Miguel Delgado, MD - title

Stay In Touch


San Francisco, California | Novato, California

Phone 415.830.8883

Blog

Anti-psychotics Such as Risperdal, Cause Gynecomastia

Posted on: August 17th, 2015
By: Miguel Delgado

Gynecomastia Specialist, Miguel Delgado, M.D.

Before and After Gynecomastia Surgery

Some Drugs Cause Gynecomastia

The development of male breasts, also known as gynecomastia, is caused by various factors. It was discovered recently that Risperdal, an anti-psychotic drug, can produce breast enlargement in boys and men. The amount of breast tissue will vary from patient to patient, but the result is feminine breasts.

Prescription medications can result in both fatty tissue and breast tissue to form in the male chest. While prescription medications can cause gynecomastia, the development of breasts can then be responsible for anxiety and depression. Gynecomastia seems to be a trigger for bullying and painful teasing for both adolescents and men.

Side Effects Cause Anxiety

Risperdal, which is approved by the FDA as an anti-psychotic treatment, is also prescribed to treat anxiety and depression. However, due to the side effect of gynecomastia, most boys and men refuse to take it.

Johnson and Johnson are the manufacturers of Risperdal; it is known to raise prolactin levels while it blocks dopamine. The pituitary gland releases the hormone prolactin, which stimulates milk production and the growth of breasts in women. If prolactin levels should become too high in men, they may get the same results as women. Men may lactate and develop breasts, even as large as a D cup size.

Mental and Physical Damage

Breast reduction is a surgical procedure usually associated with women, but it can be a term for men who develop gynecomastia, or male breasts and want to get rid of them. There are different reasons men opt to have male breast reduction surgery, mostly so that they can feel normal, and wear clothes without trying to hide their chest. For many men, the decision to proceed with surgery for their gynecomastia stems from humiliation from bullies and/or hurtful teasing. Most people do not understand how damaging gynecomastia can be both physically and mentally to those who suffer with it.

It is possible that male breast reduction surgery may only be needed in extreme cases. There are many anti-psychotic drugs that do not have the side effect of gynecomastia. If a man were to switch from Risperdal to another medication, it is possible that the breast swelling may subside on its own. However, if the male breasts do not reduce on their own after a year, it is time to see a gynecomastia specialist to learn what options are available to get rid of the unwanted breasts.

Call the Specialist

Miguel Delgado, M.D. has specialized in gynecomastia surgery since 1988 and is on the cutting edge of all the latest techniques. Make an appointment today by calling (415) 898-4161 or email (info@dr-delgado.com)for your personal evaluation of your male breasts.


Hall of Famer Bernie Parent Shares Pain of Gynecomastia

Posted on: July 26th, 2015
By: Miguel Delgado

 

Twice voted the most valuable player, Philadelphia Flyers goalie Bernie Parent reveals a long-kept secret.

Suffering in Silence

The legend on ice developed male breasts in his late teens, as do many males; however unlike most teenage boys his never went away. He states that he didn’t spend time on the beach with his kids or his grand-kids, doing everything he could to hide his condition by not removing his shirt. He hasn’t owned a bathing suit in more than 40 years! He decided he had enough when he was too embarrassed to remove his shirt while out on his boat. At the age of 70, Bernie Parent sought the advice of a plastic surgeon.

He was surprised to learn that he was a candidate for a non-surgical procedure called CoolSculpting. CoolSculpting is a newer treatment for freezing fat that the body will shed naturally over a period of a few weeks.

Before and After CoolSculpting for Gynecomastia

Before and After CoolSculpting

Male Breast Reduction at 70 Years of Age

After having two treatments a few weeks apart, Bernie Parent is ecstatic with his results. He could go for a third treatment but is happy with his results to date. He compares the feeling of his reduced breast size to “as good as lifting the Stanley Cup!”

Bernie Parent wants men that suffer from gynecomastia to know that there are solutions available, and so he went public with his private battle in January 2015 and was featured in the South Jersey Times. One in four men in Bernie’s age group is affected with gynecomastia, especially former athletes.

CoolSculpting Melts Breast Fat

Miguel Delgado, M.D. explains that the results will vary depending on a man’s age, how much of the male breast is fat versus breast tissue, and how much loose skin he has. Since CoolSculpting is a slow melting of fat, there may be some tightening of the skin. However, some men may need surgical tightening of the skin which is considered a minor procedure that can be done in the office. CoolSculpting is a great procedure for men with breasts that are mostly caused by fat, which is known as pseudogynecomastia, but many have a combination of fat and breast tissue, and, in that case, will need surgical intervention for true gynecomastia.

Call Today!

If you can relate to Bernie Parents struggle with gynecomastia, contact Miguel Delgado, M.D. at (415) 898-4161 for a personal evaluation to determine if you may be a candidate for male breast reduction by CoolSculpting.


Common and Rare Causes of Gynecomastia

Posted on: June 18th, 2015
By: Miguel Delgado

Common Causes Cured by Gynecomastia Surgery

Before and After Gynecomastia Surgery

 

 

 

Physiologic Gynecomastia

Gynecomastia is the proliferation of benign glandular breast tissue in men. Gynecomastia can be physiologic (normal body function), such as in newborns, adolescent young men and older men after the age 50. Gynecomastia can also be non-physiologic occurring at any age.

For physiologic gynecomastia, newborn babies may show breast development due to the conversion of androgenic hormones to estrogenic hormones by the placenta. However, for babies the breast usually returns to normal within a few weeks. For adolescent boys going through puberty, many will develop puffy nipples and/or fullness of their breast as they go through normal changes in hormone levels. However, for most young boys their gynecomastia breast will return to normal within a few weeks to a maximum of a couple of years. Male breast development is common in the aging man as testosterone levels begin to drop. Many older men choose to have male breast reduction surgery later in life.

Common Causes

Other more common causes for gynecomastia are medications, anabolic steroids, chemotherapy, dialysis, alcohol and marijuana abuse.

Uncommon Causes

Men need to be aware of uncommon causes that can attribute to the gynecomastia breast such as Graves’ disease and Klinefelter’s syndrome. Breast cancer in men is rare, accounting for only 1% of all breast cancers, however for men with Klinefelter’s syndrome, the incidence of breast cancer is 50 times higher.

For men who are malnourished, testosterone levels drop but estrogen continues to be produced causing an imbalance of hormones. Once normal nutrition takes place, male breasts may develop, this is called “re-feeding gynecomastia.” This phenomenon was noted when many malnourished prisoners of war were released after World War II. Within 1 to 2 years, the condition corrected itself.

Lavender and Tea Tree Oil

Another possible rare cause of gynecomastia in pre-pubertal boys could be the repeated use of lavender and/or tea tree oil as these

Can Lavender Oil Cause Gynecomastia

Lavender Oil

oils mimic the actions of estrogens and may inhibit the effects of androgens. National Institutes of Health (NIH) says more research needs to be done to support the link between these oils and gynecomastia.

It can be very challenging to determine the cause of gynecomastia. It is important for men with gynecomastia breasts to seek an evaluation from a Board Certified Plastic Surgeon that specializes in gynecomastia, who can determine if further evaluation from an endocrinologist may be recommended.

Get an Expert Opinion

Men with any gynecomastia concerns are encouraged to email or call (415) 898-4161 to set a consultation with Miguel Delgado, M.D., who has specialized in gynecomastia since 1989 and is considered an expert in the field.


Gynecomastia Revision is Needed Should I go to the Same Surgeon?

Posted on: May 16th, 2015
By: Miguel Delgado

Miguel Delgado, M.D.

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

 

 

 

 

 

 

 

 

 

 

 

Change Surgeons?

This is a good question and needs thoughtful consideration. The answer should depend on what type of revision is needed and why. Highly trained Board Certified Plastic Surgeons that specialize in gynecomastia surgery will explain risks and complications, prior to surgery.

There are Risks

All surgeries come with some risks; the main ones are, infection, bleeding, blood clots, and adverse events related to anesthesia. Although rare, patients need to be aware of the possibility. Additionally and specifically to gynecomastia surgery would be where the original surgeon tried to correct gynecomastia by liposuction alone, without removing breast tissue by surgical excision. Almost all gynecomastia cases need both liposuction and surgical excision; the only exception would be for men that have pseudo-gynecomastia (only fat, 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.

Crater Deformity

Over Resection Causing Crater Deformity

Post Surgery for Crater Deformity

Post Surgery for Crater Deformity

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 a secondary surgery, it can be very disconcerting, and may cause them to question the capabilities of their surgeon.

Second Opinions Advised

The first step is to have a frank discussion with your surgeon. If you do not feel convinced that your surgeon can correct the issue; it might be of value to get one or two second opinions. Corrective surgery can be very challenging and requires the skill of a gynecomastia specialist. Revision surgery is not as straight forward as the initial surgery, as now the surgeon must deal with scar tissue that has formed from the first surgery and possible loss of some elasticity of the skin.

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

Posted on: April 14th, 2015
By: Miguel Delgado

 

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. RealPatientRatings.com
5. RealSelf.com
6. 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

Posted on: March 11th, 2015
By: Miguel Delgado

 

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”

Posted on: February 13th, 2015
By: Miguel Delgado

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 consultation with Dr. Delgado, you are invited to call (415 898-4161) or email (info@dr-delgado.com).


“Adolescent Gynecomastia Treated in One Stage”

Posted on: January 14th, 2015
By: Miguel Delgado

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

Posted on: December 17th, 2014
By: Miguel Delgado

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.


Bodybuilder + Steroids = Gynecomastia

Posted on: November 16th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

 

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.

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.

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

Arnold Schwarzenegger

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 (info@dr-delgado.com) today for a personal consultation with Dr. Delgado to find out what options may be available to you.


before and after photo - banner

 

__ Contact Us For a Consultation

To schedule a consultation with Dr. Delgado in San Francisco, California or Novato in Marin County call 415-830-8883. You may also send us a e-mail at info@DR-Delgado.com or fill out our quick contact form. Send photos of your chest for a complimentary virtual consultation TODAY. We have a complimentary travel package for out of town patients that include travel to and from the airport, four nights stay at the Novato Oaks Inn and travel from the hotel to the office.

Contact Us

Please feel free to fill out the form below for a price quote or to contact us with any questions or comments you may have.

  • This field is for validation purposes and should be left unchanged.

Dr. Delgado has offices in Marin and San Francisco for your convenience

San
Francisco

line-border

450 Sutter Street Suite 2433
San Francisco, California 94108
(415) 989-2221

[ DIRECTIONS ]

Marin
County

line-border

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

[ DIRECTIONS ]

travel package - banner
website - picture
Top