Second Stage Gynecomastia Surgery


In more severe cases of gynecomastia or male breast reduction, also known as “moobs”, it is recommended to have a secondary procedure. This is when there is too much redundant skin that will not shrink back to the chest wall after the surgical removal of gland and fatty tissue. This does not happen very often, however Dr. Delgado knows in advance if a patient will need this in order to get the optimal result and will discuss this at length prior to any surgery.

Dr. Delgado prefers a secondary procedure for his San Francisco Bay Area patients, which is  a peri-areolar lift. The other option is to do all in one stage, but includes a mastectomy-type of scar that goes across the chest.  This is possibly an option for some; however, Dr. Delgado feels that the scar going across the chest in most cases would be as obvious as the gynecomastia itself.  Therefore, he has developed his techniques that work with the skin and excision of skin around the peri-areolar area.  This seems to work extremely well with most of his patients with gynecomastia breasts.  However, in patients who may have had extreme weight loss, 100-200 pounds, they may be in a different category and may need to have a mastectomy type of scar, depending on the clinical situation.  The second-stage procedure can be done approximately four to six months after the first procedure once the blood flow establishes itself underneath the nipple-areolar complex.  The stage-two procedure, in addition to tightening skin, can also modify small things to improve the overall appearance of the male breasts. Not all patients opt to have the second stage done, but choose to see the outcome of the first procedure. Many are happy after the first procedure, but most want the best outcome possible.

Every case is individual and you need to discuss your options with your surgeon to make an informed decision for surgery of the gynecomastia breast.


Dr. Delgado, MD is a world-recognized plastic surgeon and specialist in the treatment of male breast enlargement, also called gynecomastia. He has developed new techniques and owns and operates, which has become the largest gynecomastia forum in the world. Dr. Delgado holds the two most coveted credentials; the certification by the American Board of Plastic Surgery and membership in the American Society of Plastic Surgery.

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