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While gynecomastia is a condition experienced temporarily by most men at some point in their lives, many men struggle with enlarged male breasts for prolonged periods. Weight gain, hormonal fluctuations, medication use, and other factors contribute to gynecomastia. The condition causes frustration, self-consciousness, and self-imposed limitations in terms of exercise, wearing fitted clothing, and participation in social events.
Dr. Miguel Delgado is one of the nation’s leading authorities on gynecomastia surgery, with over thirty years of experience in treating gynecomastia. He offers the full spectrum of male chest surgery procedures to address enlarged breast tissue, excess fat, stretched skin, and nipple-areola concerns. Whether your goal is a flatter chest, more athletic contours, or correction of a prior surgery, you’ll find expert care in the San Francisco Bay Area.
This page is a guide to the types of gynecomastia surgery, helping you understand your procedure options and what may be right for your unique needs.
Gland Excision
As the most popular procedure performed by Dr. Delgado, gland excision is part of many male breast reduction surgeries. Also called subareolar excision, this procedure is essential for permanently removing excess breast tissue and reducing enlarged male breasts. The result is improved chest definition and a flatter contour.
Pseudogynecomastia
When chest fullness is primarily due to excess fat, it is referred to as pseudogynecomastia. In these cases, little to no glandular tissue is present. Dr. Delgado approaches pseudogynecomastia treatment in a number of ways, which may include healthy weight loss, liposuction, or excision of excess skin.
Gynecomastia Revision Surgery
If you’ve had previous male breast surgery with unsatisfactory results—from residual tissue to contour irregularities, crater deformities, or asymmetry—revision surgery may be necessary. This corrective surgery must be individualized and often demands greater skills and more advanced techniques than those used in the primary surgery. Dr. Delgado’s experience in fixing failed gynecomastia surgeries makes him a sought-after specialist for complex cases.
Male Nipple Reduction
If enlarged or swollen nipples have you hiding under layers of clothing even on hot summer days, nipple reduction surgery is an excellent solution. This procedure can address prominent or puffy nipples, enlarged areolas, nipple asymmetry, and more. Male nipple reduction surgery can be performed alone or paired with other gynecomastia surgical techniques for a balanced, masculine result.
Mastectomy with Free Nipple Graft
For men with more advanced gynecomastia, a mastectomy with free nipple graft is often the best approach. This more extensive surgical technique is a form of male chest reconstruction surgery. It allows Dr. Delgado to remove the greatest amount of excess breast tissue (including glandular, fatty, and skin tissue) and relocate the entire nipple-areolar complex to achieve an aesthetically pleasing result. This approach is also used for patients seeking a chest contour similar to double-incision top surgery, or for those requiring reconstruction after massive weight loss.
Two-Stage Gynecomastia Surgery
For severe cases of gynecomastia, Dr. Delgado has developed a two-stage approach. In the first stage, excess fatty and glandular tissue is removed. In the second stage, the skin is tightened, and the nipple appearance is refined. The result is a comprehensive procedure with predictable, long-lasting results.