Saturday, November 19, 2016

Recurrence of Gynecomastia after Male Reduction Surgery

Can Male Breasts Return After Gynecomastia Surgery?


Before and After Gynecomastia Surgery

SACRAMENTO, CALIFORNIA

A frequent question Dr. Miguel Delgado, M.D. is asked by his gynecomastia patients is “can male breasts grow back after surgery?” This is a reasonable question, for what man wants to face a recurrence. Fortunately, for most men the results are permanent; however, there are some exceptions. Understanding these exceptions can help prevent regrowth of breast tissue.

If a man has “true gynecomastia,” the surgical procedure for male breast reduction will include removal of most of the breast tissue and fat, but what remains is necessary for sculpting the chest and supporting the areola. It is this remaining tissue and fat that might cause a future problem.

Determining the cause of development of male breasts can help the patient avoid a repeat of growth. Some of the known causes are:

·      Excessive weight gain
·      Testosterone and estrogen levels out of balance
·      Decrease in production of testosterone, usually in older men
·      Some prescription drugs
·      Recreational drugs, including marijuana
·      Psychological stress
·      Scar tissue build up (uncommon but possible)
·      Puberty
·      Use of anabolic steroids

Puberty is one of the most common causes for gynecomastia for the young male. For most youth, the breasts return to normal after puberty. Some young men are so traumatized by their breast growth that they opt to have surgery before the end of puberty. There is a small chance that these boys may have male breasts return because the hormone levels are still fluctuating. However, it never returns to the original state, and Dr. Delgado has never had to re-operate.

Dr. Delgado will try to determine the source of a man’s gynecomastia during the initial consultation. If the cause can be established, Dr. Delgado will make recommendations to the patient to help avoid possible regrowth in the future. Most of the time, the reason for male breasts cannot be verified, this is called idiopathic gynecomastia.

As mentioned, regrowth is rare. Dr. Delgado has done thousands of male breast reduction surgeries through the years and has only seen a handful of cases where there was a recurrence.

Schedule a consultation today with Dr. Delgado (415) 898-4161 to find solutions to your gynecomastia concerns.





Friday, October 21, 2016

Gynecomastia a Worldwide Issue

Gynecomastia Affects Men Worldwide 

Sacramento Gynecomastia Surgery
Before and After Gynecomastia Surgery.
This man who is 27 years old had gland excision and liposuction at Marin Cosmetic Surgery Center. 350cc of fat and aspirate were removed from the right side and 400cc from his left side. This shows him 2 months after surgery.

Male breast reduction is one of the top elective surgical procedures for men in the United States. The development of female type breasts on men does not only affect men in the United States, but it is a troublesome condition for men all over the world!

For example, Scotland has a growing number of surgical clinics making elective procedures more available. Cosmetic surgery for men has doubled in the last decade. Gynecomastia surgery is up 13% from 2014. Most men who seek male breast reduction are younger men who work out at a gym or men who have a sagging chest from significant weight loss.

There was an article published in Singapore about a man named David (not his real name) who had gynecomastia. David who is now is his 40’s had been suffering from female type breasts since his 20’s. He tried to ignore his condition, but in addition to the appearance of his breasts, they were painful. Finally, he sought medical attention as he was afraid he might be having heart problems, but his exam showed no medical issues.

David then turned to diet and exercise, and although he lost weight, his chest remained the same, and the pain continued. Through extensive research online David discovered that he might have gynecomastia. David located a gynecomastia specialist who confirmed his suspicions. With his wife’s support, David scheduled surgery. After David’s recovery, he was thrilled to see that he had a normal looking chest and his chest pain was gone. He stated that after all these years he now feels like a “real man.”

David was anxious to share his story with the hope that he would be encouraging other men to seek solutions to their “man boobs” and not wait 20 years like he did.

Dr. Miguel Delgado, M.D. a gynecomastia specialist in the San Francisco Bay area states these stories are familiar no matter what part of the world, but finding support is not always easy. With the advent of the internet, information is more readily available. For someone researching gynecomastia, a Google search will reveal in the top listings Gynecomastia.org.

Gynecomastia.org is the web’s best resource for information on gynecomastia. The site offers forums where men can ask questions and share stories. Many countries are represented and provide valuable support to men all over the world.

Don’t wait 20 years; call now (415) 898-4161 to schedule a gynecomastia consultation with Dr. Delgado.

Thursday, September 22, 2016

Smart Beauty Guide a Great Resourse for Gynecomastia Information.




Sacramento, California - The “Smart Beauty Guide” is an online informational directory designed to help consumers make smart decisions about cosmetic plastic surgery.


The guide was created by the American Society for Aesthetic Plastic Surgeons (ASAPS). ASAPS is made up of over 2,600 board certified plastic surgeons. The society sponsors scientific meetings presenting the latest advancements in cosmetic surgery. In addition, the guide has listings of board certified plastic surgeons throughout the United States, Canada, and many other countries.

In the section for gynecomastia surgery, the guide makes many of the same recommendations for getting ready for surgery that Dr. Miguel Delgado, M.D. makes for his patients, such as:


·        Tanning the skin can increase permanent scarring, so avoid sunbathing for 2 weeks prior to surgery.
·        Discontinue all medications and supplements that contain blood thinners 2 weeks before surgery.
·        Stop all nicotine products 4 weeks before surgery.
·        Be sure to stay well hydrated before and after surgery.
·        Any illness or skin infections need to be reported to your surgeon.
·        Have lab tests done promptly.
·        Check with your surgeon as to how much time you will need to take off work for your recovery.
·        Arrange for transportation home after surgery and for someone to stay with you for at least the first 24 hours.
·        Get all prescriptions filled.
·        Have comfortable front opening clothes ready for your recovery period.
·        Organize books, movies, laptop whatever you need to keep you occupied.
·        If you will be on your own, have easily prepared and frozen meals available.

Dr. Miguel Delgado, M.D. provides his gynecomastia patients with a 40+ page booklet containing pre and postoperative instructions.


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

Wednesday, August 17, 2016

Gynecomastia Consultation and Important Questions to ask.

Questions to Ask at the Gynecomastia Consultation



Sacramento, California - As you plan your first gynecomastia consultation, Dr. Miguel Delgado, M.D. recommends that you write down your questions as you think of them. In addition, he suggests asking some of the questions below.

1.     Is your surgeon board certified? Is the anesthesiologist?
2.     What kind of anesthesia is used?
33.     If your surgery is at a surgery center, is it accredited?
44.     How long has your surgeon been performing male breast reduction surgery?
 5What is the average number performed per year?
56.     How would my surgery be done? Where would the incisions be?  Will there be scars?
77.     How long does the surgery last?
88.     What prescriptions will I have and what are they for?
99.     Will I go home the same day?
110. How do I prepare for surgery?
111. Can liposuction alone get rid of my male breasts?
112. Will I have drains and a compression vest?
113. How long before I can return to work?
114. When can I resume weight lifting?
115. Are there risks with the surgery?
116. What happens if there is a complication?
117. Will my breasts grow back?
118. Do you have before and after pictures for me to view?
119. What is the recovery going to be like?
220. How much does the surgery cost?

Knowing what to expect prior to surgery will relieve anxiety. Dr. Delgado makes himself very available to his patients and encourages them to contact him if there are any unanswered questions.


Call today (415) 898-4161 to schedule your initial gynecomastia consultation with Dr. Delgado to find what options are available to you.

Monday, July 18, 2016

The Gynecomastia Physical Exam

The Gynecomastia Physical Exam

Sacramento, California - Many men are anxious before their first consultation for gynecomastia. In a previous blog, Dr. Miguel Delgado, M.D. explains what patients can expect during their visit to help set their mind at ease. You can read that blog here.

Mentioned in that blog, is that there will be a physical exam, the purpose of this blog is to describe what that entails.




For Dr. Delgado to determine if the patient has true gynecomastia or pseudogynecomastia, he will have the patient lay flat so that an examination of the breasts can be performed. Dr. Delgado will place an area of the breast, which includes the tissue around the areola, between his forefinger and thumb. By gently squeezing his fingers together, Dr. Delgado can feel if there is a disk-shaped tissue which is firmer than if it is only fat. This tissue represents true gynecomastia. If the breast feels soft without any firmness, the patient most likely has pseudogynecomastia, which is caused by fat only. However, this is a small minority; most men have true gynecomastia.

In addition to determining what type of gynecomastia a patient has, Dr. Delgado will be checking for any nipple discharge, and for any enlargement of lymph nodes in the breasts or armpits.

Lumps or asymmetry of the testicles may warrant further testing, even though most lumps are benign, testicular cancer may attribute to swelling of the breasts. Breast cancer in men is very rare, but can occur. If Dr. Delgado determines during surgery that further testing of tissue may be necessary, tissue samples will be sent to pathology to rule out any concerns.

Much can be learned from the physical, call today (415) 898-4161 for a consultation to find what options are available to you. Serving Sacramento, California since 1988.