Posted on: December 14th, 2016
By: Miguel Delgado
Puffy Nipples After Corrective Surgery
Many men complain about puffy nipples after healing from gynecomastia surgery. Liposuction is great for fat removal but will not remove the gland effectively.
Gynecomastia Revision Surgery
Dr. Miguel Delgado, M.D.’s gynecomastia practice consists of about 40% revision cases after surgery performed by another surgeon. Removing the correct amount of tissue and fat from the male breast takes the expertise of a board certified plastic surgeon that specializes in gynecomastia. Many surgeons are very conservative in their removal of tissue to avoid creating a crater deformity. However, when too much gland is left behind, it will push the areola out causing “puffy nipples.”
1 Month After Corrective Surgery
Gynecomastia patients that have had male breast reduction surgery and end up with puffy nipples are understandably discouraged because their only recourse is a secondary surgery to remove additional breast gland. This revision surgery is a little more complicated due to scar tissue that has formed from the initial surgery.
Choose Your Surgeon Carefully
It is important to choose your surgeon carefully. First, make sure that he or she is board certified in plastic surgery. Secondly, make sure your surgeon has extensive experience with gynecomastia surgery, taking the right amount of fat and tissue is critical to get the precise sculpting for the chest. If too much is removed a crater deformity will be the result, if not enough gland is removed, you will end up with puffy nipples. In both cases additional surgery will be required for correction, it is much better to get it right the first time.
Help is on the Way!
Call now (415) 898-4161 for a consultation with Dr. Delgado if you are suffering from male breasts or are in need of gynecomastia revision.
Posted on: November 16th, 2016
By: Miguel Delgado
Before and After Gynecomastia Surgery
A big concern for some men considering male breast reduction surgery is “will their breasts grow back?” This is a valid concern as it is difficult enough to decide to have surgery only to have the male breasts come back. In most cases, the results are permanent. However, there are instances that “man boobs” may return.
Not All Tissue and Fat Are Removed
True gynecomastia is treated by surgically removing most of the breast tissue and fat, however, some remains to give a sculpted chest and support the areola. It is the small amount that remains that could be a potential problem in the future.
If surgery is done for a young adolescent, male breasts may return because hormones are still stimulating overgrowth. Body builders know gynecomastia is a risk if they use anabolic steroids and they realize man boobs may return if they continue to use steroids after surgery, some choose to use drugs to block estrogenic effects.
Factors That Cause Man Boobs to Return
Patients who frequently use marijuana may find their male breasts return after surgery if they resume use. Another possible factor for breasts returning is if the patient should gain a lot of weight. Even though the fat cells that were removed won’t come back, the remaining fat cells could become enlarged. Other factors that may cause breasts to return could be certain medications or having a hormonal imbalance. Uncommon, but possible is scar tissue buildup.
To determine the probability of regrowth of breasts, finding the original cause can help in preventing recurrence after surgery. The main cause is puberty; but the breasts usually disappear after the teenage years on their own. Besides puberty, the main reasons for male breast growth are:
• Imbalance of testosterone and estrogen levels
• Decrease in testosterone production, common in older men
• Some medications
• Marijuana and other recreational drugs
• Psychological stress
If any of these conditions can be treated before surgery, it is recommended to do so to prevent regrowth. Unfortunately, the cause of male breasts is not always known; this is referred to as idiopathic gynecomastia.
The good news is that male breasts do not cause any health concerns but do cause a lot of angst for many men, a high percentage will seek surgical correction. Results are almost always long lasting without recurrence, in all the years that Dr. Miguel Delgado, M.D. has been performing gynecomastia surgery, he has seen very few cases where men have had a recurrence. Dr. Delgado recommends that his gynecomastia patients maintain a healthy lifestyle including exercise and good eating habits.
If male breasts are disrupting your life, call Dr. Delgado (415) 898-4161 today for a consultation.
Posted on: October 17th, 2016
By: Miguel Delgado
This is a 27 year old man who underwent gland excision and liposuction at Marin Cosmetic Surgery Center. He had 350cc of fat and aspirate removed from his right side and 400cc from the left. He is seen here 2 months after surgery.
Scottish Men Have Gynecomastia
Cosmetic Surgery for men in Scotland has been booming. In the last decade, the number of men undergoing cosmetic surgery has doubled. One of the most popular procedures is gynecomastia, up 13% from 2014. The majority are young men who work out at a gym. Also, men who have had significant weight loss and have been left with sagging skin, seek this corrective surgery. Scotland’s largest cities have a growing number of clinics making elective surgery more available for their population.
Gynecomastia in Singapore
There is an article in Singapore that has been published about a man named David (not his real name) who had gynecomastia. David’s story is a common one that we hear in the United States. He had been suffering from man boobs since his early 20’s; he tried to pass it off as nothing but he had physical discomfort in his chest that he could no longer ignore. He thought he might have heart problems, so he sought medical advice which revealed no medical issues.
David then turned to exercise and weight loss, but his man boobs remained, and the pain persisted. By researching online, David suspected that he had gynecomastia. He found a gynecomastia surgeon who confirmed his suspicion. With the support of his wife, surgery was scheduled. David was thrilled after recovery from his surgery, his chest pain was gone, and he now had a masculine chest. He stated that after 20 years he feels like “a real man.” He now encourages other men to seek gynecomastia surgery and not wait 20 years like he did.
Gynecomastia.org is Worldwide
Dr. Miguel Delgado, M.D. recommends to his male breast reduction patients to view the website gynecomastia.org. Gynecomastia.org is the web’s best resource for information on gynecomastia. The site offers forums for men to share stories and ask questions of fellow forum members, and of member board certified plastic surgeons who specialize in gynecomastia.
Many countries are represented in the forums such as; Canada, the U.K., Asia, Australia, South America, the Middle East, and many more. Gynecomastia.org assists men in finding support and surgeons in their area.
Are you ready to have a normal male chest? Call Dr. Delgado today, (415) 898-4161 for a gynecomastia consultation.
Posted on: September 15th, 2016
By: Miguel Delgado
The educational organization, “The American Society for Aesthetic Plastic Surgery,” (ASAPS), is a society made up of board certified plastic surgeons. The society’s purpose is to sponsorscientific meetings presenting the latest developments in cosmetic plastic surgery.
“The Smart Beauty Guide” was created by ASAPS to educate patients and assist in their making of informed choices when it comes to cosmetic surgery. The guide has a section for gynecomastia surgery with pertinent information on all aspects of the surgery. In preparing for gynecomastia surgery, the guide recommends the following:
- Sun tanning can increase scarring and should be avoided at least two weeks prior surgery.
- Cigarettes and all nicotine products must be stopped for a minimum of 4 weeks before surgery, nicotine is known to interfere with healing.
- All supplements and medications that thin the blood must be discontinued at least two weeks before surgery.
- Staying hydrated before and after surgery promotes healing.
- If you have any illness or infection before surgery, inform your surgeon.
- Lab tests need to be done promptly.
- If your work is labor intensive be sure to allow plenty of time off work for gynecomastia recovery.
- You will need a responsible adult to take you home after surgery and accompany you for the first 24 hours.
- Have books, movies, and a laptop available to keep you occupied while recovering.
- Get all prescriptions filled in advance.
Dr. Delgado’s Gynecomastia Booklet
As a patient of Dr. Miguel Delgado, M.D. you will receive a 40 page preoperative booklet with detailed instructions for before and after male breast reduction surgery. Included in the booklet is an extensive list of all medications and supplements that need to be avoided.
Schedule a Gynecomastia Consultation
Being well prepared before surgery leads to a stress-free recovery. Call today (415) 898-4161 to schedule a gynecomastia consultation with Dr. Delgado.
Posted on: August 12th, 2016
By: Miguel Delgado
For men who have hidden the embarrassing condition of female type breasts, making an appointment to see a gynecomastia specialist is a big first step. It is understandable for gynecomastia patients to be anxious and therefore, Miguel Delgado, M.D. recommends writing down all questions as it is easy to forget what you want to ask. However, Dr. Delgado wants his patients to know that he is easily accessible and encourages his patients to call (415) 898-4161 anytime they have a question.
The following questions are some you may want to consider:
1. Is your gynecomastia specialist board certified?
2. Is the anesthesiologist board certified?
3. What type of anesthesia is used?
4. If surgery is to be done at a surgery center, is it accredited?
5. How many years has your specialist been performing male breast reduction, and how many each year?
6. What caused my gynecomastia?
7. How long will my male breast reduction last, and will it come back?
8. How would my surgery be done?
9. Will liposuction alone work for me?
10. Where will the incisions be? Will the scars show?
11. What prescriptions will I need? What are they for?
12. How long after surgery before I can go home?
13. Will I have drains?
14. How long will I need to wear a compression vest?
15. How much time do I need to take off work?
16. When can I start lifting weights?
17. What risks does the surgery have?
18. How are complications handled?
19. Can I see before and after pictures of gynecomastia patients?
20. What is the cost?
Getting answers to all of your questions will ease your anxiety and ensure a positive experience. Dr. Delgado states that the only complaint he has received from his male breast reduction patients is that they wish they had their surgery a long time ago! Start today by calling (415) 898-4161 for your initial consultation!
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
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!
Posted on: June 14th, 2016
By: Miguel Delgado
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.
Posted on: May 10th, 2016
By: Miguel Delgado
Miguel Delgado, M.D.
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.
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.
Posted on: April 11th, 2016
By: Miguel Delgado
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.
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 email@example.com today for a consultation.
Posted on: March 9th, 2016
By: Miguel Delgado
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 firstname.lastname@example.org for a confidential consultation, he is a gynecomastia specialist who understands your discomfort!