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Category: Surgery Preparation

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

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.

Preparing for Gynecomastia Surgery

The educational organization, “The American Society for Aesthetic Plastic Surgery,” (ASAPS), is a society made up of board certified plastic surgeons. The society’s purpose is to sponsor scientific meetings presenting the latest developments in the cosmetic plastic surgery industry.

Smart Beauty Guide for gynecomastia

“The Smart Beauty Guide” was created by ASAPS to educate patients and assist in their making of informed choices when it comes to cosmetic surgery. The guide has a section for gynecomastia surgery with pertinent information on all aspects of the surgery. In preparing for gynecomastia surgery, the guide recommends the following:

  • Sun tanning can increase scarring and should be avoided at least two weeks prior surgery.
  • Cigarettes and all nicotine products must be stopped for a minimum of 4 weeks before surgery, nicotine is known to interfere with healing.
  • All supplements and medications that thin the blood must be discontinued at least two weeks before surgery.
  • Staying hydrated before and after surgery promotes healing.
  • If you have any illness or infection before surgery, inform your surgeon.
  • Lab tests need to be done promptly.
  • If your work is labor intensive be sure to allow plenty of time off work for gynecomastia recovery.
  • You will need a responsible adult to take you home after surgery and accompany you for the first 24 hours.
  • Have books, movies, and a laptop available to keep you occupied while recovering.
  • Get all prescriptions filled in advance.

Dr. Delgado’s Gynecomastia Booklet

As a patient of Dr. Miguel Delgado, M.D. you will receive a 40 page preoperative booklet with detailed instructions for before and after male breast reduction surgery. Included in the booklet is an extensive list of all medications and supplements that need to be avoided.

Schedule a Gynecomastia Consultation

Being well prepared before surgery leads to a stress-free recovery. Call today (415) 898-4161 to schedule a gynecomastia consultation with Dr. Delgado.


Planning for Your Gynecomastia Surgery

Gynecomastia Surgery Preparations

Marin Cosmetic Surgery Center

Marin Cosmetic Surgery Center

A frequent question that gynecomastia surgery patients ask is: “What do I need to do to plan for my surgery?” Gynecomastia specialist, Dr. Miguel Delgado, M. D. is always happy to hear patients ask this question as their participation is crucial to obtaining the best outcome for their procedure.

Understandably patients are nervous at the preoperative appointment, many times verbal instructions are soon forgotten. Dr. Delgado designed an informative booklet that is presented to all of his patients for reference. However, when in doubt the office and Dr. Delgado are just a phone call away.

The comprehensive booklet of almost 40 pages contains a table of contents divided into sections. Preparing for surgery has directions for; “Starting Now,” and “The Day Before Surgery,” and “The Morning of Surgery.”

“Starting Now” includes details on:

• Cessation of smoking,  multivitamin consumption, aspirin usage, vitamin E limitations, laboratory tests, prescription fills

“The Day Before Surgery” includes details on:

• Confirmation of surgery time, prescriptions, bathing, eating and drinking limitations

“The Morning of Surgery” includes details on:

• Special information, oral hygiene, cleansing, clothing, check in/preparation

The next three pages of the booklet list many medications, supplements and herbal remedies that must be avoided two weeks before and two weeks after surgery. The reason these must be avoided is that they interfere with healing and many slow down blood clotting which can cause complications during and after surgery. Keep in mind this is not a complete list, and any medications or supplements that you take must be cleared by Dr. Delgado. Tylenol is allowed for pain relief.

Many Medications Must be Avoided

Many patients are surprised to see some of the things that need to be avoided. For example, on the list are:

  • Alka-Seltzer, Pepto-Bismol, Vanquish, Sine-off, Sinutab, Motrin, Midol, Actifed, Vitamin E, Raw Garlic, Vitamin-boosted Drinks, Fish Oil, Ginkgo Biloba, Melatonin, Echinacea, St. John’s Wart and many more.

In the next section “Going to Our Operating Facility,” there is a description of the operating suite and the recovery room followed by post-surgery arrangements. Dr. Delgado’s patient coordinator would be happy to give patients a tour of the surgery center.

Surgical Risks and Complications

Included are general surgical risks and complications, and then risks that are specific to the procedure(s), whether it is for a face lift, breast augmentation, gynecomastia surgery or any other cosmetic procedure.

There is a copy of the surgical consent form for the patient’s record.

There are detailed post-operative instructions that include; dressings, drains, compression vest, bathing, ice packs, diet, driving, follow up appointments. Additionally, what the patient can expect as they heal.

Policies regarding insurance coverage, financial arrangements, cancellation and revision surgeries are addressed.

Directions to the surgery center with a map are included.

The Importance of Nutrition for Surgery Patients

Lastly, there is a four page guide that gives detailed information and recommendations on nutrition and the effect it has on wound healing.

Dr. Delgado believes prepared patients have an easier surgery and faster recovery. Call (415) 898-4161 or email [email protected] today for a consultation for your desired cosmetic plastic surgical procedure.

Gynecomastia Surgery and the Danger of Smoking


Planning for gynecomastia surgery can be an exciting time. To get the best possible results, the patient needs to follow all directions given by their surgeon. Miguel Delgado, M.D. gives all of his cosmetic plastic surgery patients a detailed information booklet to guide them through all pre-operative and post-operative instructions.

Some Things Must be Avoided

There are many important guidelines that need to be followed such as; avoiding blood thinners that can cause complications during and after surgery. The information booklet gives a detailed list of herbs, vitamins and supplements that must be stopped two weeks before and two weeks after surgery.

In addition to avoiding blood thinners, one of the most important warnings given to patients is the mandatory abstinence from smoking. Two weeks before and two weeks after surgery would be the minimum, however, longer or permanently would be better.

No Smoking in San Francisco

Smoking Danger for the Surgery Patient

Many patients who have a hard time quitting smoking may decide a little bit won’t hurt, or if having just one who will know? Cigarettes are incredibly addictive, and it is understandable why patients have such a hard time stopping.

There are several reasons it is imperative that the patient quits smoking before surgery. Cigarette smoke is known to have more than 250 toxins including; carbon monoxide, hydrogen cyanide, nitric oxide and of course nicotine. These toxins all interfere with wound healing.

Oxygen is delivered to the tissues via the blood vessels. Oxygenated blood fights infection and is the means of transport for antibiotics and other medications through the body. Nicotine causes blood vessels to constrict, when this happens it is possible for blood clots to form affecting blood flow to the capillaries. When there is a reduction in blood flow to the tissues, the cells may die causing what is known as necrosis. When necrosis occurs, the surrounding tissue becomes inflamed requiring debridement which is surgical removal. When debridement is necessary, the surgical outcome may be less than optimal.

There have been many studies done showing surgical results between patients who smoke versus the non-smoker. The studies show that smokers are much more likely to develop pneumonia, have a stroke, cardiac arrest or a heart attack. Additionally, smokers need more anesthesia and pain medication.

There is Help for the Smoker!

For a patient not to disclose that fact that they smoke to their surgeon would be a serious mistake, far better would be to enlist the help of your surgeon. Miguel Delgado, M.D. has helped many patients quit smoking by prescribing prescriptions such as Chantix. Remember, Dr. Delgado’s main goal is the safety of his patients so they can move forward with their gynecomastia reduction goals.

Help is a Phone Call Away

For any gynecomastia concerns, call Dr. Delgado today (415) 898-4161 or email [email protected] for a consultation.

“What to Expect the Day of Gynecomastia Surgery”

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D. Gynecomastia Specialist

★★★★★ Ratings: 4.74 -118 Reviews

Gynecomastia Surgery Center of Excellence

Gynecomastia surgery is not “one size fits all”, each patient is individual and surgery is specific for that patient. However, the surgery process is fairly standard with additional surgery time allowed as needed.

On the day of surgery, you are to arrive 2 hours prior to the start of surgery. You will be greeted by the nurse who will escort you to the “Gynecomastia Surgery Center of Excellence”. You will be assigned a locker where you may store your clothing; all valuables are to be left at home or with the adult who accompanies you.

Pre-operative Preparations

You are then taken to a pre-operative exam room where the nurse will review your post-operative instructions. Dr. Delgado will meet with you to see if you have any further questions and at this time he will be making surgical markings to guide him in surgery.

After Dr. Delgado completes his pre-operative preparations, Dr. Gaynor, a Board Certified Anesthesiologist will meet with you. Dr. Gaynor will have called you the night before to review your

Dr. Randy Gaynor Board Certified Anesthesiologist

Dr. Randy Gaynor
Board Certified Anesthesiologist

medical history and discuss any previous surgeries you may have had. Dr. Gaynor will then start an IV, and you will be going into the operating room shortly. At this point, patients remember very little as the general anesthesia kicks in, and you go into a very comfortable sleep. As you wake up you are happy to find out the surgery is over, and you are wheeled into the recovery room. For standard gynecomastia surgery, the procedure lasts about 3 to 3.5 hours.

Comfortable Recovery

Once in the recovery room, you will be attended by our recovery nurse who will be monitoring your vital signs and making sure you are kept comfortable. Most patients are ready to go home in an hour and a half. For safety purposes, you will be taken down to your car via a wheelchair by the nurse, and released to a responsible adult who will care for you at least 24 hours.

The purpose of this blog is to give you an overview of what to expect the day of surgery. You will be given a detailed instruction booklet at the time of scheduling surgery that will answer many questions. However, Dr. Delgado and his staff are always available to you to guide you through the process with ease.

Contact Information

For any questions or to schedule a free consultation with Dr. Delgado, you are invited to call (415 898-4161) or email ([email protected]).

How to Prepare for Gynecomastia Surgery

Many gynecomastia patients ask what they can do to get prepared for surgery. This is an excellent question and I am happy when a patient asks as I know they will be proactive in their recovery. For my part, to make sure a patient is ready for surgery I order blood tests and dependant on age sometimes an EKG. At the preoperative visit, besides a physical I ask many questions about the patient’s health history and any current medications. The patient is then instructed to avoid any blood thinners for two weeks before and after surgery, and is given a comprehensive list of things to avoid. In addition to all this, the patient meets with our patient coordinator who gives him further instructions and a detailed booklet for reference. Patients are always encouraged to call the office if they have any other questions or concerns.

Dr. Delgado has always encouraged his male breast reduction patients to take good quality multiple vitamins before and after surgery as it will greatly enhance the recovery process and so the patient can be at his optimal health for surgery of the gynecomastia breast . It can be a challenge to find a good multi-vitamin that does not have vitamin E, as vitamin E has blood thinning qualities. In most cases if the vitamin has 400 units or less it will be OK, but to find one without any vitamin E is even better.

After a lot of research Dr. Delgado found VitaMedica vitamins and supplements that he found to be of superior qualityVitaMedica vitamins pic and now has them available to his patients at his office. The multi-vitamin does not have any vitamin E and an increased level of vitamin C for strengthening of capillaries and veins. Also available is Bromelain and Arnica for swelling and bruise prevention. Dr. Delgado and his patient coordinator will be able to advise patients what supplements would be best for them based on their health history and blood test results. The whole array of supplements can be viewed on Dr. Delgado’s main website at under the store tab.

In addition to getting the body as healthy as possible for surgery, the patient should be sure that all medications prescribed have been filled and are ready at home upon return from surgery. Be sure to arrange to have someone pick you up and to stay with you for the first 24 hours. Due to medications and anesthesia you may be in need of assistance for that short period of time. This is a non-negotiable requirement by Dr. Delgado for the safety of his patients.

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


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




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


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