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Category: gynecomastia causes

Puffy Nipples After Gynecomastia Surgery!

Puffy Nipples in San Francisco

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.”

Crater Deformity in San Francisco

Crater Deformity

After Corrective Surgery

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.

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.

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

gynecomastia.org logo

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

San Francisco Psychologist Creates Website

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

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

Invaluable Support for Gynecomastia.org Members

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

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

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

Call Today for a Gynecomastia Consultation With Dr. Delgado

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

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

Gynecomastia Discussed on the Nip/Tuck Talk Show

 

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.

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.

Bodybuilder + Steroids = Gynecomastia

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

 

The use of Steroids among bodybuilders and men who compete in professional sports is not unusual. Steroids are known to increase muscle growth for the bodybuilder and performance can be enhanced for the athlete.

Up until 1990, steroid use was legal, and then Congress added steroids to Schedule 3, which puts it into the same category as controlled substances such as; heroin, cocaine, and LSD. Unless a doctor prescribes anabolic steroids for a medical condition, they are illegal to use.

Dr. Delgado warns his male breast reduction patients about using steroids and purchasing them online or by mail order. They come in many different forms, from pills, injections, creams and gels. Steroids are very potent and have many serious side effects. Some side effects are; impotence, infertility, heart attacks, mood swings, and an increase of bad cholesterol, liver cancer and development of the male breast.

Anabolic steroids convert into estrogen-like compounds in a process known as “aromatization,” resulting in a change of balance between estrogen and testosterone. The result of this change may be the development of breasts in men, and the testes may reduce testosterone production.

Many men hope that by stopping steroid use that their breasts will return to normal, unfortunately, once the breast tissue has formed male breast reduction surgery is the only way for it to be removed.
Dr. Delgado is quick to point out that not all men who take steroids will develop breasts, but it is not possible to predict who will. It has been noted that young men who may already have some degree of development may be more prone.

Arnold Schwarzenegger is credited with bringing bodybuilding to

Arnold Schwarzenegger

Arnold Schwarzenegger

life with his movie “Pumping Iron.” He did not admit to taking steroids at first, but said that you should do anything you can to get an advantage. In later interviews, he admitted to taking steroids and said he did not regret it, but back then it was legal.

If you have developed male breasts due to taking steroids, or even if you don’t know what caused them, call (415 898-4161) or email (info@dr-delgado.com) today for a personal consultation with Dr. Delgado to find out what options may be available to you.

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.

Gynecomastia Adolescent’s and Skin Contracture

 

Miguel A. Delgado, M.D.
Miguel A. Delgado, M.D.

 

San Francisco, California-Gynecomastia effects up to 60% of boys by the age of 14. The cause is not certain but usually is attributed to an imbalance of sex hormones brought on by puberty. Other causes may be the use of steroids, prescription drugs, heredity, marijuana, soy milk, and lavender oil, to name a few.

San Francisco Bay Area parents, including Sacramento, San Jose and beyond, need to be aware of the possibility that their son may be experiencing this condition so they can help him understand what is happening to his body. The breasts may look enlarged, or puffy nipples or he may have unusually large nipples.

Though it is a benign condition, many young men are embarrassed and humiliated, they try to hide their chests by keeping their shoulders hunched over and avoid situations where they need to remove their shirts, such as swimming or some sports. Classmates can be very cruel, taunting boys, especially in gym class where they need to remove their shirts.

For 80% to 90% of adolescent gynecomastia cases, the female type breasts will resolve by themselves usually within several weeks but can last up to three years. For the remaining 10% to 20%, the male breast may be a permanent condition. If the gynecomastia breast does not return to normal on its own, once a young man has gone through puberty, he could be a candidate for gyne surgery.

The big advantage for a young man to have male breast reduction surgery is the good quality of his skin, compared to the older man. In many instances, the skin will contract on its own avoiding a secondary surgery to remove loose skin. See the photos below of a young man with enormous breasts whose skin retracted nicely without additional surgery.

15 year old boy before Gynecomastia surgery

15 year old boy before Gynecomastia surgery

After Gynecomastia surgery

After Gynecomastia surgery

It is not unusual for a 16 year old to have gynecomastia surgery, and in some cases even younger, but it is a case by case decision made by the parents, their son and their surgeon. Consideration needs to be given to the fact that recurrence can occur due to continued hormone fluctuation if the patient has not completed puberty.

The age of the patient is not as important as the maturity. For the boy that has a clear understanding of what the surgery entails and wants to move forward may have an easier time than the boy who has developed emotional problems.

For a young man suffering from the effects of the gynecomastia, it is highly recommended that he see a Board Certified Plastic Surgeon that specializes in gynecomastia for a consultation with his parent(s) to find out what options are available to him.

In the search for information about gynecomastia, Miguel Delgado, M.D. recommends boys and their parents, and anyone suffering from man boobs visit www.gynecomastia.org, known as the web’s best resource for information on gynecomastia. On this website, they will find others who share their stories and offer support through the many forums on the site. In addition, there are numerous before and after pictures of men that have had the surgery. It also offers a directory of surgeons around the United States and beyond who specialize in male breast reduction surgery.

Dr. Delgado has specialized in male breast reduction surgery since 1988, treating young men in the greater San Francisco Bay Area; including Sacramento, San Jose and Los Angeles. He has a clear understanding of when it is appropriate to proceed with surgery. For an evaluation of your son, call or email today for a consultation (415) 898-4161.

 

“Young Men With Gynecomastia, How to Ask for Help From Your Parents”

Boy talking to parents - photo

San Francisco, CA-It is hoped that young boys or men that have developed male breasts also known as gynecomastia, man boobs, and moobs will find this blog to help them understand what is happening.

Up to 65% of males will have detectable breast development by the age of 14, most likely caused by an imbalance of sex hormones. This is a normal condition brought on by puberty when the body starts to go through changes. You are not turning into a girl, you do not have cancer, you are normal!

Do you try to hide your chest with loose fitting shirts? Do you try to avoid taking your shirt off for gym? Do you avoid swimming? Are you embarrassed to let your parents know? You are not alone, there are many young men quietly suffering the same way you are.

Bullying has become prevalent in schools these days, and boys that have developed breasts are a great target for cruel nicknames that can cause self-hatred and isolation. It is important to understand that gynecomastia or the male breast is a benign (harmless) condition even though it is socially lethal!

The good news is that for most boys, 90% to 95% the condition will go away by itself without any type of treatment, within a few weeks to 2 years. But two years for a young man can feel like eternity, what can you do in the meantime? Getting emotional support from your family or other sources can be a great benefit.

First, check out a website called gynecomastia.org, there you will find many guys that are sharing stories of how they have suffered and what they have done about it. This is a website dedicated to getting out information on gynecomastia and support from other members through the discussion boards. You do need to sign up and become a member to have access to all the site has to offer, but there is no charge. Review the stories that have been posted such as this one “A Mother’s Story”. Notice at the end of this story that the Mother recommends that you tell your parents, as difficult as this may be; they probably have no idea that you are suffering and most parents will do whatever it takes to spare their sons this type of humiliation. Try to talk to your parents, they may be much more understanding than you realize.

If the idea of talking to your parents is just impossible for you, try composing an email telling them how miserable you have been with a link to the above letter, and a link to gynecomastia.org. There are many stories posted of parents who discover their child has been suffering, and they were completely unaware! For example, another story tells of a boy who finally went to his father and asked if the money that had been saved for him for college could be used instead for male breast reduction surgery. The father was beyond shocked to find out his son had been dealing with a situation he knew nothing about, and he had never even heard of the term gynecomastia before. The father was able to get a line of credit to cover the cost of gynecomastia treatment, and his son was still able to go to college. The surgery proved to be a life changing event for his son.

Adolescent Gynecomastia

This is an 18 year old male who presents with adolescent gynecomastia. He complained about having “fluffy nipples”. His goal was to flatten the nipples to look more natural in his clothing. He had suction assisted liposuction with glandular excision. His post surgical recovery displays his newly flattened nipples.

As mentioned earlier, most boys will find the male breasts will go away on their own within a few weeks to a couple of years. If they do not, there are different surgical treatments available depending on the severity of the case.

Unless you have “pseudo-gynecomastia”, be wary of a surgeon that claims liposuction alone will give you the result you want. True gynecomastia consists of breast tissue and fat, liposuction will only get rid of fat, breast tissue is much denser and needs to be removed by surgical excision. Whereas pseudo-gynecomastia is caused by fat alone and can get great results with liposuction or weight loss.

In searching for information on the internet be careful about ads that claim you can take a pill to get rid of moobs. Save your money they do not work as attested to by many men on gynecomastia.org.

It would be wise to see a top cosmetic Board Certified Plastic Surgeon who specializes in gynecomastia surgery with your parents, to find out what your options are, and how likely the male breasts will go away on their own. Dr. Delgado stays abreast of all new innovations in plastic surgery such as “CoolSculpting” for fat removal which is now available at the “Non-Surgical Center of Excellence” at his Marin County location.

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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