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Category: Gynecomastia revision

Puffy Nipples After Gynecomastia Surgery!

Puffy Nipples in San Francisco

Puffy Nipples                                    After Corrective Surgery

 

Many men complain about puffy nipples after healing from gynecomastia surgery. Liposuction is great for fat removal but will not remove the gland effectively.

Gynecomastia Revision Surgery

Dr. Miguel Delgado, M.D.’s gynecomastia practice consists of about 40% revision cases after surgery performed by another surgeon. Removing the correct amount of tissue and fat from the male breast takes the expertise of a board certified plastic surgeon that specializes in gynecomastia. Many surgeons are very conservative in their removal of tissue to avoid creating a crater deformity. However, when too much gland is left behind, it will push the areola out causing “puffy nipples.”

Crater Deformity in San Francisco

Crater Deformity

After Corrective Surgery

1 Month After Corrective Surgery

 

Gynecomastia patients that have had male breast reduction surgery and end up with puffy nipples are understandably discouraged because their only recourse is a secondary surgery to remove additional breast gland. This revision surgery is a little more complicated due to scar tissue that has formed from the initial surgery.

Choose Your Surgeon Carefully

It is important to choose your surgeon carefully. First, make sure that he or she is board certified in plastic surgery. Secondly, make sure your surgeon has extensive experience with gynecomastia surgery, taking the right amount of fat and tissue is critical to get the precise sculpting for the chest. If too much is removed a crater deformity will be the result, if not enough gland is removed, you will end up with puffy nipples. In both cases additional surgery will be required for correction, it is much better to get it right the first time.

Help is on the Way!

Call now (415) 898-4161 for a consultation with Dr. Delgado if you are suffering from male breasts or are in need of gynecomastia revision.

Gynecomastia Revision Surgery. Are you unhappy with your results?

Miguel Delgado, M.D. - Gynecomastia Revision Surgeon

Miguel Delgado, M.D. – Gynecomastia Revision Surgeon

 

Gynecomastia Revision Surgery – Should I Change Doctors?

Gynecomastia revision surgery is a major question and needs thoughtful consideration. The answer should depend on what type of revision is required and why. If you have trust and confidence in your surgeon, then allowing them to make corrections is the best option. Highly trained Board Certified Plastic Surgeons specializing in gynecomastia surgery will explain risks and complications before surgery.

3 Reason to stay with the same surgeon

These are a few good reasons to stay with your gynecomastia surgeon.

  1. Your surgeon understands the dynamics of your tissue. He or she has operated on you and has a better understanding of the issues.
  2. The cost of gynecomastia revision surgery will be significantly less. Often the surgeon will not charge you a few if done with in the first year.
  3. Your surgeon wants to make you happy. They understand how critical this is in your life and wants to make it right.

4 Reasons to look for another Gynecomastia Surgeon?

  1. You have lost trust and confidence in your surgeon.
  2. Your doctor is “blowing you off” or saying, “you look great”!
  3. Your surgeon does not see the issue that you are discussing.
  4. Your physician is unwilling to correct.

Do you have realistic Expectations?

All patients undergoing surgery must have a realistic expectation of the outcome. The surgeon should also explain the pros and cons of your specific case.

The patient must be patient for the surgical outcome to develop. There are natural swelling and distortion in the early stages of healing and sometimes can be alarming.

It would be best to compare your outcome with you before the photo and not a male model.

Common reasons for gynecomastia revision surgery.

The most common need for gynecomastia revision surgery is the surgeon doing liposuction alone, without removing breast tissue by surgical excision. Almost all gynecomastia cases need both liposuction and surgical gland excision; the only exception would be for men with pseudo-gynecomastia (fat only and no breast tissue). The second main reason for revision would be; under or over resection of the breast tissue. This would require re-excision for under resection or fat injections or fat flaps for over resection. How complications are managed has a direct relationship to the outcome.

Man standing before gynecomastia revision surgery

Over Resection Causing gynecomastia Crater Deformity

Man standing after gynecomastia revision surgery

Post Surgery for Crater Deformity with 3 fat injection sessions.

Miguel Delgado, M.D. Gynecomastia Specialist

Miguel Delgado, M.D. has years of experience with revision gynecomastia surgeries, in fact up to 40% of his gynecomastia practice is revision surgeries that come to him from other practices.

If what is needed is a minor adjustment after the initial surgery, such as minimal skin tightening, this should not be considered unusual. If men are not prepared for the possibility of secondary surgery, it can be very disconcerting and may cause them to question the capabilities of their surgeon.

Contact us!

If you are in need of gynecomastia revision surgery, email ([email protected]) or phone (415 898-4161) to meet with Miguel Delgado, M.D. to learn what options are available to you.

Gynecomastia Surgery Redo Now at 40%

 

pics Male patient before and after Gynecomastia Surgery

This 49-year-old man had gynecomastia surgery twice with other physicians. He sought my help wanting to undergo a third procedure as he was still unhappy with his result. He underwent glandular excision and suction-assisted lipectomy of the chest.

San Francisco, California-On August 17, 2010, I published a blog “Liposuction for Gynecomastia”. At that time,  I stated the percentage of redo surgeries that were originally done by other surgeons was at 25% to 30%.

Today, the percentage of redo male breast reduction surgeries in my practice has increased to 40%! This is due to the same reason as before. There are many surgeons that believe the desired results of a well sculpted male chest can be attained by liposuction alone. When liposuction alone is used, breast tissue remains and it can actually look more prominent than before the fat was removed.

True gynecomastia is a combination of fat and breast tissue. The fat can be removed very well by liposuction; however, the breast tissue is too dense to come through the cannula. Breast tissue needs to be removed by excision, and it needs to be done by a gynecomastia specialist who has the expertise to give a masculine contour to the chest.

If the breast tissue is removed too aggressively, the result can be a crater deformity, another cause for redo. This is an extremely frustrating situation for the man who has finally had surgery to correct his moobs. The good news is that almost all of these cases can be corrected, but just emphasizes the fact that men need to do their homework in picking a Board Certified Plastic Surgeon for gynecomastia reduction surgery. Ask a lot of questions, request to see before and after pictures, ask how many male breast reduction surgeries are performed each year, you want to be sure to pick a gynecomastia specialist so that a gynecomastia redo surgery will not be necessary. A good source for Board Certified Plastic Surgeons is www.gynecomastia.org.

 

Crater Deformity - image

Crater Deformity

 

After Surgery for Crater Deformity Correction - pic

After Surgery for Crater Deformity Correction

What Happens if I am not Happy With my Gynecomastia Surgery Result?

Marin Cosmetic Surgery Center Staff - photo

Marin Cosmetic Surgery Center Staff

Dr. Delgado realizes that, for some San Francisco Bay Area men, it is hard to make the decision to go forward with male breast reduction surgery, some worry about what happens if they are not satisfied with the result.

Dr. Delgado’s main goal is patient satisfaction. At the time of the initial consultation he is very attentive to the patient’s concerns, he wants to be sure he understands what the patient’s goals are. He then describes to the patient what the surgery entails; stating that no surgery is perfect but tremendous improvement can be expected.

If a  revision is needed within the first year for the gynecomastia breast, there is no charge if it can be done as an office procedure. If it needs to be done at Marin Cosmetic Surgery Center, there is still no professional fee by Dr. Delgado, but there may be fees for anesthesia and the operating room.

I Have Lost Confidence in My Plastic Surgeon, What Should I do?

Revision surgery by Dr. Delgado photos before after

Revision surgery by Dr. Delgado after original surgeon did liposuction only

 

If you are disappointed with the results of your original male breast reduction surgery and have lost confidence with your surgeon, first discuss it with your surgeon and see what suggestions he or she may have. Then get a second  opinion from a Board Certified Plastic Surgeon who specializes in gynecomastia surgery. If he or she agrees with your original surgeon you are probably on the right track and the revision may cost you little or nothing. However if, the original surgery left you with a major defect such as a crater deformity or the surgeon only did liposuction and the other surgeon confirmed that you should have had excision of breast tissue as well, you may need to choose the new surgeon with more experience for a revision. In picking a new surgeon be sure the office staff makes you feel comfortable, you will be relying on them for information and support. If they are not friendly or you sense tension in the office, go elsewhere!

Needing revision surgery can be more expensive than the original surgery, as now the surgeon has to deal with scar tissue, and the retraction of the skin may have been compromised.

San Francisco Bay Area patients have found a good source for support and opinions at http://www.gynecomastia.org/. It is free to sign up, and you can get opinions from other members and ask questions of gynecomastia surgeons who are members of the site.

Gynecomastia “Redo” Surgery

Be wary of a surgeon who says he/she is only doing liposuction for removal of the gynecomastia breast. There is only a very small percentage of men that will get a good result from liposuction only, and they have what is known as “pseudo gynecomastia”, which means they do not have excessive male breast tissue, mostly just fat. Breast tissue is too dense to be removed by liposuction, it must be removed by excision. I would say that 25% to 30% of my gynecomastia practice in the San Francisco and Bay Area is “redo” surgeries originally performed by surgeons who have done liposuction only. Having to do “redo” surgery is much more challenging as now there is scar tissue involved making dissection more difficult, plus the added difficulty of less skin contraction also caused by the scar tissue. Save yourself the expense, the time and frustration of having to have the surgery done again by doing your homework, research very carefully and find an experienced Board Certified Plastic Surgeon that specializes in gynecomastia.

Gynecomastia “Redo” Surgery before and after photos

 

OVER 1000 BEFORE & AFTER PHOTOS
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