation.

 


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