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Category: adolescent gynecomastia

Can Breasts Grow Back After Gynecomastia Surgery?

Before and After gynecomastia surgery in San Francisco

                                        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:

• Obesity
• Imbalance of testosterone and estrogen levels
• Decrease in testosterone production, common in older men
• Some medications
• Marijuana and other recreational drugs
• Psychological stress

Idiopathic Gynecomastia

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.

Call Now!

If male breasts are disrupting your life, call  Dr. Delgado (415) 898-4161 today for a consultation.

Gynecomastia Discussed on the Nip/Tuck Talk Show

 

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.

Anti-psychotics Such as Risperdal, Cause Gynecomastia

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

 

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

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.

“Adolescent Gynecomastia Treated in One Stage”

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.

Gynecomastia, a Side Effect of Risperdal, Leads to Multiple Lawsuits

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

Gynecomastia is attributed to several different causes, and some remain unknown. Dr. Delgado tells his California male breast reduction patients from San Francisco, Sacramento, San Jose and beyond, that most are due to an imbalance of hormones, in particular increased levels of prolactin. Legal and illegal drugs are known to cause the development of male breasts.

In one of the country’s largest health care related settlements, Johnson and Johnson agreed to a settlement of $2.2 billion for the marketing of Risperdal “off-label.” “Off-label” use means a doctor can legally prescribe a drug for uses other than what the FDA approved it for, but the drug companies are not allowed to promote their drug for anything other than what it was approved for.

Risperdal is an anti-psychotic drug that was developed to treat schizophrenia and bipolar disorder in adults and adolescents. However, sales reps were rewarded large bonus’ for promoting the drug to pediatricians and other physicians for “off-label” use. They promoted Risperdal for; attention deficit hyperactivity disorder (ADHD), depression, sleeps difficulties and anxiety. Additionally, claims were made that j & j paid for doctors’ golf outings, and financially rewarding consulting deals.

Omnicare, which is the nation’s largest risperdallong-term care pharmacy, was implicated by a “whistle-blower,” one of their previous pharmacists, of being involved in “kickback for switches.” This is where pharmacists were “encouraged” to switch patients from approved drugs to Johnson and Johnson medications, which included Risperdal.

Some feel that the $2+ billion in fines is just a slap on the wrist. In a survey done by Stanford University and the University of Chicago, 54% of prescriptions for anti-psychotic drugs were for “off-label” uses and determined this was the result of good marketing.

Including global sales, between 2003 and 2010, Risperdal generated $24 billion in sales for johnson & johnson. Federal investigators state that j & j was aware that Risperdal could increase the risk of developing diabetes, stroke in the elderly, and development of breasts in boys, but chose to keep quiet about it.

As new evidence emerges, more individual and class actions lawsuits are being filed.

If you have gynecomastia and have taken Risperdal or other drugs, you are invited to call today (415 898-4161) or email (info@dr-delgado.com) to schedule an appointment with Dr. Delgado for an evaluation to determine what your options are.

“Puffy Nipples” are Gynecomastia

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

San Francisco, California-“Puffy Nipples” are true Gynecomastia, states Dr. Miguel Delgado . When the nipple areola has a protuberance and fullness causing a dome shape, it is because of the dense Gynecomastia breast tissue under the nipple. This is the original placement of the breast bud during development in puberty; it can grow during adolescent years to various sizes.

“Puffy Nipples” are seen more often in younger men. The cone shape is due to the fact that there is very little fat and the excess gland makes for the embarrassing projection, known as “Puffy Nipples.”

 

Puffy Nipples

This young man is 17 years old, 5’6” and 140lbs. He has had gynecomastia since sixth grade, having dealt with years of teasing at school. As a result, his self-confidence suffered greatly and prior to surgery he never took off his shirt in front of others. His primary concern was to reduce the nipple protrusion.

 

Many San Francisco Bay Area patients from Sacramento, San Jose and beyond, ask what treatments are available as seen in this post on gynecomastia.org. You may need to become a member in order to read the posts, but there is no charge, and it is a great forum with many questions and answers posted by members and Board Certified Plastic Surgeons. In about 80% to 90% of young men with “Puffy Nipples,” once they pass puberty, will find their chests will resolve on their own without any treatment. For the few that continue to have “Puffy Nipples” into adulthood, they most likely will need male breast reduction surgery to remove the excess breast gland by surgical excision as in the treatment for “true gynecomastia.”

 

The good news is that while young, the skin has great elasticity. Once the fullness is removed, the nipple areola will shrink and flatten out nicely.

Many patients feel that the “Puffy Nipple” Syndrome improves when they are cold. This happens when a muscle in the areola is stimulated, then it contracts, tightens and flattens. However, the puffiness will return once the coldness or stimulation is removed, and the muscle relaxes.

Often “the light pull-through procedure” can be performed. This is a much less invasive procedure where the gland is removed with a small incision around the areola. The advantages of this method are many including; no need for post-operative drains, less time in surgery, faster recovery, a smaller incision resulting in a smaller scar and the scar heals to almost invisible at the edge of the areola.

 

The treatment of “Puffy Nipples” is very successful with an extremely high satisfaction rate. If you suffer from “Puffy Nipples,” you are invited to call (415) 898-4161 or email (info@dr-delgado.com) for a consultation with Dr. Delgado to learn what your options are.

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.

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