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Voted "Best Plastic Surgeon" 2016-2017 by San Francisco Magazine

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How Do I Know If I Have Gynecomastia?

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.

Does Smoking Pot Cause Man Boobs?: A Guide to Weed and Gynecomastia

 

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 gynecomastia.org. 

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! 

Steroid Induced Gynecomastia in a Body Builder

Steroid Use and Body Builders with Gynecomastia

                           Before and After Gynecomastia Surgery for a Body Builder

Steroids and Body Builder in 6 Part Video

Dr. Miguel Delgado, M.D. presents a 6 part video where he performs a double incision mastectomy with a free nipple graft. Dave, a body builder, has severe gynecomastia due to his steroid use. This procedure can also be used for a man who has had massive weight loss, or someone with severe gynecomastia with excessive skin.

The video series will take you through the pre-operative visit, live surgery, to post-op visits.

Dave’s Steroid Use and His Story

In Dave’s story, he tells us he had been on steroids a long time before he had any development of male breasts. He did not notice any changes in his breasts until he stopped the steroids. He tells Dr. Delgado that he did not take any anti-estrogen as he was unaware of steroid side effects.

After he weaned himself off steroids and losing some weight, he became aware of his breast development. He was hoping that if he lost weight his male breasts would also reduce but found that was not the case, he learned that only the fat around the breast tissue would increase or decrease but not the breast tissue. The breast tissue is permanent, and surgery is the only way to get rid of it.

Confidence Lost

Dave tells Dr. Delgado how he lost his confidence as a professional athlete and trainer, once he developed breasts. He comes to Dr. Delgado for help so he can regain his confidence and be able to wear tight fitting shirts again.

Dr. Delgado explains that with surgery not all of the breast tissue is removed in order to have an aesthetically sculpted chest. Dr. Delgado warns Dave that if he should continue with steroids, it is possible that he could have a recurrence of breast tissue although not to the extent he now has. Dave states that he wishes to continue in moderation with steroids because as a man in his 50’s it is difficult to maintain his muscles in the way he wants. Dr. Delgado tells him that some men can take steroids with no adverse effects while others can take small amounts and develop breasts.

Exciting Results After 5 Months!

In the last video, you will see Dave at 5 months post-op with an excellent result. He is extremely happy and has had no recurrence of breast development. View all videos below.

Call Now!!

If you have male breasts due to taking steroids or even unknown causes, call Dr. Delgado (415) 898-4161 today for a consultation.

 

Gynecomastia Has Some Surprising Causes!

gynecomastia in San Francisco

Before and After Gynecomastia Surgery

Gynecomastia and Unbalanced Hormones

You may know some of the common causes of gynecomastia such as; puberty, steroids, medications, and aging. However, there are some lesser known ones that you should be aware of.

Men have more androgen hormones and women more estrogen, but when the ratio gets out of balance for men, the result could be man boobs.

The following are some more obscure reasons that men may develop male breasts, but Dr. Miguel Delgado, M.D. wants to remind men that sometimes the source of gynecomastia remains unknown.

• Deprivation Diets

If you should go on a strict diet that deprives your body of needed nutrients, testosterone levels will fall, but not estrogen levels. Men may not grow breasts while on a deprivation diet, but they may find when they return to a normal diet, they may develop breasts. The term for this is “re-feeding gynecomastia.” This phenomenon was first noted when prisoners of war returned to the U.S. after World War II. When the soldiers returned to a normal diet, they developed breasts.

• Weight Gain

The ratio of muscle to fat gets thrown off when one gains excessive weight. As the proportion of breast tissue to fat rises, the body will produce more estrogen, the female hormone, and not as much androgen. When this occurs, breasts may develop.

• Alcohol and Beer

Consuming alcohol and beer will put on pounds and if in excess could lead to cirrhosis of the liver.  It is hard for the body to rid itself of estrogen and phytoestrogen which are present in hops that are in beer and other plants in hard liquor. The liver metabolizes hormones, and if the liver is somewhat compromised, it may convert androgen into estrogen leading to female type breasts.

• Cigarette Smoking

It is known that cancer produces hormones for its own growth which results in imbalances and can then grow breasts on men. Various types of cancer may cause gynecomastia such as testicular cancer and lung cancer. More reasons to try to quit smoking for good!

• Rifle Shooting

This may be the most surprising reason for the growth of male breast tissue. It was discovered that 70% or more German military men who perform precision drills, develop gynecomastia. It is unknown what causes a rise in estrogen from a rifle backfire!

When consulting with Dr. Delgado for gynecomastia, be sure to inform him of all meds, your family history, and lifestyle, to help him determine the possible cause for your male breasts.

Call now for a consultation (415) 898-4161.

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 (info@dr-delgado.com) or phone (415 898-4161) to meet with Miguel Delgado, M.D. to learn what options are available to you.

Read Reviews When Choosing Your Gynecomastia Surgeon

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.
Gynecomastia Specialist
★★★★★ Ratings: 4.74 -118 Reviews

Gynecomastia Surgeons are Rated

Trying to find the right gynecomastia surgeon can be a daunting experience. All surgeons claim they are experts on their websites,  and, of course, that is to be expected. So how do men find the right gynecomastia surgeon for their male breast reduction procedure?

Men are understandably embarrassed by their man boobs and don’t usually share their condition with others, in fact, most have spent many years trying to hide their chests. So asking for a referral most likely is not going to happen!

Read the Reviews

Miguel Delgado, M.D. suggests that men look for reviews on the internet written by men who have gone through the surgery. There are many sites that offer unbiased opinions directly from the patients.

Some of these sites are:

1. Vitals.com
2. Healthgrades.com
3. LocateADoc.com
4. RealSelf.com
5. Yelp.com

There are many more out there, so do your homework and see what other patients have to say about the surgeons you are considering. Remember though, no one is perfect, and most Vitals logodoctors may have one or two bad reviews, do not let that be your deciding factor. Look at the overall reviews for a good indication of the qualifications of the surgeon. Some patients have unrealistic expectations and are never satisfied.

 

 

 

Reviews can give you a plethora amount of information before you even set foot in the doctor’s office. Patients give ratings such as:

1. Ease of making appointments

2. Friendliness of the staff

3. Average wait time

4.Does the doctor answer all your questions?

5. Do you feel rushed?

6. Satisfaction of surgery results

7. Good follow up care

All of these points are very important and a big advantage in helping you choose your surgeon.

Do Your Homework!

In addition to reading reviews, an excellent website is gynecomastia.org. Gynecomastia.org has forums where men share stories of their surgery experiences and what they thought of their surgeon.

When doing your homework, be sure that the surgeon of your choice is Board Certified in Plastic Surgery and specializes in gynecomastia.

Miguel Delgado, M.D. is a Board Certified Plastic Surgeon and has specialized in gynecomastia surgery since 1988, and is up to date with all of the latest techniques for male breast reduction surgery. View before and after pictures of many of his patients here.

Miguel Delgado, M.D. has produced multiple videos on gynecomastia surgery and they can be viewed here.

Call Today!

If you are ready to discuss your surgery options or just have questions, call (415 898-4161) or email (info@dr-delgado.com)today for a consultation with Miguel Delgado, M.D.

Gynecomastia Surgery Statistics Published for 2014

 

Gynecomastia Surgery Continues to Increase

The American Society of Plastic Surgeons (ASPS) publishes a report each year showing the plastic surgery trends for cosmetic and reconstructive surgery and minimally invasive procedures. The report usually comes out around the end of February or the beginning of March.

In March of 2014 we published the statistics for 2013 that revealed an increase of 11% for gynecomastia surgery, with 22,939 cases performed.

2014 Shows 14% Increase!

Gynecomastia or male breast reduction surgery consistently shows an increase year after year. The 2014 report just came out reflecting the largest annual increase to date at a whopping 14%, with 26,175 cases performed!

 ASPS Stats

Miguel Delgado, M.D. states that he sees an increase in male breast reduction cases year after year in his practice. Through the internet and other media sources, men have become aware that they do not have to live with their male breasts. Once a man has passed through puberty and their puffy nipples or developed breast buds have not disappeared, chances are if it has been more than 2 years since they developed, they are here to stay.

Gynecomastia Surgery Can Change Your Life

The option to have surgery is much more acceptable these days to most men. No longer do men need to hide in shame, gynecomastia surgery allows men to lead normals lives, and the statistics show that many are opting for this resolution.

In general, the number of men choosing to have cosmetic procedures increases each year. Along with gynecomastia surgery, the most popular are; nose reshaping, eyelid surgery, liposuction and facelift surgery. For minimally invasive procedures, Botox remains number one for men and women.

phone

If male breast reduction surgery is something you have been considering, call today (415 898-4161) to schedule an appointment with Miguel Delgado, M.D. to learn what options may be available to you.

 

“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 (info@dr-delgado.com).

“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 (info@dr-delgado.com)today for a consultation with Dr. Delgado.

Why the Compression Vest is Mandatory for the Gynecomastia Patient

Custom made Gynecomastia Surgery Recovery Vest In San Francisco, California

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

The Compression Vest Aids in Healing

Some San Francisco Bay Area men express concern, at the time of their consultation, about the requirement of wearing a compression vest after their gynecomastia surgery. They have heard the vest can be bulky and uncomfortable.

Dr. Delgado, a Board Certified Plastic Surgeon, who has specialized in gynecomastia since 1989, explains the necessity of the compression vest for proper healing. Although the vest may cause temporary discomfort, it plays an important role in the healing process. There are several advantages the vest provides including:
• Helping the skin contract
• Increasing the blood flow
• Preventing fluid collection
• Helping to control the amount of swelling
• Decreasing post-operative pain
• Aiding the chest tissues in binding together

New Vest Design Gives Relief

Understanding his male breast reduction patient’s reluctance to wear a compression vest, Dr. Delgado made it his mission to design a vest that would make the healing period more comfortable. His unique design has pockets for the drain bulbs. The pockets are detached when the drains are removed. Then there is a second vest that men graduate to that is thinner with a soft t-shirt type lining and has compression only over the chest area. These thinner vests are very popular with Dr. Delgado’s patients. Men who wear dress shirts do not complain about the vest being visible. The custom vests come in black and white.

Wearing the Vest 24/7

It is necessary to wear the vest for six weeks, only removing it for showering. It is recommended to have a second vest so that you have one while the other is being laundered. The vest needs to be worn snug, but not too tight. Once the six week period is up, men can return to normal activities.

Call or emailMen who are suffering from male breasts are invited to call (415 898-4161) or email (info@dr-delgado.com) for a personal consultation.

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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
(415) 989-2221

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165 Rowland Way Suite 300
Novato, CA 94945
(415) 898-4161

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