Wednesday, December 16, 2015

The World’s Best Website for Information on Gynecomastia!

Gynecomastia used to be the “secret” men would hide with loose fitting shirts and hunched shoulders. It affected their social life as they would try to avoid going to the beach, pool parties or anywhere they might need to remove their shirt. Sadly, this is still prevalent, but now due to extensive media coverage, gynecomastia has become a known affliction. Most men are aware there are options available to them to get rid of their enlarged male breasts.

A San Francisco Bay Area psychologist, Merle Yost, is all too familiar with gynecomastia, as he was a sufferer himself since puberty. After Yost had male breast reduction surgery, he realized what a difference it made for him; he then focused a large part of his practice in helping men with gynecomastia. However, Yost was not satisfied with the limited scope of his practice; he wanted to reach more men. He felt strongly that men needed to know that there is hope, and there are options that can be life changing.

In 1996, Merle Yost came up with the idea to create the website, thereby having no geographical boundaries. He wanted a website that would be educational and full of information on gynecomastia. Yost contacted Miguel Delgado, M.D. San Francisco’s top gynecomastia specialist, to collaborate with him in his endeavor. Dr. Delgado was only too happy to help with this project as he was in agreement with the tremendous need to make enlarged male breast information available. Dr. Delgado contributed an FAQ’s section, wrote articles, and posted many before and after pictures of his patients.

The most popular section of the website is the forums. The forums have many sub-categories with “gynecomastia talk” the most visited. This is an area where men can get support from other members and the ability to ask questions. There are several gynecomastia surgeons who are members of the site who donate their time and will also answer questions.

Miguel Delgado, MD is a featured doctor on

Men do need to register to participate; however, there is no charge to become a member. The purpose of registration allows the administrators of the website to monitor the content and keep abusive and insensitive material away from the members.

Miguel Delgado, M.D. encourages his gynecomastia patients to visit the website and participate in the forums if they so choose. In addition to the forums, there are scientific articles posted, blogs from many surgeons, before and after pictures, FAQ’s and there is a directory of gynecomastia surgeons from all over the United States and beyond.

Call today (415) 898-4161 or email for an appointment with Dr. Delgado if enlarged male breasts are affecting your lifestyle.

Sunday, November 8, 2015

Nip/Tuck Radio and Gynecomastia Interview with Dr. Miguel Delgado

Gynecomastia Interview With Miguel Delgado, M.D. on Nip/Tuck Radio Show

Sacramento, California - Gynecomastia continues to gain attention as more men discover there are options to rid themselves of their male breasts forever!

There is a popular radio show hosted by Michele Garber called Nip/Tuck Radio. The purpose of the show is to discuss many different aspects of plastic surgery. Miguel Delgado, M.D., who has specialized in gynecomastia since 1989, was chosen by Michele to be a guest on her show. She wanted to explore what is going on with male breast reduction surgery as she is aware of its increasing popularity. After her research, she wanted to feature a gynecomastia specialist to answer questions that she had and what she thought men would like to know.

Michele’s thoughtful questions show she understands what many men are facing who have developed male breasts. For example, she asks Dr. Delgado:
1.     Do male breasts ever return after surgery?
2.     Is surgery the only option for gynecomastia?
3.     When is it a good time to have surgery?
4.     Can liposuction alone be effective?
5.     What are some of the known causes of gynecomastia?
6.     When is an evaluation by an endocrinologist recommended?

Dr. Delgado explains to Michele that young men usually will get the best results as their skin is still quite elastic and flattens out nicely. However, Miguel Delgado, M.D. points out that older men may develop breasts due to aging or gaining weight, but they still get nice results.

The interview lasted almost an hour and is available on the Nip/Tuck Radio website, to hear the interview, click here:

If you have any questions that were not covered in this interview, you may email at or call (415) 898-4161…or better yet come in for a personal consultation with Miguel Delgado, M.D.

Thursday, September 10, 2015

Gynecomastia and Risperdal

Updated Report on Gynecomastia and Risperdal

Gynecomastia and Risperdal- sacramento ca
Gynecomastia and Risperdal

 Janssen Pharmaceuticals Inc. is a subsidiary of Johnson and Johnson. Janssen Pharmaceuticals manufactures the antipsychotic drug, Risperdal, which at one time was prescribed more than any other antipsychotic in the United States.

Risperdal has been in the news a lot lately due to multiple lawsuits claiming the drug causes serious side effects, including gynecomastia.  The claims are that Risperdal blocks dopamine and raises prolactin levels. The legal dispute is one of the longest in history against a pharmaceutical company.

In September of 2012, the first trial was held against Johnson and Johnson but on the first day the case was settled for an amount that was not made public. After the first settlement, 5 more were settled in 2012.

Multiple offers are coming through from attorneys throughout the United States, by television advertising and online, to represent any men who took the drug and developed gynecomastia as a result. It is stated that there is a settlement in progress that may pay out large awards. However, this is not a class action lawsuit. A class action lawsuit settles for one amount that is divided equally among all claimants. Instead, the suit is termed a Multidistrict Litigation (MDL). An MDL is where all claims are heard by one judge in one courtroom.  Then each case is handled individually with each settlement negotiated by the plaintiff’s attorney, and may be based on the degree of injury.

To date, Johnson and Johnson have paid to the Department of Justice, 2.2 billion dollars due to a guilty plea by Janssen Pharmaceuticals for misbranding Risperdal.

The Philadelphia Court of Common Pleas now has over 1300 pending cases against Johnson and Johnson. In the meantime, there have been 3 bellwether trials. Bellwether trials give an indication of how juries react to testimony, and attorneys can use this information to help them negotiate future settlements.

The first bellwether case settled in February and due to the large settlement of 2.5 million dollars, made national news.  The settlement went to a man who is 20 years old and had been taking the drug for autism since he was 8 years old. The second bellwether case went in favor of the defendant due to lack of sufficient evidence that Risperdal actually caused gynecomastia. Recently the third bellwether case went in favor of the plaintiff but the amount of the settlement was undisclosed.

Miguel Delgado, M.D. wants patients to know that different states have different statutes of limitation for filing a claim. If you have been injured by Risperdal, he advises that you seek a consultation by a Board Certified Plastic Surgeon, who specializes in gynecomastia, and perhaps legal representation.

Wednesday, August 26, 2015

The “Daddy Makeover”

The “Daddy Makeover” and Gynecomastia

By now, most people have heard of the popular women’s cosmetic procedure referred to as the “Mommy Makeover.”  As women struggle to get their pre-pregnancy bodies back into shape, many opt for elective surgery. The surgery includes a tummy tuck, liposuction, and breast surgery such as; breast augmentation perhaps with a breast lift or in some cases a breast reduction.

Not to be outdone, men are now seeking similar cosmetic procedures that will restore their youth from their middle age spread. Many men have discovered how difficult it may be to reduce their abdomen by diet and exercise. Worse, if they have male breasts, which many men develop as they age, they find that there is no amount of diet and exercise that can reduce breast tissue once it has formed.

Each year the number of men that has male breast reduction surgery increases. The American Society of Plastic Surgeons reported an increase of 11% last year.

daddy makeover sacramento, California
A 55-year-old man, who suffered with adolescent gynecomastia, underwent glandular excision and liposuction of his chest, flanks and abdomen.

As gynecomastia surgery becomes more and more popular, men are discovering it is relatively easy to add liposuction of the abdomen and love handles to give them a body they just haven’t been able to achieve at the gym.

The patient satisfaction of these combinations of procedures has put it right up there with the popularity of women’s “Mommy Makeover” and thus has been dubbed the “Daddy Makeover.”

If you have been frustrated with the lack of progress of your diet and exercise program, call now (415) 898-4161 or email ( a consultation with Board Certified Plastic Surgeon, Miguel Delgado, M.D.

Tuesday, July 28, 2015

No One is Immune from Gynecomastia

Celebrities Suffer With Gynecomastia too

Sacramento, California 

It is a known fact that at least 65% of all men suffer from gynecomastia at some point in their life. It comes as no surprise that many celebrities suffer from the condition. Who can forget the episode of “Seinfeld” when Kramer and George invented a man’s bra called the “bro” or “manzier.” The episode did a lot to bring attention to gynecomastia; the secret men don’t want to talk about.

Unfortunately for celebrities who are constantly in the public eye, it is almost impossible for them to hide their man boobs. Among famous actors with male breasts are; Jack Black, Ice T, David Hasselhoff, John Travolta, Simon Cowell, Hulk Hogan, Mickey Rourke, Jack Nicholson, Steven Tyler, Russell Crowe, Tom Cruise, Mel Gibson, and many more. Some have chosen to have male breast reduction surgery, other have not.

Simon Cowell and gynecomastia- Sacramento,CA
Simon Cowell

One of the latest celebrities to come forward to announce that he has gynecomastia is Bernie Parent, the famous Stanley Cup hockey player. It is a very sensitive issue for men, and the ones that choose to share their story should be congratulated as their revelation is obviously their hope to help other men.

Many men will find as they age they will develop breasts as their testosterone levels change, and they gain weight. For most of these men, their breasts are caused by fat alone and not breast tissue. If a man’s gynecomastia is caused by fat without additional breast tissue, they will have more options for treatment. Liposuction is one treatment that works very well, but beware if you have breast tissue the result may be worse than prior to surgery. Another increasingly popular treatment for reducing fat is CoolSculpting, a non-surgical treatment that kills fat cells by freezing them. This is what Bernie Parent at age 70, discovered when he finally had enough of his man boobs affecting his quality of life. He sought out the advice of a plastic surgeon who informed him that since his breasts appeared to be caused only by fat that CoolSculpting may be a good option for him.

Bernie Parent and gynecomastia-Sacramento,CA
Bernie Parent Before and After Two CoolSculpting Treatments

To date, Bernie has had two treatments and is thrilled with his results. His doctor said that he could possibly get even better results with one more treatment but at this point he is very happy with his results. Bernie is finally able to enjoy outings on his boat and to go to the beach with his kids and grandkids, something he never did before. He stated that he hadn’t even owned a bathing suit in 40 years.

CoolSculpting is a remarkable treatment that is done as on office procedure. One treatment lasts about an hour to an hour and a half. Most patients work on their laptops, watch a movie or even take a nap. It takes several weeks to see the results as the dead fat cells are naturally shed from the body. There is a great advantage to the slow process of the shrinking fat cells; it gives the skin time to retract on its own. Depending on the elasticity of the skin and how much fat is removed, will determine how well the skin will shrink back.

If man boobs have been causing distress in your life, maybe it is time to see someone who can give you options. Miguel Delgado, M.D. has been treating gynecomastia patients since 1989 and is a gynecomastia expert. Call (415) 898-4161 or email today to schedule a consultation.

Thursday, June 25, 2015

Gynecomastia or Man Boobs Causes

Causes of Gynecomastia, Common and Uncommon

Sacramento, CA -Gynecomastia Surgery

Male breasts are also known as gynecomastia and are caused by an abundance of glandular benign breast tissue. There are normal causes of breast development and some that are abnormal.

Normal but temporary breast development in males happens at birth, puberty and for the older man usually after the age of 50.

For male infants, there is a conversion of hormones from androgenic to estrogenic by the placenta; however the breast development usually subsides within a few weeks. For young males when they reach puberty, due to the changing levels of hormones, they may develop fullness in their breasts and/or puffy nipples. This is most disturbing for adolescent young men, but for 90-95% it is temporary and resolves within a few months to a couple of years. There are many men that develop gynecomastia after they reach age 50, as their testosterone levels start to drop. Male breast reduction surgery is an option for the older man and even for the adolescent boy if his breasts are causing him psychological problems.

Gynecomastia Surgical Treatment

Also, some prescription drugs, alcohol, marijuana, anabolic steroids, chemotherapy and dialysis are more common causes of gynecomastia.

There are uncommon causes for the development of the male breast that men should be aware of, such as Klinefelter’s syndrome and Grave’s disease. Even though breast cancer in men is very rare with only 1% attributed to all breast cancers, the incidence is 50 times higher for men with Klinefelter’s syndrome.

After World War II, it was noted that prisoners of war had a high incidence of developing gynecomastia. When malnourished, men’s testosterone level drops but estrogen continues to be produced, causing an imbalance of hormones. After men had been on a normal diet, many noticed the development of breasts, this phenomena is referred to as “refeeding gynecomastia.” For most men, their chest returned to normal within a few months to a couple of years.

There have been cases of topical lotions and oils that are believed to have an effect on the development of breasts in young men. In particular, lavender oil and tea tree oil have come under scrutiny. It is believed that these oils may inhibit the action of androgens, but in a report from National Institute of Health (NIH), more research needs to be done to support these theories.

Determining the cause of gynecomastia can be very frustrating, and the cause may never be known. It is more important to be seen by a Board Certified Plastic Surgeon that specializes in gynecomastia for an evaluation.

Miguel Delgado, M.D. has been treating gynecomastia patients since 1988 and can help you end your frustrating struggle with male breasts.  He will be able to determine if you will need further evaluation by an endocrinologist. Contact us today (415 898-4161) or email ( a personal consultation and be on your way to leading a normal life.

Miguel Delgado, M.D. is a top gynecomastia surgeon serving the Sacramento, CA area since 1988

Friday, May 22, 2015

Gynecomastia Revision Or Redo Surgery | Sacramento, CA

Gynecomastia Revision Needed, Is It Time For a New Surgeon?

Sacramento, California - Men, who are faced with the prospect of needing gynecomastia revision surgery, wonder if they need to find a new surgeon. The answer depends on what type of revision is involved and why it is needed. Was the original surgeon Board Certified in Plastic Surgery? Does the surgeon specialize in male breast reduction surgery?

Liposuction only does not treat true gynecomastia.

There are several reasons that a revision surgery might be needed. The most common is where the surgeon may have used liposuction alone and left behind breast tissue that must be removed by surgical excision. Other common revision procedures are where the surgeon has under-resected or over-resected the male breast. If it was under-resected re-excision will be necessary. For over-resection, the result may be what is referred to as a crater deformity, and correction of the crater will involve a fat flap or fat injections.

Crater deformity-Sacramento, CA
Crater Deformity

Crater deformity-Sacramento, CA
Fat injection and scar revision

Gynecomastia Revision Surgery Requires Expertise

Sometimes a revision can be something minor such as tightening up some redundant skin or easing of a fold in the nipple/areola. These type of corrections usually can be done as an office procedure and sometimes need to be done as a secondary procedure. The gynecomastia specialist knows if a secondary procedure may be necessary and will explain this to the patient prior to surgery.

If the cause of the revision gives the patient some concern, a frank discussion with the surgeon is warranted. If the explanation is satisfactory and the patient hasn’t lost confidence with his doctor, then changing surgeons would not be necessary. However, if the patient has doubts, it would be prudent to obtain a couple of second opinions from Board Certified Plastic Surgeons that specialize in gynecomastia.

Miguel Delgado, M.D. states that up to 40% of his gynecomastia practice is revision surgery coming to him from other practices.

If you are unsure about your gynecomastia revision surgery, contact Miguel Delgado, M.D. for an expert opinion at (415 898-4161) or email (

Thursday, April 30, 2015

Man Boobs Reduction Results Before and After Pic | Sacramento, CA

Male Breast Reduction | Gynecomastia Surgery| Before and After Photos | Sacramento,CA

Gynecomastia reduction surgery is an art. Dr. Delgado is world renown for his care and experience .  These are some of his before and after pictures. Call today 415-898-4161 or email.

Monday, April 20, 2015

Gynecomastia Doctor Reviews are Important to check.

Choosing Your Gynecomastia Surgeon by Reading Reviews

Finding the right cosmetic surgeon is a challenge, especially for men, who tend to be more private. Men who suffer from male breasts are not likely to ask friends for referrals for a gynecomastia specialist, so most will do an internet search in the privacy of their own home. Websites for plastic surgeons do give a lot of information and are a valuable tool. However, personal websites will be biased in favor of the doctor, and that should not be a surprise, so what do you do?

View before and after pictures of various surgeons’ patients, and pick a couple you like. Then, Miguel Delgado, M.D. recommends that you go to different websites that are dedicated to giving reviews of plastic surgeons. There are many websites available that do this, after checking them out you will probably get a good idea of the capabilities of the surgeon. Bear in mind that there will almost always be a couple of bad reviews, and don’t let that discourage you, there will always be people that have unrealistic expectations. Go with what the majority of reviews reflect for a reliable evaluation.

Some of the websites that give reviews will give lots of important information, and have patients answer questions such as;

1.      Was it easy to make an appointment?
2.      Was the receptionist friendly and make you feel comfortable?
3.      Did you have to wait very long to be seen by the doctor?
4.      Were all your questions answered to your satisfaction?
5.      Did you feel you had good communication with the doctor?
6.      Were you happy with the results of your surgery?
7.      Was your post-operative care adequate?
gynecomastia reviews sites-sacramento, ca
Vitals review site

There are a lot of websites that rate, restaurants, hotels, car rentals, attorneys and doctors (and more). If you Google “reviews on doctors” you will find websites such as;


The ratings on these sites are by real patients and remember you are encouraged to give a review of your experience as well!

Another great source for men looking for a male breast reduction surgeon is the website has been around since 1999 and was developed by a psychologist who suffered from gynecomastia himself. The website remains the most popular source for information on gynecomastia in the world. Featured are forums that men can post questions and answers to each other and participating surgeons concerning any issues they may be having with gynecomastia.  There is a tab for “find a surgeon” for referrals all over the United States and beyond. Many men will share stories about specific surgeons.

Miguel Delgado, M.D. has been treating men with gynecomastia since 1988 and is considered an expert in his field. If male breasts are causing you to suffer, call today for a consultation at (415 898-4161) or email (