California's Top Gynecomastia Expert

Voted "Best Plastic Surgeon" 2016-2020 by San Francisco Magazine

Blog

Gynecomastia Consultation Questions

Posted on: August 12th, 2016
Posted by Dr. Miguel Delgado

Gynecomastia questions

For men who have hidden the embarrassing condition of female type breasts, making an appointment to see a gynecomastia specialist is a big first step. It is understandable for gynecomastia patients to be anxious and therefore, Miguel Delgado, M.D. recommends writing down all questions as it is easy to forget what you want to ask. However, Dr. Delgado wants his patients to know that he is easily accessible and encourages his patients to call (415) 898-4161 anytime they have a question.

The following questions are some you may want to consider:

1. Is your gynecomastia specialist board certified?
2. Is the anesthesiologist board certified?
3. What type of anesthesia is used?
4. If surgery is to be done at a surgery center, is it accredited?
5. How many years has your specialist been performing male breast reduction, and how many each year?
6. What caused my gynecomastia?
7. How long will my male breast reduction last, and will it come back?
8. How would my surgery be done?
9. Will liposuction alone work for me?
10. Where will the incisions be? Will the scars show?
11. What prescriptions will I need? What are they for?
12. How long after surgery before I can go home?
13. Will I have drains?
14. How long will I need to wear a compression vest?
15. How much time do I need to take off work?
16. When can I start lifting weights?
17. What risks does the surgery have?
18. How are complications handled?
19. Can I see before and after pictures of gynecomastia patients?
20. What is the cost?

Getting answers to all of your questions will ease your anxiety and ensure a positive experience. Dr. Delgado states that the only complaint he has received from his male breast reduction patients is that they wish they had their surgery a long time ago! Start today by calling (415) 898-4161 for your initial consultation!


The Gynecomastia Consultation, What to Expect

Posted on: July 31st, 2013
Posted by Dr. Miguel A. Delgado Jr., MD

Miguel A. Delgado, Jr., M.D. - Gynecomastia Specialist

Miguel A. Delgado, Jr., M.D.
Gynecomastia Specialist

San Francisco, CA-Most patients are nervous when they have an appointment to see the doctor. This is especially true for patients seeking elective procedures as they have additional concerns about vanity and may feel guilty for indulging in something that is not necessary but will make them feel better about themselves.

It is the exceptional office that has a staff that understands the feelings of the new patient and has the ability to make them comfortable from the moment they arrive for their first consultation visit.

When arriving for a gynecomastia initial consultation, the patient will be escorted to an exam room and will be joined by Dr. Delgado. Dr. Delgado’s warm and friendly manner puts patients immediately at ease. Many patients have made the comment that they do not feel that Dr. Delgado talks down to them as many doctors are known to do, but more on an equal basis that builds trust and allows the patient to feel comfortable asking any questions that they may have.

To begin the consultation, Dr. Delgado has several questions he will ask. Usually he will want to know how long the patient has had male breasts, and when did they develop. He will want to know if there has been any noticeable change with weight gain or loss. Does he take his shirt off in public? Do other men in the family have gynecomastia? And what are his goals?

At this point,  Dr. Delgado explains his surgical technique of excision combined with liposuction, pointing out that liposuction alone is only for the patient that has what is known as “pseudo-gynecomastia”, meaning fat alone is causing the male breasts. He points out that 40% of his gynecomastia cases are now revision surgeries, due to the original surgeon using liposuction alone and leaving breast tissue behind.

He goes into great detail to explain how the incisions are placed around the areola so that after healing they are almost invisible.

Drains are placed at the end of surgery Dr. Delgado explains, in order to remove fluid that normally collects when there is a “dead space” left after removal of fat and tissue. He shows how a compression vest will be worn to assist in the healing of the chest, and that he has them custom made to include pockets for the drains. Further, he says that the vest will be worn for 6 weeks and after that all normal activities including exercise can be resumed.

Now Dr. Delgado will do an exam of the patient’s chest and will be able to give a personalized evaluation of what he recommends. After the examination,  the patient then will meet with Dr. Delgado in the office of the patient care coordinator. Dr. Delgado has several albums of before and after pictures of his male breast reduction patients that he presents. He will show where the incisions are and how they healed; he shows the small scar from the drain and how he now has it hidden in the armpit. These photographs will give the patient a good idea of Dr. Delgado’s work, and the results that can be anticipated.

Many patients choose to have additional surgery done at the same time to save money and recovery time. For patients that are interested, Dr. Delgado will show pictures of patients that have had a combination of surgeries. Popular add on surgery, for example, would be, liposuction of the love handles and/or abdomen, some may want facial surgery such as a rhinoplasty (nose job) or eyelid surgery or possibly a chin implant. Dr. Delgado will be happy to discuss additional surgery at the initial consultation if requested.

At the end of the consultation with Dr. Delgado, the patient then meets with the patient coordinator who will present the fees outlining gynecomastia costs and answer any additional questions the patient may have such as pre-operative and post-operative instructions, financing, and scheduling surgery. The patient is encouraged to call the office at any time with additional questions for the patient coordinator or Dr. Delgado.

In his quest to educate his patients and make them as comfortable as possible prior to the consultation, Dr. Delgado produced a 6 part video that is posted on his website and You Tube showing the whole process from the initial consultation to post-operative visits and the patients final impressions.


Gynecomastia Consultation Via Skype

Posted on: May 18th, 2010
Posted by Dr. Miguel A. Delgado Jr., MD

WEBCAM ALLOWS PERSONAL CONSULTATION

We all know the world has gotten smaller with the incredible progresses of technology. We are able to do things unheard of even ten/twenty years ago. The popularity of Skype has opened doors and opportunities for all of us. Dr. Delgado now offers consultations via Skype for out of town patients which allow them the opportunity to have the next best thing to a personal consultation for male breast reduction. Gynecomastia surgery techniques can vary from patient to patient, depending on the severity of their case. With Skype,Dr. Delgado can evaluate a patient, and answer questions, saving the cost of travel for that initial consutation.

For those who have never experienced Skype, it is easier than you may think. Most computers come with built in web cams, but if your computer doesn’t have one, they are very inexpensive to purchase and will attach right to your computer.  Radio Shack has them for $20 and up.  Amazon.com has them for less than $10. Less than the cost of a consultation!

Registering for Skype takes only a few minutes, and it is free. So not only do you get to speak directly with Dr. Delgado you will be meeting him face to face, a great opportunity to get to know him. After your consultation, his patient coordinator will be able to email a quote to you. If you are interested in having a consultation this way with Dr. Delgado, please call the office and set up a time. (415) 898-4161.


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.


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.


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.


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.

 


Gynecomastia Do’s and Don’ts

Posted on: June 18th, 2018
Posted by Dr. Miguel Delgado

Gynecomastia before and after in San Francisco

                                                 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.

  • Recommendation

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.

Call Today!

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.


Gynecomastia Surgery, Is it Necessary?

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

Gynecomastia Specialist, Miguel Delgado, M.D.

                                          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.

Schedule a consultation now with Dr. Delgado (415) 898-4161 for any gynecomastia concerns.


OVER 1000 BEFORE & AFTER PHOTOS
SHIRTLESS IS A GOOD THING line-border - pic See how Gynecomastia Surgery Has Changed The Lives Of Men

Get The
Latest News

line-border - pic

Read Our Blog

Gynecomastia
Surgical Videos

line-border - pic

View Videos

SAVE TIME WITH A FREE VIRTUAL CONSULTATION WITH DR. DELGADO


UPLOAD YOUR PHOTOS

Contact Us

Please feel free to fill out the form below for a price quote or to contact us with any questions or comments you may have.

Dr. Delgado has offices in Marin and San Francisco for your convenience

San
Francisco

line-border

450 Sutter Street Suite 2433
San Francisco, California 94108
(650) 405-0154

[ DIRECTIONS ]

Marin
County

line-border

165 Rowland Way Suite 300
Novato, CA 94945
(650) 484-5416

[ DIRECTIONS ]

travel package - banner
website - picture
Top