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Category: adolescent gynecomastia

Gynecomastia Article by Dr. Miguel Delgado Reaches Near and Far

 

Gynecomastia is Worldwide

Gynecomastia is a common condition that affects a large percentage of men worldwide. India, in particular, has shown great interest in gynecomastia and it is reflected in the many inquiries from Indian men on such websites as Gynecomastia.org.

Dr. Delgado Explains the Struggle With Moobs

The Deccan Chronicle is the largest circulated English newspaper in South India. Recently the Deccan Chronicle picked up a story that was published in Daily Mail Online on: “My Struggle With Moobs’: Inside the Booming Industry of ‘Man Boob’ Reconstruction Surgery.

The interview with Daily Mail Online gives a comprehensive outline on causes and solutions as presented by San Francisco Board Certified Plastic Surgeon, Dr. Miguel Delgado, M.D. a specialist in gynecomastia.

Steroids and Puberty Set the Stage

Man Boobs or gynecomastia is the development of female type breasts on a man. The major cause is in young men as they go through puberty, however, for the majority, it will resolve on its own. The second major cause is bodybuilders or athletes who use steroids. Once the breast tissue starts to grow the only solution will be surgery.

Dr. Delgado explains the simpler cases and also the more extreme cases that may need to be done in stages. This is not a “one size fits all” type surgery, but it is very individual with precise planning for each case. The patient below is an example of extreme gynecomastia.

 

gynecomastia first stage

Preoperative, patient with severe gynecomastia

First Stage After 6 months

6 months after first stage; gland excision, liposuction, superior crescent lift, and external lift sutures.

 

 

 

gynecomastia third stage

2 weeks after second stage; peri-areolar lift with donut shape skin excision

Call Today!

Whether you live near or far, call (415) 898-4161 for an in-person consultation, or if you are out of town or out of the country you may Skype, email or have a phone consultation with Dr. Delgado.

 

 

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Body Builders, Gynecomastia, and Performance Enhancing Drugs

Body builders and gynecomastia surgery, before and after

Treatment for body builders with gynecomastia is usually different than for other men. Body  builders usually do not have excess fat or skin. Body builders may be at higher risk for bleeding complications due to highly developed chest muscles that allow an increase in blood flow. Fish oil, certain vitamins and some protein shakes contain blood thinners that need to be stopped before surgery as they can increase the risk of bleeding.

Body Builders May Develop Breasts

Not all body builders will develop gynecomastia; there is no way to determine who will. However, if as young men they had adolescent gynecomastia, they are at greater risk.

Anabolic steroids continue to be popular with many men wanting to build muscle mass, but they find that they may start to develop breasts due to the high content of estrogen; some men can even begin to lactate. Other side effects of taking steroids include, painful erections, shrinking of testicles, decrease in sperm count, infertility and impotence. Anabolic steroids require a doctor’s prescription for a medical condition. Doctors are not allowed to prescribe steroids to enhance athletic performance.

Estrogen Blockers Bought on the Black Market

Many iron pumping weightlifters take the breast cancer drug Nolvadex, which is the generic form of Tamoxifen, which is used to counteract the continued use of steroids. Nolvadex is an estrogen inhibitor but requires a prescription and is used for the treatment of breast cancer. Social media such as Facebook has become a source for finding black market prescription drugs. However, there are many side effects associated with the drug such as; nausea, vomiting, hot flashes, numbness, blurred vision, leg cramps, thinning hair, reduced sexual interest, impotence, skin rash, risk of blood clots, cataracts, and depression.

Sadly many men will do whatever it takes to be bigger and stronger even if it shortens their life span.

Stop Steroids to Stop Breast Growth

Many body builders want to have all of their breast tissue removed so that they can continue to take steroids and avoid recurrence of breast tissue growth. However, Dr. Miguel Delgado, M.D. states that some breast tissue needs to remain for contouring or the chest will have an unnatural appearance. Dr. Delgado encourages men to discontinue the use of steroids and estrogen inhibitors and enjoy the natural look of their chest after male breast reduction surgery.

Call Now!

Call today (415) 898-4161 for a gynecomastia consultation if you are unhappy with your chest.

Does Weed Cause Gynecomastia?

Weed After gynecomastia surgery

Gynecomastia sufferers ask   Dr. Miguel Delgado, M.D.  “will smoking marijuana cause gynecomastia?” Another popular question is, “If after male breast reduction surgery if I smoke cannabis, will my man boobs come back?”

Do Doobies Make Boobies?

There are many different causes of male breast enlargement. A primary cause is puberty, when a young man goes through hormonal changes; also obesity, steroid use, and aging are known causes. Each patient is unique and what may trigger breast growth in one man might not for another.

There is not any conclusive evidence that marijuana contributes to gynecomastia, but there are many patients and physicians that believe it is so.

Medical Daily quotes Marijuana.com saying “Doobies Make Boobies,” but not for women. Animal studies show exposure to delta-9-tetrahydrocannabinol known as THC (the active ingredient in weed) decreases testosterone levels, however, human studies remain inconclusive. There are many conflicting reports that lead to a lot of confusion.

Gynecomastia Surgery Increases 5%

The Mayo Clinic lists marijuana along with amphetamines, alcohol, heroin, and methadone as potential causes of male breasts. Additionally, on the list of causes, there are herbal products and many medications.

Robert Murphy, Jr., president of the American Society of Plastic Surgeons, believes there is a correlation with the 5% increase in gynecomastia cases last year and the acceptance and easier access to marijuana in the United States.

With the link between gynecomastia and cannabis highly probable, you must ask yourself if after having male breast reduction surgery “is the high worth it?”

Call for a Consultation Today!

Call Dr. Delgado (415) 898-4161 now if you are having any concerns about your male breasts.

Update on Risperdal, the Drug that Can Cause Gynecomastia

risperdal and gynecomastia

Risperdal Lawsuits Climb

Litigation against Johnson and Johnson (J&J) for their drug Risperdal, had the second highest growth rate for 2016, following Xarelto. Xarelto may be reaching a plateau for new lawsuits, but litigation against J&J has no indication of slowing down. In November 2016, there was a 39% increase with over 15,400 pending lawsuits.

Risperdal is an anti-psychotic drug that was approved by the FDA in 1993 for the treatment of schizophrenia and bipolar disorder for adults. In 2007 the drug was approved for use by children. Along with the stated side-effects, the development of breasts known as gynecomastia was significantly understated. Many physicians were unaware of the complication due to inadequate labeling and therefore were not able to warn parents.

Many of the men who used Risperdal chose to have surgery to get rid of their female type breasts. In order to receive compensation for their surgery and emotional trauma, lawsuits were filed.

Plaintiff Awarded $70 Million

As the trials move forward, the most recent victory went to the plaintiff who had been on Risperdal since he was 5 years old. The jury awarded him $70 million. The Philadelphia jury believes J&J failed to have a proper warning on the label to warn men and physicians of the risk of breast development, even though J&J were aware of the side effect for many years.

J&J will continue to defend each case and have no plans to discontinue Risperdal as they feel it is a “safe” drug, and the benefits outweigh the risks. Even with millions of dollars in awards, J&J considers the payouts just the cost of doing business as the drug brings in billions of dollars in sales each year.

Not all verdicts are in favor of the plaintiffs, one such case in March of this year was tossed out when the treating physician claimed she would have prescribed the drug even with a different warning as she felt the benefits outweighed the risks. This is one of three cases that went in favor of the defendant; however, the plaintiffs plan to appeal.

Future Drop in Sales

As consumers become more aware of the gross negligence by J&J regarding their drug Risperdal, they may eventually see a drop in sales.

Call now!

Dr. Miguel Delgado, M.D. has been treating patients with gynecomastia since 1989 and is an expert in his field. If you are concerned with the development of female type breasts, call today (415) 898-4161 for an appointment with Dr. Delgado for a confidential consultation.

The Different Grades of Gynecomastia

Half of all men or more will have to deal with gynecomastia or male breast enlargement at some point in their life. One of the major causes of breast enlargement is for young men as they go through puberty. Fortunately for most, their breasts will return to normal within a couple of months to a couple of years. For others, surgery may be the only solution.

Adolescent gynecomastia in San Francisco

This 21-year-old young man suffers from adolescent gynecomastia. He underwent glandular excision and suction-assisted lipectomy. His goal was to “reduce my puffy nipples.”

The Severity of Gynecomastia Varies

Gynecomastia comes in several degrees of severity. According to the American Society of Plastic Surgeons (ASPS), there are four grades to help with identification.

• Grade I: severity mild, localized tissue felt just below the areola
• Grade II: severity mild to high, breast enlargement exceeds the boundaries of the areola without excess skin
• Grade III: severity high and visible, exceeding the boundaries of the areola with excess skin
• Grade IV: severity high and visibly feminine with excess skin

Gynecomastia affects each patient differently. In addition to various sizes and severity, the shape of the breasts may differ, and in some cases may be of conical shape. For some men, each breast may develop differently. A male breast reduction specialist is able to make the breasts of equal size.

“Risperdal” Causes Gynecomastia

The term gynecomastia became more well-known after the lawsuit against Johnson and Johnson for their drug “Risperdal.” Risperdal is prescribed for the treatment of bipolar disorders and autism in children. Risperdal was discovered to cause gynecomastia as a side effect for some young boys. The class action suit was widely televised by attorneys seeking to represent victims. Johnson and Johnson settled the suit with one of the highest payouts in history.

Gynecomastia Causes Emotional Problems

Gynecomastia is not physically dangerous; however, it can be the cause of low self-esteem and other emotional problems. Finding a gynecomastia specialist can be a challenge, do your homework, make sure your surgeon is board certified in plastic surgery, and view many before and after pictures, and read online reviews.

With the different grades of gynecomastia, men need to realize the surgery is not one size fits all. Each case is individual and the approach for surgery must be customized. The cost for surgery will vary depending on the complexity of the case.

Contact a Gynecomastia Specialist!

If you are in the Bay Area, call Dr. Miguel Delgado, M.D. at (415) 898-4161  for any gynecomastia issues. Dr. Delgado has been treating men with male breasts since 1989; his reputation has grown nationwide and worldwide. Many men travel from all parts of the United States and around the world to see Dr. Delgado, see the generous travel package offered to his patients.

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/podcast/category/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.

before and after photo - banner

 

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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 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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