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Category: Gynecomastia surgeon

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.

Avoiding Loose Skin After Gynecomastia Surgery

The Doctor's Show

“The Doctors” TV show recently aired an episode featuring a gynecomastia patient who had a BodyTite treatment for male breast reduction. BodyTite is a duel treatment combining liposuction with radio frequency energy that melts fat and tightens skin at the same time.

Intense Marketing for Liposuction

There are many different types of liposuction such as; tumescent, ultrasound, and laser assisted, and each one has multiple catchy names. There has been intensive marketing with inflated claims that make for a lot of confusion for potential patients trying to figure out what treatment would be best for them.

Dr. Miguel Delgado, M.D. has stated that over 40% of his gynecomastia practice is revision surgery for men that have had their original surgery done by another surgeon. Many of these surgeons used liposuction alone and did not surgically remove the breast tissue. Breast tissue is too dense to be removed by liposuction effectively, no matter what is claimed.

The Gold Standard for Gynecomastia Surgery

Liposuction with surgical excision remains the gold standard. For “true” gynecomastia there are no shortcuts. However, patients who have “pseudogynecomastia” which is male breasts caused by fat alone, liposuction can be a good treatment.

Dr. Delgado uses a different technique for skin tightening that gives better results than radio frequency devices. In order to contract the skin, he applies controlled heat directly to the underlying skin (subcutaneous tissue) to avoid surgical excision of loose skin.

Choose Your Surgeon Wisely!

Who does the liposuction is more important than what it is called. Regardless of the type of liposuction used, for “true gynecomastia” surgical excision of dense breast tissue is necessary.

Call today (415) 898-4161 for an appointment with Dr. Delgado who is Board Certified in Plastic Surgery and has specialized in gynecomastia since 1989.

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.

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.

Men Worldwide Suffer from Gynecomastia

San Francisco Gynecomastia

This is a 27 year old man who underwent gland excision and liposuction at Marin Cosmetic Surgery Center. He had 350cc of fat and aspirate removed from his right side and 400cc from the left. He is seen here 2 months after surgery.

Scottish Men Have Gynecomastia

Cosmetic Surgery for men in Scotland has been booming. In the last decade, the number of men undergoing cosmetic surgery has doubled. One of the most popular procedures is gynecomastia, up 13% from 2014. The majority are young men who work out at a gym. Also, men who have had significant weight loss and have been left with sagging skin, seek this corrective surgery. Scotland’s largest cities have a growing number of clinics making elective surgery more available for their population.

Gynecomastia in Singapore

There is an article in Singapore that has been published about a man named David (not his real name) who had gynecomastia. David’s story is a common one that we hear in the United States. He had been suffering from man boobs since his early 20’s; he tried to pass it off as nothing but he had physical discomfort in his chest that he could no longer ignore. He thought he might have heart problems, so he sought medical advice which revealed no medical issues.

David then turned to exercise and weight loss, but his man boobs remained, and the pain persisted. By researching online, David suspected that he had gynecomastia. He found a gynecomastia surgeon who confirmed his suspicion. With the support of his wife, surgery was scheduled. David was thrilled after recovery from his surgery, his chest pain was gone, and he now had a masculine chest. He stated that after 20 years he feels like “a real man.” He now encourages other men to seek gynecomastia surgery and not wait 20 years like he did.

Gynecomastia.org is Worldwide

Dr. Miguel Delgado, M.D. recommends to his male breast reduction patients to view the website gynecomastia.org.    Gynecomastia.org is the web’s best resource for information on gynecomastia. The site offers forums for men to share stories and ask questions of fellow forum members, and of member board certified plastic surgeons who specialize in gynecomastia.

Many countries are represented in the forums such as; Canada, the U.K., Asia, Australia, South America, the Middle East, and many more. Gynecomastia.org assists men in finding support and surgeons in their area.

Call Now!

Are you ready to have a normal male chest? Call Dr. Delgado today, (415) 898-4161 for a gynecomastia consultation.

Preparing for Gynecomastia Surgery

The educational organization, “The American Society for Aesthetic Plastic Surgery,” (ASAPS), is a society made up of board certified plastic surgeons. The society’s purpose is to sponsorscientific meetings presenting the latest developments in cosmetic plastic surgery.

Smart Beauty Guide for gynecomastia

“The Smart Beauty Guide” was created by ASAPS to educate patients and assist in their making of informed choices when it comes to cosmetic surgery. The guide has a section for gynecomastia surgery with pertinent information on all aspects of the surgery. In preparing for gynecomastia surgery, the guide recommends the following:

  • Sun tanning can increase scarring and should be avoided at least two weeks prior surgery.
  • Cigarettes and all nicotine products must be stopped for a minimum of 4 weeks before surgery, nicotine is known to interfere with healing.
  • All supplements and medications that thin the blood must be discontinued at least two weeks before surgery.
  • Staying hydrated before and after surgery promotes healing.
  • If you have any illness or infection before surgery, inform your surgeon.
  • Lab tests need to be done promptly.
  • If your work is labor intensive be sure to allow plenty of time off work for gynecomastia recovery.
  • You will need a responsible adult to take you home after surgery and accompany you for the first 24 hours.
  • Have books, movies, and a laptop available to keep you occupied while recovering.
  • Get all prescriptions filled in advance.

Dr. Delgado’s Gynecomastia Booklet

As a patient of Dr. Miguel Delgado, M.D. you will receive a 40 page preoperative booklet with detailed instructions for before and after male breast reduction surgery. Included in the booklet is an extensive list of all medications and supplements that need to be avoided.

Schedule a Gynecomastia Consultation

Being well prepared before surgery leads to a stress-free recovery. Call today (415) 898-4161 to schedule a gynecomastia consultation with Dr. Delgado.

 

Gynecomastia Consultation Questions

Gynecomastia questions

For men who have hidden the embarrassing condition of female type breasts, making an appointment to see a gynecomastia specialist is a big first step. It is understandable for gynecomastia patients to be anxious and therefore, Miguel Delgado, M.D. recommends writing down all questions as it is easy to forget what you want to ask. However, Dr. Delgado wants his patients to know that he is easily accessible and encourages his patients to call (415) 898-4161 anytime they have a question.

The following questions are some you may want to consider:

1. Is your gynecomastia specialist board certified?
2. Is the anesthesiologist board certified?
3. What type of anesthesia is used?
4. If surgery is to be done at a surgery center, is it accredited?
5. How many years has your specialist been performing male breast reduction, and how many each year?
6. What caused my gynecomastia?
7. How long will my male breast reduction last, and will it come back?
8. How would my surgery be done?
9. Will liposuction alone work for me?
10. Where will the incisions be? Will the scars show?
11. What prescriptions will I need? What are they for?
12. How long after surgery before I can go home?
13. Will I have drains?
14. How long will I need to wear a compression vest?
15. How much time do I need to take off work?
16. When can I start lifting weights?
17. What risks does the surgery have?
18. How are complications handled?
19. Can I see before and after pictures of gynecomastia patients?
20. What is the cost?

Getting answers to all of your questions will ease your anxiety and ensure a positive experience. Dr. Delgado states that the only complaint he has received from his male breast reduction patients is that they wish they had their surgery a long time ago! Start today by calling (415) 898-4161 for your initial consultation!

The Physical Exam for Gynecomastia

 

In a previous blog, details of what to expect during an initial consultation for gynecomastia were reviewed. Click here to read the blog.

To properly diagnose adult gynecomastia a physical exam is necessary. Most exams include the following:
• Exam of the breasts
• Is there any discharge from the nipples?
• Is there an enlargement of lymph nodes in the armpits or the breast?
• Determining if a man’s gynecomastia is “true gynecomastia” or “pseudo-gynecomastia” which is caused by fat alone.
• Assessment of breast tissue
• Checking the size and consistency of the testicles for lumps or asymmetry. Most lumps are benign, but testicular cancer can cause swelling of the breasts.

Physical examination for gynecomastia in San Francisco

Physical Examination for Gynecomastia

When the surgeon does a breast exam, he will have the patient lay flat on his back. The surgeon will bring his thumb and forefinger together on each side of the breast. If the surgeon can feel a disk-shaped mound of tissue behind the nipple and areola, it would indicate “true gynecomastia.” Patients with “pseudo-gynecomastia” will not have such a disk.

Once it is determined what type of gynecomastia is present, the surgeon will then discuss the patient’s options.

Call today (415) 898-4161 to schedule a consultation with Dr. Miguel Delgado, M.D. You’ll be glad you did!

Let Me Get This Off My Chest! Personal Gynecomastia Stories

Before and After Gyneomastia in San Francisco

Before and After Gynecomastia Surgery

Gynecomastia on the Internet

Miguel Delgado, M.D. states that some of the best information you can get on a cosmetic surgery is to hear a patient’s own story. This is especially true for gynecomastia, as men are usually reluctant to talk about their “man boobs.” However, a Google search will show there are many men willing to share their experience in the hopes that they can offer support and encouragement to other men who suffer in silence with gynecomastia.

Lost Weight but Still Has Gynecomastia

For example, there is a posting by a man who tells us how his female type breasts never went away since he was a young man; no matter how much he exercised and how much weight he lost. In fact, he felt his breasts were even more visible as his chest muscles developed when he was working out. He shared how hard it was for him to see a specialist and discuss his condition, but was relieved to find how supportive the doctor and staff were. After he had done a lot of research online, he decided to proceed with surgery, even though he was very anxious. Obviously, he is very thrilled with his results and wrote his story which you can read in its entirety here. Note, he also has a link to his before and after pictures.

Man Boobs and Depression

In another story, a man shares how his man boobs caused him a lot of depression and anxiety, and how he missed out on a lot of activities such as going to the beach or pool, but instead, he spent his time in front of a computer. After suffering for nine years with his female type breasts, he tells us how his male breast reduction surgery changed his life. He did copious amounts of research on gynecomastia, which he shares in his story. See the whole article here.

For many more stories, log on to www.gynecomastia.org, “the Web’s Best Resource for Information”. Click on the tab for “Gynecomastia 101,” then go to “Living With Gynecomastia” and from there go to “Patient’s Stories.”

Take the First Step!

If hearing these stories has helped you make the decision to see a gynecomastia specialist, call now (415) 898-4161 for an appointment with Dr. Miguel Delgado, M.D., who along with his staff will put you at ease and make you glad that you have taken the first step in ridding yourself of your man boobs.

Surgery Day! My Gynecomastia Story

Gynecomastia Specialist, Miguel elgado, M.D.

Miguel Delgado, M.D.
Gynecomastia Specialist

In a Patient’s Own Words

You can read reviews, read blogs, research multiple websites, but getting the story of what gynecomastia surgery is like straight from a patient is incomparable! An out of town gynecomastia patient of Miguel Delgado, M.D.’s did just that. The patient documented his surgery experience from his arrival to the hotel through to the third day after surgery.

This documentation may not be state of the art video, but it lends to the authenticity of it! See the video here.

San Francisco gynecomastia patient

Gynecomastia patient

Our patient starts his video with his arrival to his hotel and is describing how he is feeling. Since his surgery is scheduled for later in the day, what seems to be causing him the most anxiety is being hungry! All surgeries that are performed under general anesthesia need to have the patient NPO, which is a Latin term “nil per os” and means nothing to eat or drink by mouth for several hours before surgery to ensure that the patient has an empty stomach. The anesthesiologist will call the patient the day before surgery and review all instructions.

Anxious but Happy!

Our gynecomastia patient describes that besides being hungry, he is anxious and nervous but very happy that he is finally having male breast reduction surgery so that he can get on with his life.

The next topic the patient presents is reviewing all the types of medication that he will be taking. All of the pill bottles are lined up as he describes them. First are his VitaMedica vitamins that he started two weeks before surgery, then he shows his antibiotics and anti-nausea pills that are started just prior surgery and then his pain pills that are for after surgery. Most patients find they only need the pain pills for a day or two.

After taking a shower our patient heads to the surgery center and after his pre-operative preparations he is wheeled into the operating room.

Ready to Live Life

After three days we see our patient again when he is ready to get his drains removed, he is very happy and says he is glad he had his surgery and is ready to live life!

Hopefully, this man’s story will help you make the decision to go ahead with a life changing surgery and once and for all get rid of those man boobs!

Call now (415) 898-4161 for a gynecomastia consultation with Dr. Miguel Delgado, M.D.

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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Dr. Delgado has offices in Marin and San Francisco for your convenience

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(415) 989-2221

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165 Rowland Way Suite 300
Novato, CA 94945
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