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Does tamoxifen treatment work for gynecomastia?

Posted on: August 29th, 2022
Posted by Dr. MiguelDelgado

Gynecomastia is a disease of the male breast. Gynecomastia is male breast enlargement and is usually treated surgically. However, not every man wants surgery, and not everyone is a suitable candidate for surgery due to many factors. In clinical trials, medications are tested for their ability to treat gynecomastia without surgery.

The market today is flooded with supplements and pills for treating gynecomastia. Gynexin, Gynectrol, and GyneMax are the most popular gynecomastia pills. The problem is that these pills are merely fat-burners and only reduce breast fat. There are breast glandular tissues and breast fat in gynecomastia. Gynecomastia pills cannot reduce glandular tissue. Tamoxifen, however, is a potential drug that can address breast tissue.

An anti-hormone receptor medication, Tamoxifen, is commonly used for treating hormone-positive breast cancers. As a result, this medication reduces the likelihood of developing breast cancer. Tamoxifen’s effect on breast tissue growth interferes with estrogen’s action. Tamoxifen is one of the most commonly prescribed selective estrogen receptor modulators (SERMs). The female hormone estrogen can either be blocked or activated by tamoxifen. The estrogen effect on breast tissue will be inhibited in the case of breast cells.

Endocrine disorders can also be treated with Tamoxifen. This treatment can influence various estrogen-related effects in breast cancer cells. It is, therefore, less likely for this cancer to develop as a result of this action. People may also use Tamoxifen to reduce the density of dense breasts such as males with gynecomastia.

Tamoxifen can prevent breast development. Despite this, it is still unclear whether it is effective in treating gynecomastia. Despite their best efforts, many medical professionals have been unable to achieve much success.

However, there is a possibility of using Tamoxifen to treat gynecomastia with some reduction in breast size.  However, further clinical trials are required.


Around 60% of men worldwide suffer from gynecomastia, also called “man boobs.” There are many causes of gynecomastia, including weight gain, drug use, anabolic steroids, and other medical conditions. It results in “female-like breasts,” called gynecomastia. Male breast enlargement can affect his psychological, social, and emotional well-being.

Many men seek professional help because of the “manboobs” stigma. The good news is that male breast reduction surgery can treat gynecomastia today. Moreover, gynecomastia can be treated by a variety of surgical methods. A specific surgical technique is used depending on the grade of gynecomastia or the severity of breast enlargement. Successful and effective results can be achieved through a variety of surgical treatment.

But not every man is a good candidate for surgery or even wants surgery. Many men would prefer a medication that resolves the breast gland problem. To find a medical solution, studies have been conducted. Tamoxifen is a drug that has been the subject of some of these studies. Professionals see Tamoxifen as an option for treating gynecomastia.

Men with gynecomastia often ask the question; does Tamoxifen treat gynecomastia? The pros and cons of Tamoxifen treatment for gynecomastia will be discussed in this article.

Tamoxifen: what is it?

In treating hormone-receptor-positive breast cancer, tamoxifen is an FDA-approved prescription drug. It has also been used in high-risk patients to reduce the risk of cancer development. Breast cancer patients have already benefited from Tamoxifen since it was approved in 1998. However, it is not FDA-approved for treating gynecomastia.

Tamoxifen’s mechanism of action is to prevent breast cancer development. Treatments and prevention can be achieved by interfering with estrogen’s effects on glandular tissue.

Tamoxifen is the most commonly prescribed selective estrogen receptor modulator (SERM). Depending on the cell type, it can either block or activate estrogen’s action. Breast cells cannot respond to estrogen when Tamoxifen is taken. In addition, Tamoxifen binds to proteins or hormone receptors in cancer cells. By blocking hormone receptors, cancer is prevented from progressing.

Combined with other hormone-therapy medications, tamoxifen is used to treat breast cancer. By altering the body’s hormone balance, Tamoxifen can slow cancer cell growth.

A high level of estrogen contributes to the rapid development of cancer. Cancer development can be slowed, and tumor growth can be reduced by lowering estrogen levels with tamoxifen.

Its efficacy can be attributed to how Tamoxifen stops developing cancerous cells. In addition, it can reduce the risk of recurring and invasive cancers of the breast. Moreover, it may reduce the likelihood of high-risk people developing the disease.

Treatment of Gynecomastia with Tamoxifen

The development of breast tissue on a man’s chest is known as gynecomastia. This breast tissue is a combination of breast tissue and fat. Several factors can cause gynecomastia, but in most cases, it’s due to hormonal imbalance. An imbalance occurs when estrogen levels are too high, and testosterone levels are low.

In glandular tissue, Tamoxifen has two effects: antiestrogenic and antitumor. Tamoxifen effect can provide insight into the possibility of treating gynecomastia. The treatment of choice for men suffering from gynecomastia is male breast reduction surgery. Nevertheless, in some cases, particularly those of pubertal gynecomastia, Tamoxifen may be beneficial.

Estrogen Blockers and Gynecomastia pills: Do these pills or supplements get rid of gynecomastia?

The answer is very simple, NO.

Various well-known pills and supplements are referred to as “fat burners.” Examples include GyneMax, Gynexin, and Gynectrol. Using these fat-burning pills will not reduce the breast gland, which is therefore ineffective.

Anti-estrogen medications are also commonly used by men to prevent gynecomastia. The use of these drugs is becoming increasingly popular among bodybuilders. These drugs act as “estrogen blockers” to prevent breast gland development by inhibiting the conversion of testosterone into estrogen.

This process is called “amortization.” When this conversion is blocked, the male hormone becomes dominant. In males, amortization prevents female traits from developing.

Nevertheless, it is not always effective. Based on clinical experience, effectiveness is like “throwing the dice.” In addition, anti-estrogen drugs are less effective when the glandular tissue has already developed.

What are the effects of Medications on True Gynecomastia and Pseudogynecomastia?

The term pseudogynecomastia refers to an enlargement of the male breast caused by fat. This type of gynecomastia, or “fake gynecomastia,” may be treated with gynecomastia pills or supplements. However, diet and exercise will also play a significant role!

In summary, gynecomastia pills may treat pseudogynecomastia but not true gynecomastia. It is caused by the presence of the male breast gland.


As of today, Tamoxifen has proven to be a successful treatment and prevention of breast cancer. Whether it is effective in treating gynecomastia has yet to be determined. To date, medical professionals have had little success. However, this does not mean that it is ineffective. A greater amount of research is required to demonstrate its effectiveness. To conclude, there is no conclusive evidence regarding the effectiveness of Tamoxifen in treating gynecomastia. Contact our office today.

UCLA professor Glenn D Braunstein, MD, published a current recommendation update in April 2021. The following are his recommendations.

2021 Current recommendation with Tamoxifen treatment of gynecomastia.

  1. Hormone changes during puberty cause prepubertal gynecomastia or adolescent gynecomastia. In 80% of cases, adolescent gynecomastia resolves. There is a residual 20% that is permanent. A trial of Tamoxifen may be recommended for boys suffering from breast pain or having severe gynecomastia.
  2. Usually, Tamoxifen does not work on male gynecomastia that has been present for more than a year.
  3. A medical condition or drug-induced gynecomastia can cause adult gynecomastia. Gynecomastia may resolve in these cases when the underlying medical condition is treated. Gynecomastia that cannot be diagnosed is called idiopathic gynecomastia and can be treated with Tamoxifen.
  4. Prostate cancer patients receiving anti-androgen therapy risk developing gynecomastia. Prostate cancer patients can reduce their risk of gynecomastia by pretreatment with Tamoxifen. Therefore, tamoxifen treatment is often used for prostate cancer treatment.


Can Tamoxifen reduce gynecomastia when it’s used as an estrogen blocker?

It is possible in some cases to treat gynecomastia with tamoxifen. A trial of Tamoxifen is effective in treating prepubertal gynecomastia. Tamoxifen may be prescribed when a boy experiences breast pain, tenderness, or a severe case of pubertal gynecomastia. If there is no or minimal response in breast size, observation or surgical excision would be the treatment options.

Is Tamoxifen effective for gyno?

The FDA has approved Tamoxifen (Nolvadex) to treat hormone-receptor-positive breast cancer. For it to work, it must eliminate the effect of estrogen on the estrogen receptors in breast tissue. The effectiveness of this treatment has been demonstrated in female breast tissue. Tamoxifen has been evaluated in clinical trials for its effectiveness in preventing gynecomastia. According to the studies, this treatment is inconsistent and works in some circumstances but not others. It is less effective, if not useless if the breast gland has already formed, but it can reduce the size or discomfort.

Which is the best medicine for treating gynecomastia?

In terms of treating gynecomastia, there are two types of medications. The first type of drug is a selective estrogen receptor modulator (SERM), such as Tamoxifen. In the case of Tamoxifen therapy, estrogen action is blocked on the breast cells to treat gynecomastia.  Although it does have side effects, it should only be used for 3-6 months. There are a variety of possible side effects for men who take Tamoxifen, including headaches, nausea, hot flashes, rashes, fatigue, sexual dysfunction, weight changes, and changes in mood and weight.

Tamoxifen: why would a man take it?

Men with breast cancer are always hormone receptor-positive. The action of Tamoxifen is to prevent cancer cells from growing. In addition, it may be used in men and boys suffering from gynecomastia who are experiencing pain or significant growth. Prostate cancer and benign prostatic hyperplasia can also be treated with this medication.

Is tamoxifen a testosterone booster?

In fact, yes. Using Tamoxifen, the hypothalamus and pituitary gland are blocked from receiving negative feedback from estrogen. As a result, male hormones are released, increasing testosterone levels. When the estrogen-to-testosterone ratio is altered, spermatogenesis is stimulated.

For gyno, what is the recommended dosage of Tamoxifen?

Treatment with Tamoxifen is indicated for gynecomastia that has recently developed or is painful. It is recommended to take 10-20 mg twice a day. A patient is prescribed Tamoxifen for 3-6 months before being referred for surgery. The most common side effects are nausea and stomach upset.

Does Tamoxifen have to be prescribed by a doctor?

A physician who specializes in endocrinology should prescribe Tamoxifen. Laboratory testing and blood level monitoring are necessary for the patient. Tamoxifen is generally not prescribed by plastic surgeons but by endocrinologists.

Gynecomastia supplements or pills: do they work?

No. Gynecomastia pills are total-body fat burners that can only reduce breast size through fat burning. The treatment of gynecomastia with pills and supplements is ineffective throughout the world.

Can Tamoxifen be used to treat established gynecomastia?

No. It is impossible to reduce the breast tissue size once it has been established using Tamoxifen.   Cancer doctors do not prescribe these medications when a breast tumor is present. This also applies to men; once gynecomastia is established, Tamoxifen will not reduce the tissue much or not at all.


Will increasing testosterone reduce gynecomastia?

Posted on: June 24th, 2022
Posted by Dr. Marketing Specialist

Increasing your testosterone level may cause gynecomastia or make it worse. The aromatization of testosterone can convert to estrogen and shift the hormonal imbalance to cause male breast tissue enlargement.

Testosterone levels as a male ages


In men, testosterone is produced mainly in the testicles. It plays a role in many different areas of health, such as bone density, muscle mass, libido, sperm production, energy, fat storage, emotional wellbeing, and sexual function. Gynecomastia occurs when there’s an excess of estrogen in the body. Estrogen is another type of female hormone. It will cause male breast tissue to develop in males. Gynecomastia and low testosterone are both treatable conditions. However, their underlying causes should be understood first.


Signs of Low Testoterone or "Low T"

Understanding low T

The testosterone levels of a man decrease with age. The condition is called hypogonadism, or “low testosterone.” It is also called “andropause”, which is similar to the term “menopause” for women”.  According to the Urological medical statistics, 1 in 4 men over the age of 45 have low T. Low testosterone levels can cause several complications, including:

  • Decreased sexual drive
  • Decreased sperm count
  • Symptoms of erectile dysfunction
  • An enlarged male breast glandular tissue called gynecomastia
  • Testosterone replacement therapy is sometimes used to enhance testosterone production.

Understanding gynecomastia

Male with gynecomastia

Both testosterone and estrogen are produced in the male body, though estrogen is typically in low concentrations. When testosterone levels are particularly low, and estrogen levels are excessive, a man may develop larger breast tissue, and excess fat tissue as excess body fat is gained.

Gynecomastia occurs in boys when they reach puberty and their hormonal activity changes. It usually resolves on its own with time and without treatment. Both breasts may have excess breast tissue, or only one breast may have it.

With age, testosterone levels drop, resulting in gynecomastia. If untreated, it may persist. According to the Mayo Clinic, one in four men between 50 and 80 suffer from gynecomastia.

There is usually no harm or serious consequence to this condition. However, in some cases, sore breast tissue can result.

The Treatment

In both cases of gynecomastia and low T, various treatments are available.


There are medications available that can be used to treat gynecomastia, such as raloxifene (Evista) and tamoxifen (Soltamox). These medications have been approved by the US Food and Drug Administration (FDA) for treating breast cancer, but not for treating gynecomastia. “Off-label” use refers to the use of a drug to treat a condition for which it has not been approved by the FDA. It may be safe to use the medication in this way. However, you should consult your physician before starting treatment with these medications.

Male breast reduction surgery is also an option. Perhaps you have heard of liposuction, which removes excess fat from the abdomen. This procedure can also be performed on the swollen breast tissue. Unfortunately, liposuction does not involve the removal of the breast tissue. Breast glands are surgically removed during a mastectomy. It can be accomplished through a small incision and requires a relatively short recovery time. You may be required to undergo corrective or cosmetic surgery to achieve the desired shape and appearance.

Low T

Aside from treating gynecomastia, you might also consider treating low testosterone levels. A man’s testosterone level tends to decrease over the course of his lifetime. For this reason, many older men opt to undergo testosterone replacement therapy. The treatment can take many forms, including:

  • Gels for the skin
  • A patch
  • Injected

In most cases, testosterone replacement therapy results in noticeable improvements in men. Men usually report improvements in:

  • More energy
  • Increase sex drive
  • Mourning erections
  • Better sleep
  • Increase muscle mass

In addition, they may experience a positive change in their outlook and mood. Potentially higher estrogen levels and extra breast growth. Since normal hormonal changes are altered, female breasts result.

Risk Associated with Testosterone Therapy

The use of testosterone replacement therapy may cause side effects. Breast cancer and prostate cancer patients should not undergo testosterone replacement therapy. The possibility that this treatment could lead to prostate cancer has been controversial. You may also experience increased risks of cardiovascular events, obstructive sleep apnea, and excessive blood cell production. It is important to discuss the latest research and the risks and benefits of testosterone therapy with your doctor.


If you are considering gynecomastia treatment, call now (415) 898-4161 for a consultation with Dr. Delgado who is a Board Certified Plastic Surgeon and a gynecomastia specialist practicing in San Francisco Bay Area, Marin County, and San Jose.


Does testosterone decrease gyno?

Testosterone replacement therapy will not reduce the actual breast gland tissue

Can high testosterone cause gyno?

Yes, excess testosterone production in the body can cause gynecomastia. At certain levels, testosterone can become converted to estrogen through a process called aromatization. Too much estrogen can produce breast enlargement. Certain medications may block this conversion which is commonly used in men who take anabolic steroids. The use of anabolic steroids is the most frequent medication to cause extra breast tissue which can affect one or both breasts.

Does testosterone reduce chest size?

Testosterone will not reduce the chest size. However, it can increase chest size or upper body by stimulating muscle growth.

The big conversation: how do I tell my spouse I want gynecomastia surgery

Posted on: June 14th, 2022
Posted by Dr. MiguelDelgado

The best way to discuss the issue of gynecomastia, also known as man boobs, with a parent or loved one like a spouse is to be totally honest. You have lived with this condition for many years, and the enlarged male breasts have become an issue daily. A typical day for men with enlarged male breasts begins with the clothing issue of how to best reconcile but yet look hip and put together. This often results in dark or baggy clothing or even worse a tight compression garment. If you are a man who is very active the fear of taking off your shirt in sports or at the beach is a traumatic experience. There are solutions to change your life, and that is to eliminate the excess breast tissue with male breast reduction surgery.

How do I tell my wife I want gynecomastia surgery

Gynecomastia Surgery and Support.

Deciding to have gynecomastia surgery and removing breast tissue is a big step toward completing your goals. Communication with your loved one or parent is vital for support and post-operative care. This is one reason that discussing your desire for gynecomastia surgery is critical. Men of all ages hide their enlarged breasts for many years because of the stigma of having male breast tissue which is “female-like” in appearance. This topic can be very difficult to discuss but being honest with your feeling is the best approach with your loved ones. You need at least one person that you can confide in to take care of your needs.

Man with gynecomsastia

Male Breast Reduction Promotes Greater Self-Esteem

Male breast enlargement can cause pain and humiliation. Gynecomastia is a condition that affects one’s self-esteem, both psychologically and physically. For many men, treating these gynecomastia symptoms improves their lifestyle and reduces the social stigma associated. It goes with saying that a board-certified plastic surgeon is the best option for treating gynecomastia in San Francisco. Dr. Delgado and his staff can answer any question that you have and provide many resources for your journey.

How to help your adolescent son discuss his gynecomastia

A parent is very keen on watching their son’s habits. These habits are sometimes not as obvious to him. Parents often notice a change in their son’s behavior which often starts after puberty. Some of the first signs are:

  1. He no longer takes off his shirt.
  2. He begins the wear garments that hide his chest. Often sweatshirts, even in the summer.
  3. He begins to avoid situations in which others are removing their shirt like swimming or sports that require the “skins vs shirts.
  4. Your son may become introverted and not want to socialize.
  5. He may be too embarrassed to discuss the issue.

Gynecomastia Treatment. When is the best time?

The best time to have gynecomastia treatment is when his lifestyle is affected by the psychological and social.

Breast gland tissue that developed during puberty often resolves within two years of when it develops. If the excess breast tissue does not resolve by this time, it becomes persistent gynecomastia. At this point, surgery can be done when he reaches 17-18 years. However,

if the patient and family members feel that the condition is preventing his psychological and social development, then plastic surgery should be considered. Otherwise, there is no reason to wait past 17-18 years old. Plastic surgery for male breast enlargement is best performed when the skin quality is young with good skin elasticity to contract smoothly to the new chest contour.


When is the best time to get gynecomastia surgery?

Male breast reduction surgery for enlarged breasts is not a major surgery procedure. The best time to make this life-changing procedure is when you have exhausted your diet, and exercise and are convinced that the breast tissue is not going away on its own. If breast tissue developed during puberty and is still present for 2-3 years, then it will not resolve. It becomes persistent gynecomastia into adulthood.


Could Your Diet Cause Gynecomastia?

Posted on: May 4th, 2022
Posted by Dr. MiguelDelgado

If you suffer from gynecomastia, commonly known as “man boobs,” you understand how frustrating the condition can be. You cannot escape the feeling that everyone is taking notice of your unmanly chest contour, even if that is not the case.

As a result of the appearance of your chest, you may be embarrassed to remove your shirt upon entering a public beach or gym locker room. You may refrain from wearing certain types of clothing, despite being wholly clothed, due to the fear of showing your puffy nipples and enlarged chest. Traditional chest sculpting exercises exacerbate the problem and are ineffective in treating man boobs. What are your options? Learn more about the condition of gynecomastia surgery by calling Dr. Delgado at (415-898-4161).

A guide to the anti-estrogen diet for men: What to eat and what not to eat

Hormones such as estrogen and testosterone are found naturally in the bodies of both males and females. Recent research indicates that some foods are capable of influencing these hormone levels.

Hormones are chemical messengers in the body. They are crucial for maintaining libido, mood, health, and fertility, among many other functions.

While estrogen has sometimes been considered a “female hormone,” it is produced by males and females. Elevated estrogen values have been linked to men’s specific health problems, such as gynecomastia or “man boobs.

This article explores foods that may raise or lower estrogen in the body and the evidence supporting these claims.

Males with high estrogen levels

Male and female sex hormones differ because estrogen is the primary female hormone, and testosterone is the primary male hormone. Although men also produce estrogen, it is in smaller amounts. The key is to avoid hormonal imbalances.

Male reproductive health is influenced by estrogen. Estrogen impacts sexual drive and erectile dysfunction in men. It also affects sperm production and bone health.

Males, however, may experience problems if too much estrogen is consumed. Some symptoms of excessive estrogen can include:

  • An enlarged breast tissue (gynecomastia or man boobs),i.e., excess breast tissue.
  • Erectile dysfunction is often due to suppression of testosterone production
  • Problems with reproduction

Moreover, a 2016 study conducted by trusted Sources has also linked high estrogen levels with depression in males due to a hormonal imbalance between estrogen and testosterone. Therefore, hormonal balance is critical for total body mental and physical health.

To maintain optimal health, estrogen and testosterone must be in balance. If either hormone is present in excess or insufficient amounts, health problems can arise.

Hypogonadism, or low testosterone levels in men, is a common health concern associated with aging, and testosterone replacement therapy is sometimes required. Low sperm counts, erection issues, and a reduced sexual drive are some of its symptoms. There is a myth that too much estrogen is the cause of low testosterone, but this is not true. Estrogen and testosterone are not antagonistic.

Can males reduce their estrogen levels?

Some studies have suggested that specific foods may raise or lower estrogen levels. However, it is unclear whether these foods can address the health effects of excess estrogen. However, it is clear that certain foods are estrogen-like or phytoestrogens in their composition and can mimic the effect of estrogen. The same is true for testosterone in the diet. Therefore, hormonal balance can be affected. Whether or not these tiny changes can affect the overall body’s physical dynamics is the question.

Food and Oils that Increase the Estrogen Level

Breast tissue development can be stimulated by estrogen and estrogen-like compounds. Various forms of these compounds are found in the environment. If you have concerns about gynecomastia, you may wish to reduce your intake of these compounds.

Soy products like soy milk contain a high level of isoflavones, and phytoestrogens. Isoflavones mimic the effects of estrogen, but they are much less potent. There has been evidence that soybean isoflavones attach to estrogen receptors and can produce a slight estrogenic effect or even anti-estrogenic activity.

Lavender oil Tea tree oil – Contains estrogenic and testosterone-suppressing properties. Because of this, they interfere with the development of masculine characteristics. These essential oils are also used in personal hygiene, household cleaning, and aromatherapy to substitute for medical treatment. Many consumer products contain lavender and tea tree oil, including soaps, lotions, shampoos, etc.

  • Red wine, nuts, fruits, and flax seeds – Research has indicated that these foods contain phytochemicals such as resveratrol, which are similar to estrogen in their effects on the body.

The Top 6 foods that cause Gynecomastia.

The top foods that cause man breasts are soy products, beetroot, dairy products, shrimp, strawberries, frozen meat, beer, canned, and deep-fried food. These foods increase the production of estrogens and can suppress testosterone production.  To reduce man boobs, you should eat foods that aid in increasing testosterone levels, such as eggs, oysters, asparagus, figs, nuts, brown rice, salmon, and avocados.


Do phytoestrogens or estrogen-like products affect males?

A limited number of studies have been devoted to the effects of phytoestrogens on human reproductive health. These investigations indicate that adult exposure to phytoestrogens has no impact on pituitary hormone concentrations and semen parameters but possibly lowers males’ testosterone concentrations.


A healthy diet is essential for total body health but can also manage hormonal changes. There are estrogen-rich foods that may contribute to the development of man boobs, but this component, even though the present, is probably small. If you find that your enlarged male breasts are not going away, plastic surgery will be your best option. Dr. Delgado is a board-certified plastic surgeon who has treated thousands of men with this condition. If you would like a virtual consultation or discuss your options, call 415-898-4161.


What Does It Mean When a Plastic Surgeon is Board-Certified?

Posted on: April 7th, 2022
Posted by Dr. MiguelDelgado

What is a board-certified surgeon?

The American Board of Plastic Surgery certifies plastic surgeons as competent and knowledgeable specialists who possess the highest standard of training in plastic and cosmetic surgery. A plastic surgeon who has successfully passed the American Board of Plastic Surgery (ABPS) examination is licensed to perform plastic surgery procedures. The American Board of Medicine recognizes only this board as granting official recognition of medical qualifications.

What does it mean for a plastic surgeon to be board certified?

To obtain a Board Certified Plastic Surgeons Certification, a plastic surgeon must complete a three-year residency program in plastic surgery. Cosmetic surgeons can practice legally without special training or plastic surgery residency; however, they are not known as board-certified surgeons. The American Board of Plastic Surgeons accredits plastic surgeons as board-certified. Obtaining board certification requires that a surgeon passes both a written and oral examination to demonstrate the level of procedural knowledge.

4 Ways to Verify That Your Plastic Surgeon is Board Certified

To produce safety and ethics in plastic surgery, the American Board of Plastic Surgery strives for board-certified plastic surgeons with comprehensive knowledge of all aspects of the specialty, capable of representing it as the best it can be.
Before choosing a plastic surgeon, all patients should conduct thorough research. The American Board of Plastic Surgery certification is a prestigious qualification that is not easy to achieve, indicating a high level of training and education that is necessary for patients to attain the best results. These are four ways to verify your plastic surgeon.

State Medical Board – This is where patients can obtain information on licensing, education, board certification, and take disciplinary action.
Make sure they are board-certified – The American Board of Plastic Surgery is the primary organization that accredits the professionalism of plastic surgeons.
Does your surgeon’s facility have accreditation? – The American Association of Ambulatory Surgery Facilities or the Accreditation Association for Ambulatory Healthcare inspects the facility of surgery centers to ensure the safety of its patients.
Find them online – The American Society of Plastic Surgeons (ASAPS) offers a list of surgeons on its website, which provides information on procedures and ASAPS members.

The importance of having a board-certified plastic surgeon

An experienced board-certified plastic surgeon is competent in both facial and body procedures. In addition, they have developed technical skill and aesthetic judgment to prevent and handle any complications that may arise during the operation and has acquired a high level of training in these areas.


Is a cosmetic surgeon or plastic surgeon better?

Often, poor results or failures resulting from cosmetic plastic surgery are attributable to an unskilled professional who was chosen to perform an operation that they were not appropriately trained to perform. The quality of training and expertise of reconstructive plastic surgeons trumps that of cosmetic surgeons

What are the characteristics of a good plastic surgeon?

In addition to a comprehensive plastic surgery training program, some characteristics contribute to the development of exceptional reconstructive plastic surgery. One of the most important of these skills is integrity, compassion, commitment to excellence, humility, creativity, ingenuity, scientific curiosity, self-confidence, and humor.

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, 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. DLM Admin

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.”


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 

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.


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