Sunday, December 28, 2014

Gynecomastia and Endocrine (Hormone) Evaluation.

Do Gynecomastia Patients Need an Endocrinology Evaluation?

Miguel Delgado,MD-Gynecomastia Expert of Sacramento, CA
Miguel Delgado,MD-Gynecomastia Expert

★★★★★  Ratings: 4.74 -118 Reviews

 Gynecomastia Patient - Sacramento, California

Sacramento, California - Dr. Delgado informs his patients that gynecomastia is a benign condition in most cases. For an otherwise healthy male with long standing stable gynecomastia, an extensive medical workup is not necessary.

Of concern, is a male breast that shows rapid or unusual changes in size, in particular if only on one side that could indicate a malignancy. Anything that appears suspicious to the gynecomastia specialist may require an evaluation by an endocrinologist.

During an initial consultation for gynecomastia, a medical history will be taken; the surgeon will want to know all medications and/or drugs (both legal and illegal) that have been used, to help in trying to determine the cause of gynecomastia. Unfortunately, the cause of male breast growth usually remains unknown.

The surgeon will also perform a physical exam. If the male breast tissue, which is located around the nipple, is greater than 0.5 cm in diameter, it is considered to be true gynecomastia (not to be confused with cancer). Dr. Delgado points out that men rarely develop breast cancer as mentioned in an article that he co-authored in Medscape.

gynecomastia surgery-sacramento, california

gynecomastia surgery-sacramento, california
Two weeksAfter a 2 Stage Gynecomastia Surgery

If the male breast enlargement is caused by fat alone, it is not true gynecomastia, but pseudo-gynecomastia. Pseudo-gynecomastia usually can be treated by liposuction alone, or sometimes it may be treated by CoolSculpting. CoolSculpting is a non-invasive procedure that freezes fat that is eliminated by the body through the urine over a period of several weeks.

Dr. Delgado will refer any patient to an endocrinologist if he finds anything abnormal. The endocrinologist may order diagnostics tests that may include blood tests that check liver function and hormone levels, urine tests and possibly a mammogram.

Safety for the gynecomastia patient is of utmost importance to Dr. Delgado, if during male breast reduction surgery should the breast tissue look suspicious, he will have it sent to pathology for further evaluation.

If you have an enlargement of the male breast, call (415 898-4161) or email ( for more information or to schedule a consultation.

Film of the BBC filming Dr. Delgado operation on Merle Yost and his story. Sacramento patients have found this video very informative.

Monday, November 24, 2014, the Web’s Best Resource for Information


★★★★★ Ratings: 4.74 -118 Reviews

Sacramento, California-Men with gynecomastia, (male breast enlargement), have suffered in silence for many years. Unfortunately in our society it is not considered masculine for men to share personal issues. With the advent of the internet, information on all subjects is readily available in the privacy of one’s own home.

For those seeking information on Google for gynecomastia, will discover on the first page  there are links to such authorities as; the Mayo Clinic, Wikipedia,, Plastic, NIH (National Health Institute) and All of the links offer valuable information, but has set itself apart from the others in that aside from the reporting the latest in developments for male breast reduction surgery, is the only site that offers forums where men can share stories, ask questions of other forum members and of a select group of Plastic Surgeons who specialize in gynecomastia surgery. was created in 1999 by psychologist Merle Yost who suffered with male breasts himself. He saw a need for men to have access to information, so he collaborated with Dr. Delgado and together was created. At any one time there may be 100 guests or members online and sometimes many more.

In addition to the forums, articles, press releases, videos and hundreds of before and after pictures, the site has a directory of surgeons listed by state.

In 2010, Merle Yost sold the site to Dr. Delgado whose main concern was to keep the integrity of the site at the highest of standards and continue to keep the membership free to the participants. The member doctors pay a small fee which covers the cost of maintaining the site.

Dr. Delgado encourages his male breast reduction patients to visit, for support and stories of men who have experienced what they are going through.

Dr. Delgado has been a gynecomastia specialist since 1988. If you are suffering with male breasts, you are invited to call (415 898-4161) or email ( for a personal consultation.

Monday, October 20, 2014

"Puffy Nipples Is Gynecomastia"

“Puffy Nipples” Equal Gynecomastia |Sacramento, California

Sacramento, Califonia - Dr. Delgado finds that many young men are surprised to find out that “puffy nipples” are gynecomastia.

During adolescence when young men are going through hormonal changes, many develop breast buds, some more than others. This excess tissue causes the nipples to protrude in a cone shape fashion, giving a “puffy nipple” appearance.

Puffy nipples and gynecomastia-Sacramento, CA
Puffy nipples before and after surgery

Before and After Puffy Nipple Surgery

In most cases the developed breast bud, which is considered gynecomastia, will absolve within a few months but it may take as long as a couple of years. If puffy nipples have been present for more than two years, it is very possible that it is permanent. At this point, the only way to achieve a normal looking chest will be by surgery.

Puffy nipples are caused by excess breast tissue and not a lot of fat. Therefore, liposuction alone will only remove fat, leaving the breast tissue behind making the nipples even more pronounced.

The recommended surgery for “puffy nipples” is the same as for “true” gynecomastia; using a combination of liposuction and surgical excision of breast tissue. However, the reduction is just in the areola and nipple area, making for a shorter surgery time and a faster healing time.

"Pull Through Procedure" for Puffy Nipples- Sacramento, Ca;lifornia
"Pull Through Procedure" for Puffy Nipples
For some men, the “pull through” procedure may be an option. The “pull through” procedure is a minimally invasive surgical procedure that requires only a small incision 3-5 mm. The cannula for liposuction can fit through this small incision for fat removal, and then a special instrument is inserted to remove the breast tissue.

 It is imperative that a Board Certified Plastic Surgeon that specializes in gynecomastia is seen in consultation for these technical procedures, as not all plastic surgeons have the advanced training. 

Dr. Delgado has been performing male breast reduction surgery since 1989 and is considered an expert in his field.

If you suffer from “puffy nipples” or any form of gynecomastia, call today (415 898-4161) or email ( a personal consultation with Dr. Delgado to find out what options are available to you.

Tuesday, September 30, 2014

Gynecomastia, Bodybuilding, and Steroids and Sacramento,CA

Gynecomastia, Bodybuilding, and Steroids

Gynecomastia, Bodybuilding, and Steroids
Steroid-Induced Gynecomastia and after Surgery

The use of steroids is very common for many men. Pro athletes use it for enhancing performance. Bodybuilders use steroids for enhancing muscle development. Steroids come in a variety of forms; it can be injected or taken orally or even as a topical cream or gel.

There are many products available online and in retail stores that claim they are dietary supplements and are marketed for bodybuilding. They assert the products contain steroids or steroid type substances. The FDA has not approved these products and warns consumers they may be potentially harmful.

Anabolic steroid use is illegal unless it is for the treatment of a medical condition and prescribed by a doctor. Steroids are extremely potent, and the user needs to be aware of all the potential side effects.

Known side effects include; mood swings, increases in cholesterol, impotence, heart attack, liver cancer, and the development of breasts on men.

Steroid use has been prevalent in many of Dr. Delgado’s body building patients who seek treatment for gynecomastia. Not all steroid users will develop gynecomastia, but it is hard to say who will. Generally, men or boys who have even a small degree of breast development are more prone.

“Aromatization” is a process where anabolic steroids convert into estrogen-like compounds that change the balance of estrogen and testosterone, and that may result in breast growth. Once the breast tissue has formed, it will not go away even if the use of steroids has been curtailed. At that point, the only resolution will be surgery.

Dr. Delgado warns his patients that over the counter drugs sold online and in retail stores for the purposes of reducing the male chest are untested and have dubious results.
There are many men willing to share their experience with these products on a popular website called Before spending your money, you might want to check out their stories.

If you suffer with man boobs, caused by steroids or even unknown factors, you are invited to call (415) 898-4161 or email ( for a consultation with Dr. Delgado to learn what options you 

Saturday, August 9, 2014

CoolSculpting Treats Pseudogynecomastia

True gynecomastia is male breasts or man boobs that are made up of both breast tissue and fat, affecting at least 60% of all males at some point in their life. True gynecomastia must be corrected by excision surgically of the breast tissue and removing the fat by liposuction. There are many surgeons who attempt to correct man boobs by liposuction alone necessitating a “redo” surgery for removal of the breast tissue.
 Dr. Delgado’s “redo” gynecomastia cases are now at 40% of his male breast reduction surgeries. It is very frustrating for men to go through the surgery only to find they may need to have it done again. Not only do they have to go through surgery and recovery again, they will incur more gynecomastia surgery costs. Unfortunately, it is harder for the surgeon the second time as there is now scar tissue from the first surgery and the elasticity of the skin may have been compromised.
With all this being said, there is a condition whereby liposuction alone may work, and that is if the man has what is referred to as “pseudo-gynecomastia”. Pseudo-gynecomastia is usually due to aging or weight gain; the male breasts are enlarged only by fat and not breast tissue.

Liposuction has worked so well for these men it is understandable that some surgeons would try liposuction for “true gynecomastia”. When there is breast tissue in addition to the fat, the breast tissue will not go through the cannula of the liposuction machine, due to the fact it is too dense. It is imperative that men do their homework; they need to select the best top plastic cosmetic surgeon that specializes in gynecomastia, to avoid the necessity of a secondary surgery.
Coolsculpting Machine
For the man with “pseudo-gynecomastia”, there now is an exciting non-invasive procedure available, CoolSculpting. This procedure is offered at Dr. Delgado’s “Non-Surgical Center of Excellence.” CoolSculpting is an innovative process that gets rid of small areas of fat that do not respond to diet and exercise. Patients love the fact that there are not any incisions, needles or scars. For treatment, the patient is to wear comfortable clothing, stretch out on a treatment table; relax, read a book, work on a laptop or even take a nap. The CoolSculpting machine has two cooling panels that are placed around the area to be treated, and then intense coldness is applied which kills the fat cells. It will take about 60 minutes for each treatment area. Patients say that it isn’t painful but initially the plates feel cold and they feel some pressure. The only side effects noted have been some temporary numbness, redness, and minor bruising. There isn’t any downtime, and patients are able to return to normal activities right after their treatment.
The fat cells are then gradually shed by the body naturally, with results starting to show in two to three weeks. Patients are thrilled when they notice their clothes feel loose. The final result will be evident in about two to three months. Usually one treatment is all that is needed, but additional treatments can be scheduled to continue with sculpting the body. In addition to treating the male chest, CoolSculpting is used for the abdomen and love handles. It is not meant to be for large areas of fat, which are better treated by liposuction.
Along with CoolSculpting, there are many other procedures offered at Dr. Delgado’s “Non-Surgical Center of Excellence”. Ultherapy, which is a great skin tightening process for the face and neck, has recently been added as a non-surgical procedure, along with fat injections, Botox, facial fillers,  laser hair removal and many more. With so many new innovative treatments available, the best way to find out what your particular options are, schedule a consultation with Dr. Delgado at either his 450 Sutter St., San Francisco Office or 165 Rowland Way, Novato.