California's Top Gynecomastia Expert

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

Blog

« Back to Blog

Category: adolescent gynecomastia

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

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.

“Adolescent Gynecomastia Treated in One Stage”

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 Gynecomastia to the Extreme

★★★★★ Ratings: 4.74 -118 Reviews San Francisco, CA-Men with severe gynecomastia, who choose to have male breast reduction surgery, will find that they most likely will need their surgery done in two stages. Dr. Delgado found that by dividing the surgery into two stages that he could minimize the scarring that more aggressive one stage surgeries, performed by other surgeons, usually causes.

Two Stage Gynecomastia Surgery

Viewing the patient below, you can see how removing a tremendous amount of tissue and fat leaves a lot of loose skin and a breast fold, making the results for most men unacceptable.

Before and After Stage One Gynecomastia Surgery

Before and After Stage One Gynecomastia Surgery

Once the patient has healed from the first stage, after about 5 or 6 months, the second stage can be scheduled. The second stage is much easier than the first stage and can be done as an office procedure under a local anesthetic. During the second stage surgery, Dr. Delgado removes the excess skin in a donut shape around the areola. The closure is with purse string type sutures. The third picture of this patient shows the amazing results just two weeks after surgery.

2 Weeks After Stage Two Surgery

2 Weeks After Stage Two Surgery

There is a huge advantage for men to have gynecomastia surgery at a young age because the skin has a lot more elasticity.

One Stage Gynecomastia Surgery for Adolescents

The following pictures show a boy of 15 years of age who traveled with his parents from the East Coast of the United States to have surgery with Dr. Delgado. Due to the excellent quality of his skin, his surgery was completed in one stage.

Before Stage One Gynecomastia Surgery

Before Stage One Adolescent Gynecomastia Surgery

Recently his Mother sent a picture of her son one year later. She states how well he is doing and how thrilled they are with his results.

After Stage One Adolescent Gynecomastia surgery

After Stage One Adolescent Gynecomastia surgery

If an adolescent has gynecomastia surgery but hasn’t finished developing, there is a possibility that there may be additional breast growth. For all the years that Dr. Delgado has been performing this surgery, he has not had the need to re-operate on any of his patients. It is imperative when seeking a surgeon that you choose a Board Certified Plastic Surgeon that specializes in gynecomastia surgery to be able to evaluate a young man’s options.

Contact Dr. Delgado Today!

If you or someone close to you is suffering from large male breasts, call (415 898-4161) or email ([email protected])today for a consultation with Dr. Delgado.

Gynecomastia Adolescent’s and Skin Contracture

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

San Francisco, California-Gynecomastia effects up to 60% of boys by the age of 14. The cause is not certain but usually is attributed to an imbalance of sex hormones brought on by puberty. Other causes may be the use of steroids, prescription drugs, heredity, marijuana, soy milk, and lavender oil, to name a few.

San Francisco Bay Area parents, including Sacramento, San Jose and beyond, need to be aware of the possibility that their son may be experiencing this condition so they can help him understand what is happening to his body. The breasts may look enlarged, or puffy nipples or he may have unusually large nipples.

Though it is a benign condition, many young men are embarrassed and humiliated, they try to hide their chests by keeping their shoulders hunched over and avoid situations where they need to remove their shirts, such as swimming or some sports. Classmates can be very cruel, taunting boys, especially in gym class where they need to remove their shirts.

For 80% to 90% of adolescent gynecomastia cases, the female type breasts will resolve by themselves usually within several weeks but can last up to three years. For the remaining 10% to 20%, the male breast may be a permanent condition. If the gynecomastia breast does not return to normal on its own, once a young man has gone through puberty, he could be a candidate for gyne surgery.

The big advantage for a young man to have male breast reduction surgery is the good quality of his skin, compared to the older man. In many instances, the skin will contract on its own avoiding a secondary surgery to remove loose skin. See the photos below of a young man with enormous breasts whose skin retracted nicely without additional surgery.

15 year old boy before Gynecomastia surgery

15 year old boy before Gynecomastia surgery

After Gynecomastia surgery

After Gynecomastia surgery

It is not unusual for a 16 year old to have gynecomastia surgery, and in some cases even younger, but it is a case by case decision made by the parents, their son and their surgeon. Consideration needs to be given to the fact that recurrence can occur due to continued hormone fluctuation if the patient has not completed puberty.

The age of the patient is not as important as the maturity. For the boy that has a clear understanding of what the surgery entails and wants to move forward may have an easier time than the boy who has developed emotional problems.

For a young man suffering from the effects of the gynecomastia, it is highly recommended that he see a Board Certified Plastic Surgeon that specializes in gynecomastia for a consultation with his parent(s) to find out what options are available to him.

In the search for information about gynecomastia, Miguel Delgado, M.D. recommends boys and their parents, and anyone suffering from man boobs visit www.gynecomastia.org, known as the web’s best resource for information on gynecomastia. On this website, they will find others who share their stories and offer support through the many forums on the site. In addition, there are numerous before and after pictures of men that have had the surgery. It also offers a directory of surgeons around the United States and beyond who specialize in male breast reduction surgery.

Dr. Delgado has specialized in male breast reduction surgery since 1988, treating young men in the greater San Francisco Bay Area; including Sacramento, San Jose and Los Angeles. He has a clear understanding of when it is appropriate to proceed with surgery. For an evaluation of your son, call or email today for a consultation (415) 898-4161.

 

“Young Men With Gynecomastia, How to Ask for Help From Your Parents”

Boy talking to parents - photo

San Francisco, CA-It is hoped that young boys or men that have developed male breasts also known as gynecomastia, man boobs, and moobs will find this blog to help them understand what is happening.

Up to 65% of males will have detectable breast development by the age of 14, most likely caused by an imbalance of sex hormones. This is a normal condition brought on by puberty when the body starts to go through changes. You are not turning into a girl, you do not have cancer, you are normal!

Do you try to hide your chest with loose fitting shirts? Do you try to avoid taking your shirt off for gym? Do you avoid swimming? Are you embarrassed to let your parents know? You are not alone, there are many young men quietly suffering the same way you are.

Bullying has become prevalent in schools these days, and boys that have developed breasts are a great target for cruel nicknames that can cause self-hatred and isolation. It is important to understand that gynecomastia or the male breast is a benign (harmless) condition even though it is socially lethal!

The good news is that for most boys, 90% to 95% the condition will go away by itself without any type of treatment, within a few weeks to 2 years. But two years for a young man can feel like eternity, what can you do in the meantime? Getting emotional support from your family or other sources can be a great benefit.

First, check out a website called gynecomastia.org, there you will find many guys that are sharing stories of how they have suffered and what they have done about it. This is a website dedicated to getting out information on gynecomastia and support from other members through the discussion boards. You do need to sign up and become a member to have access to all the site has to offer, but there is no charge. Review the stories that have been posted such as this one “A Mother’s Story”. Notice at the end of this story that the Mother recommends that you tell your parents, as difficult as this may be; they probably have no idea that you are suffering and most parents will do whatever it takes to spare their sons this type of humiliation. Try to talk to your parents, they may be much more understanding than you realize.

If the idea of talking to your parents is just impossible for you, try composing an email telling them how miserable you have been with a link to the above letter, and a link to gynecomastia.org. There are many stories posted of parents who discover their child has been suffering, and they were completely unaware! For example, another story tells of a boy who finally went to his father and asked if the money that had been saved for him for college could be used instead for male breast reduction surgery. The father was beyond shocked to find out his son had been dealing with a situation he knew nothing about, and he had never even heard of the term gynecomastia before. The father was able to get a line of credit to cover the cost of gynecomastia treatment, and his son was still able to go to college. The surgery proved to be a life changing event for his son.

Adolescent Gynecomastia

This is an 18 year old male who presents with adolescent gynecomastia. He complained about having “fluffy nipples”. His goal was to flatten the nipples to look more natural in his clothing. He had suction assisted liposuction with glandular excision. His post surgical recovery displays his newly flattened nipples.

As mentioned earlier, most boys will find the male breasts will go away on their own within a few weeks to a couple of years. If they do not, there are different surgical treatments available depending on the severity of the case.

Unless you have “pseudo-gynecomastia”, be wary of a surgeon that claims liposuction alone will give you the result you want. True gynecomastia consists of breast tissue and fat, liposuction will only get rid of fat, breast tissue is much denser and needs to be removed by surgical excision. Whereas pseudo-gynecomastia is caused by fat alone and can get great results with liposuction or weight loss.

In searching for information on the internet be careful about ads that claim you can take a pill to get rid of moobs. Save your money they do not work as attested to by many men on gynecomastia.org.

It would be wise to see a top cosmetic Board Certified Plastic Surgeon who specializes in gynecomastia surgery with your parents, to find out what your options are, and how likely the male breasts will go away on their own. Dr. Delgado stays abreast of all new innovations in plastic surgery such as “CoolSculpting” for fat removal which is now available at the “Non-Surgical Center of Excellence” at his Marin County location.

Gynecomastia, a Term Most Parents Don’t Know

Adolescent before and after gynecomastia

This is a 17-year-old resident San Francisco Bay Area, California who presents with gynecomastia. He underwent gland excision and suction assisted lipectomy with 150 cc of fat aspirated from each side.He had 46 grams of tissue removed from his right chest and 400 grams of tissue removed from his left. His postoperative photographs are taken 3 months after surgery.

San Francisco, CA-Gynecomastia, often misspelled, mispronounced, and misunderstood. Most people are not aware that having male breasts is a condition that can be caused by many different factors including, heredity, prescription drugs, illegal drugs, steroids, Klinefelter’s syndrome, puberty, aging, weight gain, and cancer of the male breast. For some, the cause remains unknown. If a pediatrician tells parents that their son has gynecomastia, many ask “what is gynecomastia?”If parents haven’t heard of the condition, how can they help their sons?

In 1995, there was an episode on Seinfeld where Kramer one of the main characters, invented “the Bro” also to be known as “the Manssiere”, a bra for men. This episode brought humorous attention to the condition except for those that suffer with male breasts. Negative attention has been in the media off and on ever since with cruel descriptive words like; man boobs, moobs, bitch tits, he-hooters, dude rack, man cans and more.

As boys enter puberty, it is not uncommon for them to develop female type breasts or what is termed as “puffy nipples”. At an average age of 13, this phenomenon is usually brought about by hormones being out of balance, but usually when the hormones even out the breasts will disappear. When the hormones are raging, for both boys and girls, they can become extremely emotional and sensitive and for good reason, their bodies are going through a lot of changes. This can be a very confusing time for young people and having supportive parents can make all the difference in the world.

As much as 40% to 50% or more young men going through puberty will develop some degree of gynecomastia on one or both sides. A visit to the pediatrician is in order to monitor any breast growth. For 90% of young men, the gynecomastia will resolve on its own within a few months to a couple of years. For the small percentage of boys that the gynecomastia remains, parents ask, “what is the treatment for gynecomastia?” There are no known treatments that can reverse the formation of breast tissue once it has remained past puberty except male breast reduction surgery. The good news is that the male breast reduction procedure is very successful with almost no evidence of surgery having been performed.

Gynecomastia can be demoralizing for any man, but for young boys who do not understand what is happening to their body, it can be devastating. Most feel it is their fault and experience incredible shame. They are not comfortable telling anyone what they are going through and do their best to hide their chest with loose fitting shirts. They avoid situations where they might have to bare their chest, such as going to a pool or the beach. It is amazing how many young boys are able to hide their breasts from their parents and hide the agony they are experiencing. Classmates can be especially cruel with teasing and name calling for the boy with breasts.

It is hopeful that parents will notice any unusual breast development in their son so that they can be good support for them. If it is before puberty starts or before 9 years of age it could be a more serious complication, and he needs to be seen by a physician. Search engines on the internet make information readily available. Family members or friends who have some knowledge of gynecomastia may take parents aside and guide them to seek help for their son. Pediatricians are in a position to alert parents and educate them and their son.

The World’s best resource for information on gynecomastia is www.gynecomastia.org. There is a directory of Board Certified Plastic Surgeons throughout the United States. The site offers many before and after pictures of male breast reduction patients, a blog page with interesting articles posted by member surgeons.

The most popular and active section of the site is the forums. One of the most popular forums is called “gynecomastia talk” where boys and men can share questions and experiences, and then there is a forum called “your stories”, one called “ask a doctor” whereby guys can post questions to the surgeons who are members of the site.

Another forum is called “surgery success stories”, this section has several stories written by boys and/or their parents. One in particular tells of a boy who had been silently suffering with his gynecomastia breasts for a long time and finally in an attempt to hide them better ordered a compression shirt that was supposed to help flatten his chest. His package arrived when he wasn’t home, and his Mom saw it first. When he came home and saw her with it he was beyond embarrassed, but it turns out his parents were very supportive and even willing to down-size their house in order to have enough money for him to have male breast reduction surgery. He didn’t allow that to happen, but the door was now open for them to have good communication and find a way to resolve his problem. This incident helped him to have a closer relationship with his parents.

There are many similar stories posted on gynecomastia.org. Unfortunately, not all young men are so lucky to have such supportive parents, but many of the forum members encourage young men to try talking to their parents. For those that do not have a good support system, gynecomastia.org is even more valuable. Many boys and men have found the support they need from other forum members, with ways to deal with all the different issues gynecomastia presents.

How Old Before Gynecomastia Surgery?

pics patient before and after Gynecomastia

Many young men start to develop gynecomastia at age 12 and some even younger. Puberty is an emotional time for boys anyway with their hormone levels changing. Adding to that the development of gynecomastia breasts and/or “puffy nipples” can make for an extremely traumatic and stressful time for maturing boys. Many young boys of San Jose and all of the Bay Area find themselves pleading with their parents for corrective surgery and find when they see the pediatrician or plastic surgeon they are told they must wait.photos patient before and after Gynecomastia

This can cause a lot of anger and frustration for the young man, affecting his relationship with his parents and other people. But the doctors want to delay because in most cases the male breast will resolve on its own as the boy matures and doctors are hesitant to perform unnecessary surgery.

If gynecomastia has not resolved after two years, then chances are it will not, so depending on the maturity of the boy, surgery can be contemplated.

There is not a magic number as to what age is allowable. Each patient needs to be evaluated considering many factors. It is not unheard for a boy of 13 to have gynecomastia surgery.

 

Moobs, a Psychological Impact on Young Men

GYNECOMASTIA (MALE BREASTS) BEGINS AT A YOUNG AGE
The cause of gynecomastia is not known, but there are several factors that may exacerbate the condition, such as use of steroids, or marijuana. Other things such as lavender oil, tea tree oil and soy milk are under study as possible causes. It can be hereditary or present during puberty only to be out grown at a later date. For young adolescents developing breasts, this can be a very frightening condition. Most young men do not understand the condition and do not realize how common it is. Thirty to sixty percent of young boys are affected by this condition, and as many as thirty percent of them will have it for the rest of their life.

It is important for parents to be aware of their son’s condition and how it is affecting their emotional state. Most young boys are very embarrassed and try to hide their chests. Many will keep their shoulders hunched, and make excuses not to go swimming or avoid situations where they may need to remove their shirt. What may not seem a difficult condition to a parent, can be most traumatic to a young boy. Students are known to taunt boys and humiliate them in gym class where they regularly need to remove their shirt. Boys going through puberty are already very self conscious. It is hopeful that there is a family member aware of such situation and would be able to take their child to a physician for an evaluation.

In most cases, young men will outgrow the condition, but many times they will not. A qualified plastic surgeon that specializes in gynecomastia, would be able to advise the parent and child of what he can expect. The good news is, if it is a permanent condition, it can be corrected by surgery once the boy has gone through puberty. Some boys with a milder case may be a candidate for the “Light Procedure“. It is a wise parent that will help their son through this stressful time and get a consultation once they are aware the situation exists.

We know of one young man that was so disturbed by his “moobs” that he asked his father if instead of spending the money set aside for his college, if he could have gynecomastia surgery. The father was so surprised to find that this was even an issue for his son. He was able to get a loan for the surgery and his son went on to college. Unfortunately not all young men are so lucky to have such a compassionate parent. Emotional support is so important but not always available by a family member. If this should be the case, there is an excellent website that has been around since 1999. It is www.gynecomastia.org here you will find many young men in similar situations that give support to each other. It is set up with chat rooms where there is tons of information available, and members can post questions. You do need to sign up, but there is no charge.  This website is invaluable as a source of information and support.

patient before and after Gynecomastia - photos

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 - pic

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