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Category: Moob surgery

Body Dysmorphic Disorder and Gynecomastia

Body dysmorphic disorder

Body dysmorphic disorder (BDD) is an obsessive-compulsive disorder. BDD is where someone cannot stop thinking about what they perceive as a flaw or defect in their appearance. This flaw appears to others as very minor or non-existent.

People with BDD can’t control their negative thoughts which can cause severe emotional distress. The distress may impact their ability to function in their daily life. They tend to obsess for hours a day which may interfere with school or work. Many will avoid social situations, and they may become very isolated.

Body Dysmorphic Disorder Affects Both Men and Women Almost Equally

Most often BDD develops in the adolescent years and early teens. It affects men and women almost equally. BDD sufferers may focus on any part of their body.  Most commonly they focus on their hair, nose, skin, stomach, or their chest.

 BDD may be caused by both environmental and biological factors. Possibly malfunctioning serotonin in the brain, genetic predisposition. Life experiences such as child abuse, or bullying could be to blame for BDD.

Cosmetic Surgery May be Addictive for BDD Sufferers

Some sufferers will attempt to hide their compulsive behavior by camouflaging their flaw with clothing or avoid mirrors. Engaging in excessive grooming, or intense exercise can be a symptom. Others will turn to multiple cosmetic surgeries looking for perfection.

Young men who are going through puberty and develop gynecomastia may experience extreme shame which can lead to low self-esteem. When left unchecked the adolescent boy may find focusing on schoolwork difficult, even failing classes. Interaction with classmates and teachers comes to a halt.

Board certified plastic surgeons are trained to be on the lookout for patients with unrealistic expectations versus patients with a healthy perception of what results they can expect. There is a big difference between low self-esteem and BDD for the gynecomastia patient. For those who are experiencing low self-esteem, corrective male breast reduction surgery can be a life-changing event. For moobs patients with BDD, the expectations of their surgery results will never be met. They will continue to see imperfections, most of which are imagined. It is essential for man boob patients having surgery to have realistic expectations. They need to understand that cosmetic plastic surgery can make tremendous improvements, but will never be perfect.

Moob Surgery or Therapy?

It is the skilled gynecomastia specialist who can communicate with patients to determine if the patient will benefit from surgery or if the patient needs to be managed by cognitive behavioral therapy and perhaps medication.

Call Now!

Call today for a private consultation with Dr. Miguel Delgado, M.D. (415) 898-4161 for any gynecomastia concerns. Dr. Delgado advises patients who think they may have BDD to consult with their healthcare provider.

Moob Surgery and Reasonable Expectations

unilateral moob in San Francisco

22 year old male presents for unilateral right gynecomastia. Hormone testing proved normal. He had gland excision on the right with liposuction. He is seen here 4 weeks post op.

 

No one has a perfect body, most men carry some extra weight, some are barrel-chested, or some may have a somewhat concave chest. Like women, a lot of men may have one breast larger than the other. It is unknown why some people have more of a propensity to form scar tissue than others. All of these factors can contribute to moob surgery results.

Moob Surgery Complications are Rare

Complications are infrequent, but when they do occur they usually are minor, and most can be treated as an office procedure. However, all surgeries come with some risk such as:

• Bleeding (hematoma)
• Blood clots
• Infection
• Adverse reaction to anesthesia

Specifically for gynecomastia, there can be pigment changes, some asymmetry of the breasts or nipples, loss of sensation or numbness in the nipples which is possible to last up until a year, rarely is it permanent.

Under or Over Resection

Men who are seeking gynecomastia revision surgery usually have not had enough tissue and/or fat removed; this is referred to as “under resection.” Under resection is a common outcome when the surgeon only uses liposuction for moob reduction. Another complication is “over resection” where too much fat and tissue has been removed, also known as a “crater deformity.”

In some instances, men complain that a few weeks after surgery they have “puffy nipples” for most, this is due to the development of scar tissue which generally takes a few weeks to develop. Many times the scar tissue can be resolved with steroid injections done in the office.

Common Conditions After Moob Surgery

Dr. Miguel Delgado, M.D. states that after the trauma of surgery, moob patients will find that there will be swelling, and bruising, but when, where, and how much can’t be determined. Additionally, scar tissue will form, but again how much can’t be predicted.

After obsessing about their man boobs for a long time, some men will be looking for perfection. Plastic surgery is not a perfect art; however, significant improvement can be expected.

Find an Experienced Moob Surgeon

In the hands of an experienced board certified plastic surgeon that specializes in gynecomastia, many steps can be taken to assure a great outcome. A general surgeon and even some board certified plastic surgeons do not have the skills that a gynecomastia specialist has for a very complex surgery.

It is the expert gynecomastia surgeon who understands possible complications and how to treat them.  This is the surgeon who does 100’s of male breast reductions surgeries a year, not just a few. View many before and after pictures and select a surgeon with impressive results.

Call Now!

Dr. Delgado has 100’s of before and after pictures available for viewing, call today (415) 898-4161 for a consultation.

 

OVER 1000 BEFORE & AFTER PHOTOS
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Dr. Delgado has offices in Marin and San Francisco for your convenience

San
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450 Sutter Street Suite 2433
San Francisco, California 94108
(415) 989-2221

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165 Rowland Way Suite 300
Novato, CA 94945
(415) 898-4161

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