California's Top Gynecomastia Expert

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

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Bodybuilder + Steroids = Gynecomastia

Bodybuilder lifting weights in a gym

Bodybuilder lifting weights in a gym

The use of Steroids among bodybuilders and men who compete in professional sports is not unusual. Steroids are known to increase muscle growth for the bodybuilder and performance can be enhanced for the athlete.

Up until 1990, steroid use was legal, and then Congress added steroids to Schedule 3, which puts it into the same category as controlled substances such as; heroin, cocaine, and LSD. Unless a doctor prescribes anabolic steroids for a medical condition, they are illegal to use.

Steroid Induced Gynecomastia

Dr. Delgado warns his male breast reduction patients about using steroids and purchasing them online or by mail order. They come in many different forms, from pills, injections, creams, and gels. Steroids are very potent and have many serious side effects. Some side effects are; impotence, infertility, heart attacks, mood swings, and an increase of bad cholesterol, liver cancer, and development of the male breast.

Anabolic steroids convert into estrogen-like compounds in a process known as “aromatization,” resulting in a change of balance between estrogen and testosterone. The result of this change may be the development of breasts in men, and the testes may reduce testosterone production.

Gynecomastia Surgery

Many men hope that by stopping steroid use that their breasts will return to normal, unfortunately, once the breast tissue has formed male breast reduction surgery is the only way for it to be removed.
Dr. Delgado is quick to point out that not all men who take steroids will develop breasts, but it is not possible to predict who will. It has been noted that young men who may already have some degree of development may be more prone.

Arnold Schwarzenegger is credited with bringing bodybuilding to

Arnold Schwarzenegger - body builder and steroid use.

Arnold Schwarzenegger – body builder

life with his movie “Pumping Iron.” He did not admit to taking steroids at first but said that you should do anything you can to get an advantage. In later interviews, he admitted to taking steroids and said he did not regret it, but back then it was legal.

If you have developed male breasts due to taking steroids, or even if you don’t know what caused them, call (415 898-4161) or email ([email protected]) today for a personal consultation with Dr. Delgado to find out what options may be available to you.

Gynecomastia, a Side Effect of Risperdal, Leads to Multiple Lawsuits

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

Gynecomastia is attributed to several different causes, and some remain unknown. Dr. Delgado tells his California male breast reduction patients from San Francisco, Sacramento, San Jose and beyond, that most are due to an imbalance of hormones, in particular increased levels of prolactin. Legal and illegal drugs are known to cause the development of male breasts.

In one of the country’s largest health care related settlements, Johnson and Johnson agreed to a settlement of $2.2 billion for the marketing of Risperdal “off-label.” “Off-label” use means a doctor can legally prescribe a drug for uses other than what the FDA approved it for, but the drug companies are not allowed to promote their drug for anything other than what it was approved for.

Risperdal is an anti-psychotic drug that was developed to treat schizophrenia and bipolar disorder in adults and adolescents. However, sales reps were rewarded large bonus’ for promoting the drug to pediatricians and other physicians for “off-label” use. They promoted Risperdal for; attention deficit hyperactivity disorder (ADHD), depression, sleeps difficulties and anxiety. Additionally, claims were made that j & j paid for doctors’ golf outings, and financially rewarding consulting deals.

Omnicare, which is the nation’s largest risperdallong-term care pharmacy, was implicated by a “whistle-blower,” one of their previous pharmacists, of being involved in “kickback for switches.” This is where pharmacists were “encouraged” to switch patients from approved drugs to Johnson and Johnson medications, which included Risperdal.

Some feel that the $2+ billion in fines is just a slap on the wrist. In a survey done by Stanford University and the University of Chicago, 54% of prescriptions for anti-psychotic drugs were for “off-label” uses and determined this was the result of good marketing.

Including global sales, between 2003 and 2010, Risperdal generated $24 billion in sales for johnson & johnson. Federal investigators state that j & j was aware that Risperdal could increase the risk of developing diabetes, stroke in the elderly, and development of breasts in boys, but chose to keep quiet about it.

As new evidence emerges, more individual and class actions lawsuits are being filed.

If you have gynecomastia and have taken Risperdal or other drugs, you are invited to call today (415 898-4161) or email ([email protected]) to schedule an appointment with Dr. Delgado for an evaluation to determine what your options are.

Vitals.com Recognizes Dr. Miguel Delgado as a Top 10 Doctor!

Vitals.com

Shopping online for almost anything has become the norm. From vacations, to appliances, books, restaurants, clothing and even for choosing doctors, dentists, medical plans and health care facilities. Consumers can give unbiased ratings and reviews which help people make informed decisions.

Vitals.com is one of the most highly regarded websites that gives ratings for the medical industry. Launched in 2008, Vitals.com has received several awards for outstanding performance in providing consumers with reliable information. Vitals.com has been quoted for medical statistics numerous times by various media sources such as; Fox News, NPR, The Wall Street Journal and Huffington Post.

The website, Vitals.com, gives detailed information on doctors including; biographies, hospital affiliations, board certifications and most importantly ratings and reviews by actual patients of the doctor. The patients rate the doctor on many different categories such as; ease of making an appointment, wait time, friendliness of the office staff, bedside manner of doctor, time spent with the patient, and follow-up care. Selecting a doctor is much easier with Vitals.com that now has over 3 million reviews and ratings.

Dr. Delgado was recently notified by Vitals.com that he is recognized as a Vitals Top 10™ Doctor. Out of 870,000 doctors, only 1% achieves this honor. The results are based on the ratings made by the doctor’s patients. Dr. Delgado was also awarded “Patient’s Choice Award, Fifth Anniversary” which reflects ‘excellence for care’ for five consecutive years. In addition, the “Compassionate Doctor Certification” was awarded to him.

As a gynecomastia specialist, compassion can’t be over-rated for men who suffer from this devastating condition. Dr. Delgado gets continuous comments from his California male breast reduction patients, from San Francisco, Sacramento, San Jose and beyond, who respond to the understanding and compassion that they receive from him.

Dr. Delgado appreciates all the great reviews from his patients that enabled him to win these awards.

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.

 

Welcome!

Miguel Delgado, MD, blog - photoDr. Delgado welcomes you to his new blog page on his newly revised and updated website for California gynecomastia patients, including Sacramento, San Jose and beyond.

Dr. Delgado, a Board Certified Plastic Surgeon, has been specializing in gynecomastia surgery since 1988 and is known worldwide for his expertise in male breast reduction. He is called upon frequently by patients and other surgeons for the most complex and complicated cases. He stays current with all the latest techniques and research developments so that he can offer his patients the best possible results.

Gynecomastia.org is the world’s best resource for information on gynecomastia. Dr. Delgado was a contributor since its inception in 1999. The site was created by Merle Yost, a psychologist who specializes in treating men who suffer from gynecomastia. He knows only too well what men are going through as he was patient of Dr. Delgado’s himself.

In 2010, Merle sold the site to Dr. Delgado who gladly took it over so that he was able to maintain its integrity, and has since updated and enhanced the site.

phone - picThe purpose of this blog page is to present any new developments in  gynecomastia and answer questions that are presented to Dr. Delgado in his practice. You are invited to email Dr. Delgado with any questions you may have at [email protected] or call (415 898-4161) for a personal consultation.

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