The pull-through technique is the least invasive male breast reduction procedure reserved for select patients. Patients with a minor amount of sagging skin and excess breast tissue can benefit from this minimally invasive surgical technique.

World-recognized, leader in gynecomastia surgery.

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Board-Certified Plastic Surgeon

Dr. Delgado is an award-winning gynecomastia surgeon with 30+ years of experience treating some of the most complicated cases of male breast growth around the world. He is also the owner and operator of Gynecomastia.org, the largest gynecomastia forum in the world that has the goals of educating, supporting, and offering guidance to those men and families affected. Dr. Delgado is an expert in the field and donates his time toward both the treatment of gynecomastia and the advocacy of education in the surgical community.

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What is the Pull-Through Technique?

The pull-through technique is a minimally invasive breast reduction surgery that is usually recommended for patients with mild to moderate gynecomastia. This procedure may not be available for everyone, since small amounts of tissue are removed through a tiny 3-5mm incision. Dr. Delgado will assess your symptoms and determine which is the best gynecomastia treatment option.

Who is a Candidate?

Men and adolescents with a minor amount of male breast enlargement may be candidates for this procedure. Significantly enlarged male breasts will require more invasive surgical removal techniques such as a mastectomy with a free nipple graft or the two-stage procedure. Not all patients can treat gynecomastia with this minimal technique but Dr. Delgado will determine whether you are a candidate at your initial consultation.

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I highly recommend Dr. Delgado if you are considering gynecomastia surgery!

– Michael Cruz

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I had the procedure completed about 2 months ago and I am very pleased with the outcome. My chest finally looks the way I’ve wanted it to look for years. The muscle definition is finally there and I can wear tighter fitting shirts and workout gear without the discomfort of feeling self conscious about my chest.

726+ Reviews

I highly recommend Dr. Delgado if you are considering gynecomastia surgery!

– Michael Cruz

I had the procedure completed about 2 months ago and I am very pleased with the outcome. My chest finally looks the way I’ve wanted it to look for years. The muscle definition is finally there and I can wear tighter fitting shirts and workout gear without the discomfort of feeling self conscious about my chest.

Pull-Through Procedure

The pull-through technique is generally performed as an outpatient procedure under general or local anesthetic, depending on the extent of the surgery. To start, fat will be removed from the chest cavity using liposuction. A tiny incision will be made at the edge of the nipple-areolar complex and then a cannula will be inserted under the skin to remove excess fatty tissue. This cannula has a vacuum-like suctioning device to break up and then remove fat cells.

Next, the excess glandular tissue directly responsible for gynecomastia will be carefully pulled through the incision and then the surrounding tissue is blended with special scissors. Liposuction can also be used to contour the fat and blend the newly toned area into the rest of the chest.

Patient Results

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Surgical Recovery

Patients with a minimal amount of glandular breast tissue can benefit from a quicker surgery and quicker recovery time because of the minimally invasive techniques used during this procedure. You may be given a compression garment to minimize swelling and most patients will recover with 6 weeks. At your consultation, you will be given a gynecomastia surgery guide with more detailed information about you can expect during recovery. It is important to follow all of Dr. Delgado’s post-op instructions to ensure the best possible results.

Risks and Complications

Although this is a minimally invasive male breast reduction, there are still a few surgical complications to keep in mind. Bleeding and an adverse reaction to anesthesia are possible with any surgery but Dr. Delgado will carefully perform your tissue excision to minimize these risks.

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Why Choose Dr. Delgado?

Dr. Delgado is an expert plastic surgeon who has been performing gynecomastia surgery for over 30 years. He will be honest about the procedure necessary to remove your excess breast tissue and resolve your symptoms. He has been working with his team for many years and they work to provide a safe treatment environment where you can feel comfortable asking questions about your condition and feel confident in the treatment you are receiving.

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Many men with gynecomastia are bothered by the appearance of their enlarged breasts and seek cosmetic surgery to resolve their symptoms. Dr. Delgado is one of the most experienced plastic surgeons in the field of gynecomastia and has spent over 20 years treating gynecomastia. Schedule a consultation today by calling our office or filling out an online contact form.

What is the pull-through technique?

The pull-through method is a surgical technique that removes underlying glandular tissue through a small 3-5mm incision in the areola. It’s also typically combined with liposuction to further define the chest area and make for easier tissue removal.

Why would you use a pull through technique vs. other techniques?

The pull-through technique is a good option for men who have a mild to moderate amount of breast tissue. Larger amounts of glandular tissue can’t be removed with this technique. The biggest benefit is the very small and undetectable incision.

What certifications are required to perform a pull through technique surgery?

You should always undergo gynecomastia surgery with a board-certified plastic surgeon. Because the pull-through technique is very specialized, your chosen plastic surgeon should have a background specific to gynecomastia surgery such as Dr. Delgado, who is widely known and referred to as a gynecomastia expert.

Where did the pull-through technique originate?

The pull-through technique was first developed by Italian plastic surgeons in the mid-90s who published their findings in the European Journal of Plastic Surgery. They determined that it offered a better approach to gynecomastia surgery with reduced downtime and visible scarring.

Which anesthesia is better for gynecomastia?

The pull-through method for gynecomastia can be performed using local anesthetic, IV sedation or light general anesthesia.

Who is a candidate for the pull-through technique?

Both teens and men who have a minor amount of breast enlargement may be candidates for this procedure.

MIGUEL DELGADO, M.D.

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 gynecomastia.org, 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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