Miguel Delgado, MD - title

Stay In Touch


San Francisco, California | Novato, California

Phone 415-830-8883

Blog

The Physical Exam for Gynecomastia

Posted on: July 16th, 2016
By: Miguel Delgado

 

In a previous blog, details of what to expect during an initial consultation for gynecomastia were reviewed. Click here to read the blog.

To properly diagnose adult gynecomastia a physical exam is necessary. Most exams include the following:
• Exam of the breasts
• Is there any discharge from the nipples?
• Is there an enlargement of lymph nodes in the armpits or the breast?
• Determining if a man’s gynecomastia is “true gynecomastia” or “pseudo-gynecomastia” which is caused by fat alone.
• Assessment of breast tissue
• Checking the size and consistency of the testicles for lumps or asymmetry. Most lumps are benign, but testicular cancer can cause swelling of the breasts.

Physical examination for gynecomastia in San Francisco

Physical Examination for Gynecomastia

When the surgeon does a breast exam, he will have the patient lay flat on his back. The surgeon will bring his thumb and forefinger together on each side of the breast. If the surgeon can feel a disk-shaped mound of tissue behind the nipple and areola, it would indicate “true gynecomastia.” Patients with “pseudo-gynecomastia” will not have such a disk.

Once it is determined what type of gynecomastia is present, the surgeon will then discuss the patient’s options.

Call today (415) 898-4161 to schedule a consultation with Dr. Miguel Delgado, M.D. You’ll be glad you did!


Let Me Get This Off My Chest! Personal Gynecomastia Stories

Posted on: June 14th, 2016
By: Miguel Delgado

Before and After Gyneomastia in San Francisco

Before and After Gynecomastia Surgery

Gynecomastia on the Internet

Miguel Delgado, M.D. states that some of the best information you can get on a cosmetic surgery is to hear a patient’s own story. This is especially true for gynecomastia, as men are usually reluctant to talk about their “man boobs.” However, a Google search will show there are many men willing to share their experience in the hopes that they can offer support and encouragement to other men who suffer in silence with gynecomastia.

Lost Weight but Still Has Gynecomastia

For example, there is a posting by a man who tells us how his female type breasts never went away since he was a young man; no matter how much he exercised and how much weight he lost. In fact, he felt his breasts were even more visible as his chest muscles developed when he was working out. He shared how hard it was for him to see a specialist and discuss his condition, but was relieved to find how supportive the doctor and staff were. After he had done a lot of research online, he decided to proceed with surgery, even though he was very anxious. Obviously, he is very thrilled with his results and wrote his story which you can read in its entirety here. Note, he also has a link to his before and after pictures.

Man Boobs and Depression

In another story, a man shares how his man boobs caused him a lot of depression and anxiety, and how he missed out on a lot of activities such as going to the beach or pool, but instead, he spent his time in front of a computer. After suffering for nine years with his female type breasts, he tells us how his male breast reduction surgery changed his life. He did copious amounts of research on gynecomastia, which he shares in his story. See the whole article here.

For many more stories, log on to www.gynecomastia.org, “the Web’s Best Resource for Information”. Click on the tab for “Gynecomastia 101,” then go to “Living With Gynecomastia” and from there go to “Patient’s Stories.”

Take the First Step!

If hearing these stories has helped you make the decision to see a gynecomastia specialist, call now (415) 898-4161 for an appointment with Dr. Miguel Delgado, M.D., who along with his staff will put you at ease and make you glad that you have taken the first step in ridding yourself of your man boobs.


Surgery Day! My Gynecomastia Story

Posted on: May 10th, 2016
By: Miguel Delgado

Gynecomastia Specialist, Miguel elgado, M.D.

Miguel Delgado, M.D.
Gynecomastia Specialist

In a Patient’s Own Words

You can read reviews, read blogs, research multiple websites, but getting the story of what gynecomastia surgery is like straight from a patient is incomparable! An out of town gynecomastia patient of Miguel Delgado, M.D.’s did just that. The patient documented his surgery experience from his arrival to the hotel through to the third day after surgery.

This documentation may not be state of the art video, but it lends to the authenticity of it! See the video here.

San Francisco gynecomastia patient

Gynecomastia patient

Our patient starts his video with his arrival to his hotel and is describing how he is feeling. Since his surgery is scheduled for later in the day, what seems to be causing him the most anxiety is being hungry! All surgeries that are performed under general anesthesia need to have the patient NPO, which is a Latin term “nil per os” and means nothing to eat or drink by mouth for several hours before surgery to ensure that the patient has an empty stomach. The anesthesiologist will call the patient the day before surgery and review all instructions.

Anxious but Happy!

Our gynecomastia patient describes that besides being hungry, he is anxious and nervous but very happy that he is finally having male breast reduction surgery so that he can get on with his life.

The next topic the patient presents is reviewing all the types of medication that he will be taking. All of the pill bottles are lined up as he describes them. First are his VitaMedica vitamins that he started two weeks before surgery, then he shows his antibiotics and anti-nausea pills that are started just prior surgery and then his pain pills that are for after surgery. Most patients find they only need the pain pills for a day or two.

After taking a shower our patient heads to the surgery center and after his pre-operative preparations he is wheeled into the operating room.

Ready to Live Life

After three days we see our patient again when he is ready to get his drains removed, he is very happy and says he is glad he had his surgery and is ready to live life!

Hopefully, this man’s story will help you make the decision to go ahead with a life changing surgery and once and for all get rid of those man boobs!

Call now (415) 898-4161 for a gynecomastia consultation with Dr. Miguel Delgado, M.D.


Allure Magazine Features Breast Reduction for Men

Posted on: April 11th, 2016
By: Miguel Delgado

 Allure Magazine

Allure, the popular magazine that touts itself as the beauty authority, offers beauty tips and features articles on fashion, beauty products, and news in cosmetic plastic surgery.

A recent article published in Allure addresses why more men are getting male breast reductions than ever before. As reported in our previous blog, the article starts out quoting statistics by the American Society of Plastic Surgeons on breast reduction surgery showing that men for the first time accounted for 40% of the total.

Stigma for Men Removed

Allure points out how social media and reality shows have helped lift the stigma of men having cosmetic surgery. While women have breast reduction surgery to alleviate back, neck, and shoulder pain, men are more likely to seek surgical correction due to the embarrassment of their female type breasts.

Gynecomastia comes in varying degrees of severity. For mild cases, men who work out want a more toned look with their pec muscles more apparent. Gynecomastia surgery can help achieve their goal by removing and sculpting the layer of fatty tissue sitting on top of the muscle. For moderate to severe breast development, men seek gynecomastia surgery so that they can feel more comfortable when they go shirtless.

Quick Recovery

Allure points out that men today are more likely to pursue male breast reduction surgery because not a lot of time off work is necessary. Recovery is relatively quick and their shirts hide their post-operative garments.

Get Help Today!

Miguel Delgado, M.D. encourages men suffering from gynecomastia to call (415) 898-4161 or email info@dr-delgado.com today for a consultation.


Report for 2015 Shows Increase for Gynecomastia Surgery

Posted on: March 9th, 2016
By: Miguel Delgado

Logo for American Society of Plastic Surgeons

The American Society of Plastic Surgeons (ASPS) represents over 7,000 member surgeons, making them the largest society of Board Certified Plastic Surgeons and they are acknowledged as a leading authority and source of information on cosmetic and reconstructive surgery.

New Statistics Just Released

ASPS’ statistics for 2015 were recently published. The statistics show a 2% increase over 2014 for surgical and minimally invasive cosmetic procedures, with a total of 15.9 million procedures performed.

Gynecomastia Surgery Increases in 2015

Breast reduction surgery for 2015 was 68,106; of that number, more than 40% was breast reduction for men, at a total of 27,456. This is the first year that there was such a high percentage of men having breast reduction surgery reflecting a 5% increase over 2014.

Miguel Delgado, M.D. confirms that he has seen an increase in his gynecomastia practice as well; the stigma for men to have cosmetic surgery has all but disappeared. Male breast reduction is mostly by younger men who are seeking correction for the size and shape of their breasts.

Gynecomastia Specialist to the Rescue!

Are you tired of missing out on many outdoor activities that involve removing your shirt, or feel self-conscious in intimate situations? Call Dr. Miguel Delgado, M.D. today (415) 898-4161 or email info@dr-delgado.com for a confidential consultation, he is a gynecomastia specialist who understands your discomfort!


Planning for Your Gynecomastia Surgery

Posted on: February 17th, 2016
By: Miguel Delgado

Gynecomastia Surgery Preparations

Marin Cosmetic Surgery Center

Marin Cosmetic Surgery Center

A frequent question that gynecomastia surgery patients ask is: “What do I need to do to plan for my surgery?” Gynecomastia specialist, Dr. Miguel Delgado, M. D. is always happy to hear patients ask this question as their participation is crucial to obtaining the best outcome for their procedure.

Understandably patients are nervous at the preoperative appointment, many times verbal instructions are soon forgotten. Dr. Delgado designed an informative booklet that is presented to all of his patients for reference. However, when in doubt the office and Dr. Delgado are just a phone call away.

The comprehensive booklet of almost 40 pages contains a table of contents divided into sections. Preparing for surgery has directions for; “Starting Now,” and “The Day Before Surgery,” and “The Morning of Surgery.”

“Starting Now” includes details on:

• Cessation of smoking,  multivitamin consumption, aspirin usage, vitamin E limitations, laboratory tests, prescription fills

“The Day Before Surgery” includes details on:

• Confirmation of surgery time, prescriptions, bathing, eating and drinking limitations

“The Morning of Surgery” includes details on:

• Special information, oral hygiene, cleansing, clothing, check in/preparation

The next three pages of the booklet list many medications, supplements and herbal remedies that must be avoided two weeks before and two weeks after surgery. The reason these must be avoided is that they interfere with healing and many slow down blood clotting which can cause complications during and after surgery. Keep in mind this is not a complete list, and any medications or supplements that you take must be cleared by Dr. Delgado. Tylenol is allowed for pain relief.

Many Medications Must be Avoided

Many patients are surprised to see some of the things that need to be avoided. For example, on the list are:

  • Alka-Seltzer, Pepto-Bismol, Vanquish, Sine-off, Sinutab, Motrin, Midol, Actifed, Vitamin E, Raw Garlic, Vitamin-boosted Drinks, Fish Oil, Ginkgo Biloba, Melatonin, Echinacea, St. John’s Wart and many more.

In the next section “Going to Our Operating Facility,” there is a description of the operating suite and the recovery room followed by post-surgery arrangements. Dr. Delgado’s patient coordinator would be happy to give patients a tour of the surgery center.

Surgical Risks and Complications

Included are general surgical risks and complications, and then risks that are specific to the procedure(s), whether it is for a face lift, breast augmentation, gynecomastia surgery or any other cosmetic procedure.

There is a copy of the surgical consent form for the patient’s record.

There are detailed post-operative instructions that include; dressings, drains, compression vest, bathing, ice packs, diet, driving, follow up appointments. Additionally, what the patient can expect as they heal.

Policies regarding insurance coverage, financial arrangements, cancellation and revision surgeries are addressed.

Directions to the surgery center with a map are included.

The Importance of Nutrition for Surgery Patients

Lastly, there is a four page guide that gives detailed information and recommendations on nutrition and the effect it has on wound healing.

Dr. Delgado believes prepared patients have an easier surgery and faster recovery. Call (415) 898-4161 or email info@dr-delgado.com today for a consultation for your desired cosmetic plastic surgical procedure.


Gynecomastia Surgery and the Danger of Smoking

Posted on: January 13th, 2016
By: Miguel Delgado

 

Planning for gynecomastia surgery can be an exciting time. To get the best possible results, the patient needs to follow all directions given by their surgeon. Miguel Delgado, M.D. gives all of his cosmetic plastic surgery patients a detailed information booklet to guide them through all pre-operative and post-operative instructions.

Some Things Must be Avoided

There are many important guidelines that need to be followed such as; avoiding blood thinners that can cause complications during and after surgery. The information booklet gives a detailed list of herbs, vitamins and supplements that must be stopped two weeks before and two weeks after surgery.

In addition to avoiding blood thinners, one of the most important warnings given to patients is the mandatory abstinence from smoking. Two weeks before and two weeks after surgery would be the minimum, however, longer or permanently would be better.

No Smoking in San Francisco

Smoking Danger for the Surgery Patient

Many patients who have a hard time quitting smoking may decide a little bit won’t hurt, or if having just one who will know? Cigarettes are incredibly addictive, and it is understandable why patients have such a hard time stopping.

There are several reasons it is imperative that the patient quits smoking before surgery. Cigarette smoke is known to have more than 250 toxins including; carbon monoxide, hydrogen cyanide, nitric oxide and of course nicotine. These toxins all interfere with wound healing.

Oxygen is delivered to the tissues via the blood vessels. Oxygenated blood fights infection and is the means of transport for antibiotics and other medications through the body. Nicotine causes blood vessels to constrict, when this happens it is possible for blood clots to form affecting blood flow to the capillaries. When there is a reduction in blood flow to the tissues, the cells may die causing what is known as necrosis. When necrosis occurs, the surrounding tissue becomes inflamed requiring debridement which is surgical removal. When debridement is necessary, the surgical outcome may be less than optimal.

There have been many studies done showing surgical results between patients who smoke versus the non-smoker. The studies show that smokers are much more likely to develop pneumonia, have a stroke, cardiac arrest or a heart attack. Additionally, smokers need more anesthesia and pain medication.

There is Help for the Smoker!

For a patient not to disclose that fact that they smoke to their surgeon would be a serious mistake, far better would be to enlist the help of your surgeon. Miguel Delgado, M.D. has helped many patients quit smoking by prescribing prescriptions such as Chantix. Remember, Dr. Delgado’s main goal is the safety of his patients so they can move forward with their gynecomastia reduction goals.

Help is a Phone Call Away

For any gynecomastia concerns, call Dr. Delgado today (415) 898-4161 or email info@dr-delgado.com for a consultation.


The Best Source on the Internet for Male Breasts, Gynecomastia.org

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

gynecomastia.org logo

For years, men have suffered silently with a condition known as gynecomastia. Gynecomastia is the development of male breasts in many men for a variety of reasons. See the June 2015 blog on causes of gynecomastia. It is believed that at least 60% of men develop enlarged breasts at some point in their life and for some it may be permanent.

San Francisco Psychologist Creates Website

Merle Yost, a popular psychologist who treats men with gynecomastia, understands their plight as he had man boobs since puberty. He discovered that there was very little information available to men to help them understand their condition. He counseled hundreds of men but wanted to reach out beyond his practice. He came up with the idea to create an informational website that has no boundaries. Merle Yost contacted Miguel Delgado, M.D. the San Francisco Bay Area’s well-known gynecomastia specialist to collaborate with him in the endeavor. Thus in 1996, Gynecomastia.org was launched.

In 2010, Merle Yost decided to sell the website as the maintenance was too time-consuming for him. Dr. Delgado took over the site to preserve its high standards.

Invaluable Support for Gynecomastia.org Members

There is no cost to become a member of the site, but registration is required. After registering, members are allowed to be interactive on all the forums. The forums are a safe place for men to ask questions of other members without the fear of embarrassment. The support that men find is invaluable; they no longer feel they have to suffer in silence. The members ask and answer questions, share stories, and give recommendations. They also can ask questions of gynecomastia surgeons who frequent the forums. The surgeons who are members of the site do pay a fee that helps offset the costs of maintaining the site.

Gynecomastia.org offers more than the forums, additionally, there are hundreds of before and after pictures of patients that have had male breast reduction surgery, there are videos, and a directory that lists gynecomastia surgeons in most states, and even outside of the country. You will also find news articles and a blog page.

Through the years, Gynecomastia.org has gained immense popularity, proving the site fills a great need. All the major search engines have the site close to the top of their first page.

Call Today for a Gynecomastia Consultation With Dr. Delgado

Men who have seen Dr. Delgado in consultation comment how comfortable he makes them feel, his compassion about their condition is obvious. Dr. Delgado’s surgical patients say their only regret is that they did not come and see him sooner!

If you have been putting off a consultation due to embarrassment or shame, you have found the right surgeon. Call today for an appointment with Dr. Delgado at (415) 898-4161 or email info@dr-delgado.com.


Gynecomastia Discussed on the Nip/Tuck Talk Show

Posted on: November 10th, 2015
By: Miguel Delgado

 

Nip/Tuck Interviews Miguel Delgado, M.D.

No More Man Boobs!

Michele Garber interviewed Miguel Delgado, M.D. for almost an hour on her Nip/Tuck Talk show. The discussion addresses the frustrating and humiliating condition known as gynecomastia. Ms. Garber’s in-depth interview covers causes and surgical options for men of all ages.

What You Need to Know About Gynecomastia

1. What is the best age for surgery?
2. Can enlarged male breasts come back?
3. Are there non-surgical options?
4. What are the risks of steroid use?
5. When will liposuction alone not work?
6. When is it recommended to see an endocrinologist?

California Board Certified Gynecomastia Specialist Explains

“Many young men may find that their male boobs are still present well after puberty,” states Miguel Delgado, M.D. However, the younger males have the best gynecomastia surgical outcome due to the good elasticity of their skin. Many men find they develop breasts as they age or gain weight. Dr. Delgado warns of the risks caused by different types of drugs and steroids.

To hear answers to these topics and many others, you can listen to the interview in its entirety here: http://niptucktalk.com/treatments-for-gynecomastia.

A Gynecomastia Consultation May Change Your Life

Miguel Delgado, M.D. emphasizes that each male breast reduction patient is unique; the solution is not “one size fits all.” Call (415) 898-4161 or email info@dr-delgado.com today for a personal consultation with gynecomastia specialist Miguel Delgado, M.D.


Gynecomastia is Incorporated Into the “Daddy Makeover”

Posted on: September 7th, 2015
By: Miguel Delgado

The Popular “Mommy Makeover”

One of the most patient pleasing cosmetic surgical procedures for women is the “mommy makeover.” The mommy makeover is a combination of procedures to help women get back in shape after they have finished having children. The combination usually includes an abdominoplasty, also known as a tummy tuck, some liposuction, and breast surgery that could be breast augmentation with or without a breast lift, or for some, breast reduction surgery. Childbirth, weight gain and weight loss and even aging can make it almost impossible to get great results from diet and exercise alone.

GynecMakeover specialist Miguel Delgado, M.D.
 

Before and After Mommy Makeover

With newer technology and surgical techniques, longer surgeries that combine procedures are safe and continue to gain popularity. When procedures are combined, the patient saves in time off work, time for recovery and even save money.

Cosmetic Surgery Increases for Men

Cosmetic surgery has become an accepted practice for men, with the percentage of procedures increasing each year. Men have begun to take advantage of combining surgeries just as women have been doing. For men, they may find that gaining and losing weight has compromised their skin elasticity, or aging makes the middle age spread difficult to reduce. As men age, they may find they are developing male breasts, also known as gynecomastia, even if they never had a problem with man boobs before. Gynecomastia surgery has been in the top 5 procedures that men seek, for years.

Daddy Makeover specialist, Miguel Delgado, M.D.
 

Before and After Daddy Makeover

“Daddy Makeover” Gains Popularity

As the popularity of men combining procedures continues to increase, it wasn’t surprising that a new term “Daddy Makeover” came into use. Many men who are have enlarged breasts undergo gynecomastia surgery. They also may choose to have liposuction of their love handles and the abdomen as well. Depending on the amount of loose skin and fat, some men choose to have an abdominoplasty for a flatter sculpted tummy.

Call us Today!

Miguel Delgado, M.D. states that men do not have to accept male breasts, or flabby abdomens, there are options available! Contact us today (415) 898-4161 or email (info@dr-delgado.com) to schedule an appointment for a personal evaluation.


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