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 email@example.com for a confidential consultation, he is a gynecomastia specialist who understands your discomfort!
Posted on: February 17th, 2016
By: Miguel Delgado
Gynecomastia Surgery Preparations
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 firstname.lastname@example.org today for a consultation for your desired cosmetic plastic surgical procedure.
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.
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 email@example.com for a consultation.
Posted on: December 14th, 2015
By: Miguel Delgado
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 firstname.lastname@example.org.
Posted on: November 10th, 2015
By: Miguel Delgado
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 email@example.com today for a personal consultation with gynecomastia specialist Miguel Delgado, M.D.
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.
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.
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 (firstname.lastname@example.org) to schedule an appointment for a personal evaluation.
Posted on: August 17th, 2015
By: Miguel Delgado
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 (email@example.com)for your personal evaluation of your male breasts.
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
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.
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.
Posted on: June 18th, 2015
By: Miguel Delgado
Before and After Gynecomastia Surgery
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.
Other more common causes for gynecomastia are medications, anabolic steroids, chemotherapy, dialysis, alcohol and marijuana abuse.
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
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.
Posted on: May 16th, 2015
By: Miguel Delgado
Miguel Delgado, M.D.
★★★★★ Ratings: 4.74 -118 Reviews
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.
Over Resection Causing 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.
If you are in need of gynecomastia revision surgery, email (firstname.lastname@example.org) or phone (415 898-4161) to meet with Miguel Delgado, M.D. to learn what options are available to you.