Posted on: October 28th, 2018 Posted by Dr. Miguel Delgado
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.
Six Months After First 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.
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.
For a consultation with Dr. Delgado, call (415) 898-4161.
Posted on: October 20th, 2018 Posted by Dr. Miguel Delgado
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.
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.
Posted on: September 25th, 2018 Posted by Dr. Miguel Delgado
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.
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
Posted on: August 21st, 2018 Posted by Dr. Miguel Delgado
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.
Posted on: August 6th, 2018 Posted by Dr. Miguel Delgado
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.
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.
Posted on: July 25th, 2018 Posted by Dr. Miguel Delgado
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:
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.
Dr. Delgado has 100’s of before and after pictures available for viewing, call today (415) 898-4161 for a consultation.
Posted on: June 18th, 2018 Posted by Dr. Miguel Delgado
Before and After Gynecomastia Surgery
Gynecomastia or male breasts can be an extremely humiliating condition for men. Many men will go to great lengths to be rid of their man boobs.
• Over the Counter Products
We have yet to hear of any product that you can buy that will reduce men’s boobs. The most advertised come in pill form and the only thing that gets reduced will be your wallet. Check the forums on gynecomastia.org and read many comments by men who have tried them.
• Diet and Exercise
Diet and exercise are always recommended but not as a way to reduce male breasts. Unless you have pseudo-gynecomastia (breasts caused by fat only)diet and exercise will not reduce breast tissue. Fat may be reduced but the remaining breast tissue will look even more prominent.
• Taking Hormones
Hormone imbalance is the major cause of breast growth for men. Some men believe if they increase their testosterone level it will reduce their man boobs. This is a big misconception; it can actually increase breast growth as the additional testosterone may get converted into estrogen. Messing with your hormone levels is very risky.
• Compression Vests and Layering of Shirts
For some men they will try to hide their chest by wearing several layers of shirts or wear a compression vest. This may work for some, but the bulkiness will be quite uncomfortable after a time and too hot in the warmer seasons.
• Gaining Weight
In an effort to hide man boobs, some have tried to gain weight with the idea that the breasts won’t be as obvious. This is not a good idea, as the breasts which contain fat cells, will grow bigger as well.
What is recommended is for you to consult with a gynecomastia specialist. Most people today know that they should consult with board certified doctors, but in the case of man boobs, you need to go a step further. In addition to being board certified, you want a surgeon who specializes in gynecomastia and has done hundreds of cases, not just a few a year. Dr. Miguel Delgado, M.D. warns that male breast reduction surgery can be very complex and in the wrong hands you may end up not only dissatisfied but in need of revision surgery. It is best to get it right the first time! When in consultation or even before making an appointment, ask how many cases the doctor does on average each year. View before and after pictures of patients so you can see what type of results you can expect.
For any gynecomastia concerns you may have, call now (415) 898-4161 for an appointment with Dr. Delgado who has specialized in male breast reduction since 1988.
Posted on: June 11th, 2018 Posted by Dr. Miguel Delgado
Scarring can be very unpredictable, and no two patients will heal the same. As the body recovers after gynecomastia surgery, there will be scar tissue forming both internally and externally. Sometimes the scar tissue may feel lumpy, and some men are fearful their man boobs are returning. This scar tissue is not breast tissue and will not affect the overall appearance.
Scar Tissue After Gynecomastia Surgery
Scar tissue will not disappear if it is massaged, but there are benefits to be gained, Dr. Miguel Delgado, M.D. has his patients start a gentle massage after about 3 weeks as long as it is not painful. To start massaging before then may cause unwanted swelling.
The Benefits of Massage
The skin may feel hypersensitive as healing takes place and sensation starts to return. Massage may reduce the sensitivity. In addition, massaging can help the body get rid of pockets of fluid and reduce swelling. Massage may help internal scarring to be looser and more flexible. Massaging external scars with a lubricant may prevent scars from cracking and drying out.
How to Massage
If you are instructed to start massaging, the way to do it is; raise one arm over your head, take the three middle fingers of the opposite hand and gently use a circular motion on areas that feel firm. Gradually increase the intensity, but not to the point that it hurts. Massage for about 5 minutes on each side two times a day.
Options for Scar Revision
It isn’t possible to avoid scar formation after surgical procedures. However, there are treatment options available to reduce scar tissue such as; steroid injections, or even a minor scar revision surgery.
Do not attempt massaging your chest unless directed by your surgeon.
For additional information for any gynecomastia concerns, call today (415) 898-4161 for an appointment with Dr. Miguel Delgado, M.D.
Posted on: May 25th, 2018 Posted by Dr. Miguel Delgado
Before and After Gynecomastia Surgery
Gynecomastia is noncancerous enlarged breast tissue in men. Male breasts can develop when there is a hormonal imbalance of estrogen to testosterone. 65% of men or more will develop breasts at some point in their life; it is often seen in newborn male babies, as boys go through puberty, and in the aging male. In most cases, the male chest will return to normal on its own within a few weeks to a few months.
Gynecomastia From Mild to Severe
There are 4 grades of gynecomastia, from mild to severe. After puberty, if the male breast has not returned to normal after 2 years, then surgery will be the only permanent solution.
Some men are comfortable with their breasts and do not feel the need to hide them. They are able to have a normal life without their breasts causing them any embarrassment. They enjoy the beach and pool parties or any situation where they remove their shirt. For these men, they do not need to consider surgery as the breast tissue is benign.
Male Breast Cancer is Rare
Gynecomastia has been known to be caused by certain medications used in the treatment for such conditions as; ulcers, prostate cancer, and heart conditions. However, even though gynecomastia is fairly common, male breast cancer is rare. There are only about 2,000 men a year diagnosed with breast cancer, and of that number about 400 die of the disease. Men with gynecomastia are slightly more at risk for breast cancer due to the elevations of estrogen. Additionally, men are more at risk for breast cancer if it is in their family history, Jewish ancestry, or some genetic disorders.
Dr. Miguel Delgado, M.D. states that even though the incidence of cancer is very low, men should get regular checkups, do self-breast exams, and always be on alert for any lumps, unusual swelling, or pain and see their doctor promptly.
Posted on: May 11th, 2018 Posted by Dr. Miguel Delgado
In general, patients choose their cosmetic plastic surgeon close to home for convenience and for easier follow-up care. For the most part, there are excellent board certified plastic surgeons in all parts of the United States. However, there is an exception to this, for some specialties such as gynecomastia, finding an expert may involve travel.
Gynecomastia Specialist for Surgery
Many surgeons will perform male breast reduction, but if they are less experienced, the results may lead to necessary revision surgery. It is better to get it right the first time; it will be less expensive, time-consuming, and better results.
It is essential for men to do their homework in researching the surgeon of their choice. Be sure to review many before and after pictures, read reviews, and make sure the surgeon is board certified in plastic surgery. Go on two or three or more consultations until you feel comfortable with the surgeon and the staff.
Before and After Gynecomastia Surgery
Surgical Excision and Liposuction Needed
Gynecomastia.org is a wonderful informational website dedicated to men searching for answers to many questions they may have about their male breasts. There are gynecomastia specialists on the forums along with the members who will answer questions and share stories. Be sure you understand that “true gynecomastia” involves both surgical excision and liposuction to get the best results. Do not opt for liposuction alone unless what you have is “pseudogynecomastia.” Pseudogynecomastia means only fat is causing your male breasts.
Dr. Miguel Delgado, M.D. states that over 40% of his practice is gynecomastia revision surgery where other surgeons did not remove enough tissue, or they removed too much. Don’t let this happen to you!
Men Travel From Afar to See Dr. Delgado
Dr. Delgado’s reputation as a gynecomastia specialist is nationwide and beyond. Men travel from all over the United States and other countries to be treated by him. Dr. Delgado appreciates that men are willing to travel far distances to see him, so he has implemented many protocols to assist his out of town patients.
Dr. Delgado offers a complimentary consultation either by Skype, or phone, after a patient sends pictures. After the consultation, the patient will be provided with a detailed quote. If the patient decides to come to Novato for surgery, a surgery date will be set, and a comprehensive booklet will be sent giving the patient pre and post-operative instructions.
Special Rates for Out of Towners
The patient needs to arrive a couple of days before surgery for a pre-operative visit. Dr. Delgado has arranged a special rate for out of town patients at the Novato Oaks Inn, be sure to mention his name when making reservations. The hotel is nearby and offers a free shuttle to the office.
Patients need to plan on staying a week after surgery for their follow up care, including drain and suture removal. Once home, Dr. Delgado will keep in touch by phone or Skype to follow your recovery.
Make an Appointment Today!
Contact us now to get your free virtual consultation with Dr. Delgado. For your complimentary consultation, email the following information to us at firstname.lastname@example.org: