It's Time

2016 10-01

Gynecomastia Surgery-Getting Prepared.

Getting Ready for Gynecomastia Surgery

San Jose, California | One of the top two plastic surgery societies is the “American Society of Aesthetic Plastic Surgeons” (ASAPS). The purpose ASAPS is to sponsor scientific meetings for their 2600+ board certified members. The latest innovations in plastic surgery are presented at these meetings.

ASAPS created “Smart Beauty Guide,” an online informational website. The objective of the guide is to educate the public in all aspects of cosmetic plastic surgery and support making smart choices.

The guide offers detailed information about many cosmetic procedures, before and after pictures, and posting questions to board certified plastic surgeons. Most importantly, the guide provides a directory where patients can find board certified plastic surgeons in their area. The directory gives detailed information on the surgeon’s credentials and training.

A valuable component of the guide is the information it provides the patient in preparing for surgery. For men contemplating gynecomastia surgery, the following recommendations are listed:

  • If you smoke, stop 4 weeks before surgery as it interferes with healing.
  • Discontinue all blood thinners such as aspirin 2 weeks before surgery.
  • Sun exposure may increase scarring, avoid tanning 2 weeks before surgery.
  • Be sure to drink plenty of water and stay well hydrated.
  • Inform your surgeon if you have any infections or illness.
  • Plan enough time off work for recovery.
  • You will need a responsible adult to bring you home after surgery and stay with you for the first 24 hours.
  • Prescriptions need to be filled before surgery.
  • Have your blood test done promptly.
  • Plan things to keep you occupied during recovery such as reading material, movies, laptop, etc.
  • If you don’t have someone to prepare meals for you, have some frozen meals handy.
  • Have plenty of clean clothes that open in the front available.


Dr. Miguel Delgado, M.D. provides a comprehensive surgical handbook to his patient’s that is specific to their procedure. In addition to the above information, he has detailed instructions for reference. However, patients are encouraged to call Dr. Delgado at any time they have questions.


Start your journey today to feel comfortable going shirtless! Call (415) 898-4161 for a gynecomastia consultation. Serving San Jose,California since 1986.


2016 08-24


Suggested Questions for the Gynecomastia Consultation

gynecomastia goggle


Men notoriously have a hard time asking for help, especially when it comes to seeking cosmetic plastic surgery. However, due to the humiliation caused by enlarged breast tissue, the percentage of men seeking solutions increases each year. Taking the first step in scheduling a consultation with a gynecomastia specialist may be the hardest part. Dr. Miguel Delgado, M.D. has stated that his male breast reduction patients show a great deal of relief once they meet with him and learn that he can put an end to their suffering.

Dr. Delgado’s main goal is to put his patient’s at ease and let them know that he understands their angst. He will explain to them how gynecomastia surgery will give them their life back. It is important for men to understand exactly how male breast reduction will work for them. Dr. Delgado understands that when men first come in that they are nervous and that it may be difficult for them to express their concerns. He suggests that men write down their questions before coming in so that they won’t forget any concerns they may have.

Dr. Delgado encourages men to feel that they can call the office at any time if they have more questions or something that might not have been covered during their consultation. If you are seeing Dr. Delgado or another gynecomastia specialist, you may want to refer to the suggested questions below.


  1. Make sure that your surgeon and anesthesiologist are board certified.
  2. Where will the surgery be performed? Is it accredited?
  3. How many male breast reduction cases does your surgeon do each year? For how many years?
  4. There are different ways to do gynecomastia surgery, how will yours be done? Where will the incisions be?
  5. How long will the surgery last and how long before you can go home?
  6. What will you need at home for aftercare?
  7. What medications will be prescribed? Be sure to let your surgeon know all medications and supplements you are taking now.
  8. Ask if liposuction alone can get rid of your gynecomastia.
  9. Will you need drains and a compression vest? If so, for how long?
  10. How long before you can return to work?
  11. When can you resume going to the gym or restart your exercise program?
  12. What risks are associated with male breast reduction?
  13. How are complications handled?
  14. Can your male breasts grow back?
  15. Ask to view before and after pictures
  16. What fees are involved?


Call now (415) 898-4161 to start your journey of freedom from male breasts!

2016 08-03


The Male Breast Reduction Consultation and Physical Exam.

Knowing what to expect during the gynecomastia consultation and physical exam takes away much of the anxiety men feel when they have made the decision to see a gynecomastia specialist.

During the initial consultation, Dr. Miguel Delgado, M.D. will try to determine the cause of gynecomastia and how it affects the patient’s life. He will discuss the patient’s goals and expectations. Dr. Delgado will explain in detail the surgical procedure. In an earlier blog, Dr. Delgado describes what to expect during the consultation, which you can read in its entirety here.



A physical exam will follow in order for Dr. Delgado to make his recommendations. The intent of this blog is to explain what takes place during the physical.

First, the patient lies flat on the exam table so that Dr. Delgado can do a pinch test. By taking his forefinger and thumb, he gently squeezes the area around the areola (see picture). Dr. Delgado is checking to see if he can feel a firm disk-shaped mass and if present, this would indicate “true gynecomastia” which is both fat and breast tissue. True gynecomastia is treated by both liposuction and surgical excision. If, however, no mass is present, it is likely the patient has “pseudogynecomastia” which is fat alone. Most men have true gynecomastia but for those that have pseudogynecomastia it is possible to get good results from liposuction alone and in some cases the non-surgical treatment “CoolSculpting.”

Second, Dr. Delgado will note if there is any discharge from the nipple or any enlargement of the lymph nodes in the armpits or breasts. If there are any lumps or asymmetry of the testicles more testing may be necessary. Even though breast cancer in men is very rare, it does occur. If anything seems suspicious during surgery, tissue samples will be sent to pathology.

After the physical, Dr. Delgado will show the patient many before and after pictures and all questions will be answered.

Lastly, the patient coordinator will present the patient a fee quote and answer any questions related to scheduling surgery.

If you are ready to take the next step and schedule a consultation with Dr. Delgado, call (415) 898-4161. Serving the San Francisco South Bay, San Jose, Palo Alto and San Mateo since 1988.



2016 06-20

A Patient’s Gynecomastia story

Get This Off My Chest! Stories by Gynecomastia Patients

Google search



Dr. Miguel Delgado, M.D. recommends that men who suffer from female type breasts Google “patient’s stories about gynecomastia.” It is true that there is comfort in numbers; many men feel better when they find they are not alone with the humiliating condition known as gynecomastia. Men are very private about anything that makes them feel less masculine, and having female type breasts is probably the worst.


For men who have proceeded in having gynecomastia surgery, the relief is so tremendous that many have stepped forward to share their story in the hopes that they may help other men.


One of the published stories shares a man’s frustration in trying to lose as much weight as possible, but nothing seemed to reduce his breasts. He was determined to put an end to his suffering, so as embarrassed as he was he finally consulted with a gynecomastia specialist. That day changed his life. He was so relieved when he met the compassionate doctor and the staff he scheduled surgery. You can read his posting here. Note that he posted his before and after pictures.


In another story, a man shares how he fought anxiety and severe depression due to his female type breasts. He avoided activities that would require him to remove his shirt, such as pool parties or going to the beach, he instead sat in front of a computer all day. After suffering for nine years, he started researching gynecomastia. Ready to end his suffering, he went to see a specialist and proceeded with surgery. He is another ecstatic patient who wanted to share his story and much of the information he gathered during his research, which you can read in its entirety here.


For many more stories, visit known as the “Web’s Best Resource for Information.” In addition to multiple stories, the site offers forums where patients can ask and answer questions of each other and member gynecomastia surgeons. Other sections of the website show hundreds of before and after pictures of male breast reduction patients, videos, and a directory of gynecomastia specialists listed by state.


Gynecomastia specialist, Miguel Delgado, M.D. of the San Francisco Bay Area invites you to call today (415) 898-4161 for a consultation to learn what options are available to you. For patients out of the area or out of state, he offers a generous travel package.


2016 04-16

Gynecomastia Surgery Increases 5% Over 2014

Gynecomastia Surgery – 2015 Statistics From The American Society of Plastic Surgeons Reported.


Once a year, the American Society of Plastic Surgeons (ASPS) publishes the surgical statistics of their 7,000 Board Certified members. The statistics reflect an increase of 2% in 2015 from the previous year for both cosmetic and reconstructive procedures. The data reveals trends in surgery.


15.9 million surgical and non-surgical procedures were performed in 2015. Many cosmetic procedures showed an increase from 2014, such as 5% for liposuction, 9% for tummy tucks, and 5% for male breast reduction (gynecomastia). Overall breast reduction cases numbered at 68,106 with 40% of the procedures being for men!


Gynecomastia specialist, Dr. Miguel Delgado, M.D. notes that his gynecomastia cases increase each year. Dr. Delgado attributes the increase to the acceptance of cosmetic surgery for men. Not long ago men felt very uncomfortable even acknowledging their enlarged male breasts to others and themselves. Having enlarged male breasts caused a lot of humiliation and shame for many men.


Fortunately, with extensive coverage of gynecomastia through various media outlets, mostly the internet, men have come to accept the fact that a high percentage of men suffer from the same condition and are more likely than ever to seek resolution.


One of the most popular websites for information is The site offers forums where questions can be asked to member surgeons and chat rooms for sufferers of gynecomastia. Additionally, there is a directory by state, of Board Certified Plastic Surgeons who specialize in male breast reduction. Many of the surgeons have posted before and after pictures of their patients. Educational videos are available for viewing, of which many of which by Dr. Delgado.


For more information about gynecomastia surgery, call or email today for a consultation with Miguel Delgado, M.D.


2016 01-21

The Dangers of Gynecomastia Surgery and Smoking


“Why Smoking Endangers the Gynecomastia Patient”


san jose gynecomastia-smoking


Preparing for gynecomastia surgery depends on the cooperation of the patient. Miguel Delgado, M.D. is very thorough in giving his patients instructions and what to expect from their surgery. Planning for cosmetic plastic surgery is a very exciting time, but it is easy to forget verbal instructions. Therefore, Dr. Delgado gives all of his patients a detailed pre and post-operative booklet. Patients that adhere to the instructions are the ones that will get the optimal results.


Smoking has proved to be a great detriment for surgery patients. In fact, the complications are so serious that many studies have been done to determine the effect of cigarette smoke during and after surgery. One such study done by the American Society of Anesthesiologists revealed smokers were at 50% greater risk for developing pneumonia than non-smokers, and the percentages increase for other complications, such as; 57% greater risk for cardiac arrest, 73% for stroke and a whopping 80% higher risk for a heart attack.


Additionally, the European Society of Anesthesiology reported that smokers require 33% more anesthesia and 23% more pain medication than a nonsmoker. Patients exposed to second-hand smoke will need 20% more anesthesia and 18% more pain medication.


Smoking and Gynecomastia Surgery is a bad combination.


Smokers must abstain from smoking for two weeks before and two weeks after surgery. Of course quitting permanently would be ideal; however nicotine addiction is extremely difficult to kick. Miguel Delgado, M.D. has helped many patients who smoke reach their surgery goals by prescribing medications such as Chantix.


Understanding why smoking can cause such havoc for the cosmetic surgery patient may help the smoker abstain for the required time. There are more than 250 toxins in cigarette smoke in addition to nicotine! Among these toxins are; hydrogen cyanide, carbon monoxide, and nitric oxide, all of which will interfere with wound healing. Oxygen is transported to the tissues by the blood vessels; the oxygenated blood is needed to fight infection by delivering medication and antibiotics.


When smoke is ingested, the blood vessels constrict and blood clots may form. If there is a reduction in the blood going to the tissues, cell death may results causing what is known as necrosis, and inflammation of the surrounding tissues. When necrosis occurs, debridement may be necessary. Debridement is surgical removal of the dead cells, and the ultimate result may be disappointing.


Patient safety and exceptional surgical results are essential to Dr. Delgado, call now (415) 898-4161 or email for a consultation.

2015 12-11

Gynecomastia.Org – A Great Resource for Information



In 1996, the website was created. Merle Yost, a psychologist and previous sufferer of male breasts realized there was very little information available for men who have gynecomastia. He contacted Miguel Delgado, M.D. to collaborate with him in the creation of an informational website that would educate men and give them a venue for getting answers to their numerous questions.


Through the years, the website evolved to becoming the most popular source of man boob information on the internet. In 2010, Merle Yost decided to sell the website as maintenance became too time consuming.  Miguel Delgado, M.D. didn’t want to see the site lose its integrity, so he purchased the site.


If you look up gynecomastia on the popular search engines such as;,, and, you will see that is on the first page of the organic listings. The website remains free to members; however registration is required so that insensitive or abusive content can be controlled. There is a fee to the surgeons who are members and these fees help to fund the maintenance of the site. Member surgeons are all Board Certified Surgeons who have a special interest in gynecomastia surgery. Many of them donate their time to answer questions that are posted by the forum members.


There are multiple gynecomastia forums on the site that cover many topics such as;


  • Gynecomastia Talk (which is the most popular with daily posts),
  • Stories
  • User Diaries
  • Fat and Gynecomastia
  • Puffy Nipples
  • And many more.


New threads are frequently started as old and new members submit questions and relate experiences. The support men offer each other is something you won’t find anywhere else. As men reveal the shame they have felt, they learn they are not alone and find a great deal of solace from the men on the site.


In addition to the forums, the website offers a directory of gynecomastia specialists from all over the United States, and beyond. There are FAQ’s, Scientific Articles, Videos, Photo Galleries and Blogs.


If you haven’t discovered and suffer from male breasts, Miguel Delgado, M.D. invites you to explore the site. If you are in the San Francisco Bay area and want a personal consultation with Dr. Delgado, please call (415) 898-4161 or email If you are from out of town, see Dr. Delgado’s generous offer by clicking on this link.

2015 06-07

Before and After Pictures of Gynecomastia Patient’s Show a Surgeon’s Skill

Gynecomastia before and after photos |San Jose, CA

gynecomastia B&A
San Jose, California: This is a 21-year-old male who presents with gynecomastia to the San Francisco, California office and presents for gland excision and suction assisted lipectomy as well as a superior areola crescent lift due to the laxity of his skin. His gynecomastia surgical treatment was performed in Marin County California at Marin Cosmetic Surgery Center in Novato, California. His post op photographs are seen approximately 3 months after surgery.

San Jose, California-Most surgeons take before and after pictures of their patients. Board Certified Plastic Surgeons receive special training in photography due to the importance of this documentation which assists them in surgical planning. Beyond surgical planning, the photographs are a useful tool for surgeons to show prospective patients the quality of their work. Many patients appreciate being able to see their before pictures to compare them to their surgical result.

For a man with gynecomastia, also known as man boobs, searching for a gynecomastia specialist can be daunting. There are many aspects for the man to consider. First, he needs to be sure the surgeon is Board Certified in Plastic Surgery. Second check out where the surgery is to be performed, hospital or surgical center and find out if it is accredited. If it is an accredited surgery center, he should ask for a tour and note if it is organized and clean.

A Gynecomastia Surgeon Photos are worth a thousand words.

During the consultation, the gynecomastia patient needs to ask lots of questions. Find out how many male breast reduction surgeries are performed per year. Ask the surgeon what method of surgery he or she plans. Unless the man has “pseudo-gynecomastia” (only fat and no excess breast tissue), the combination of liposuction and surgical excision is necessary. Liposuction alone will leave breast tissue behind, necessitating a secondary surgery to remove the breast tissue. In order to remember all your questions, it is advised to bring a list. Dr. Delgado encourages men to call or email with questions at any time.

Possibly one of the most important aspects to help a man determine the expertise of the gynecomastia surgeon is in the viewing of the surgeons before and after surgery pictures of actual patients. It is important to note that patients pictures that are posted on Dr. Delgado’s website or shown in albums at the time of consultation have all given their written consent. Patient’s privacy is highly respected, and those who are willing to share their photos with prospective patients are greatly appreciated, but definitely not required.

photographerIn viewing the before and after pictures, there are a few things to note that will help determine the accuracy of what you are looking at. There should be different angles taken of each patient; front view, oblique and side view. Almost anything can be made to look good from just one angle. The background should be consistent, a blank wall or a black drape works well. The person needs to be placed in the frame in the same position, with arms down at their sides, or in the same position, for both before and after surgery. In addition, color saturation and lighting needs to be the same or as close as possible, for easier comparison.

Bearing all these things in mind, it is understandable how difficult it can be for a man to choose the best top plastic cosmetic gynecomastia surgeon he can find. The effort will be well worth it, to be able to avoid revision surgery. The single most common cause for the need of a secondary surgery is where the initial surgeon mistakenly thinks that liposuction alone will remove the male breasts of a man with “true gynecomastia”. As mentioned earlier, liposuction will work for the man that has “pseudo-gynecomastia” which is caused by fat alone.

Dr. Delgado is pleased to offer men who have “pseudo-gynecomastia” an alternative to liposuction surgery, and that is CoolSculpting. CoolSculpting is a non-invasive treatment that reduces fat over a 2 to 4 month period. Fat cells are intensely chilled, at little to no discomfort for the patient, causing the fat cells to die and to be shed by the body. Patients love this new treatment for removal of fat from the male chest, abdomen and love handles. Since it is not a surgical treatment, there are no scalpels, incisions, sutures, or scars, allowing patients to return to their normal activities with no downtime. Men who are candidates for CoolSculpting will find that their gynecomastia costs are greatly reduced.

Men who suffer with moobs or male breasts are invited to schedule a consultation with Dr. Delgado to determine what surgical or non-surgical options are available to them by calling (415) 898-4161 or sending an email.

2013 12-01

CoolSculpting Treats Pseudo-Gynecomastia

Pseudo-Gynecomastia can be treated with CoolSculpting

San Jose, California-True gynecomastia is man boobs that are caused by excess breast tissue and excess fat. 60% of men will have some form of gynecomastia at some point in their life. Men with moobs may have what is termed pseudo-gynecomastia, which is not caused by breast tissue, but fat alone. Usually this is due to weight gain or aging.

CoolSculpting Machine
CoolSculpting Treatment Available for San Jose Patients

Pseudo-gynecomastia is treated differently than true gynecomastia since breast tissue is not involved, liposuction alone can reduce the male chest. Unfortunately, many surgeons treat true gynecomastia as if it were pseudo-gynecomastia with very disappointing results. What happens is the fat is removed leaving behind the breast tissue that is too dense to go through the cannula of the liposuction machine. Without the fat to “pad” the breast tissue, it becomes more pronounced than before. Dr. Delgado’s gynecomastia practice is now at 40% of “redo” surgeries of this type. Besides the additional cost of gynecomastia surgery “redo”, a man will have to take time out of his schedule for surgery and recovery again. In addition, “redo” surgery is more difficult than the first time as now there is scar tissue for the surgeon to deal with and the skin will have lost some of its elasticity. It is highly advised for a man to do his research prior to surgery to find a Board Certified Plastic Surgeon that specializes in gynecomastia surgery.

As previously mentioned, for the man that has only pseudo-gynecomastia, liposuction has proven to be a great technique for a less invasive surgical procedure. In Dr. Delgado’s quest to stay on top of all the latest innovations in the treatment of his patients, he is pleased to announce that he now has CoolSculpting available for his patients. CoolSculpting can be an ideal treatment for the man with pseudo-gynecomastia.

CoolSculpting is a non-invasive procedure that uses a cooling device that kills fat cells, which are then naturally eliminated from the body.

This procedure can be used on the male chest to get rid of unwanted fat without surgery, allowing the man to return to normal activities without any downtime. Patients are pleased that there are not any resulting scars, scalpels or needles. The patient arrives in comfortable clothing, and most will read a book, work on a laptop or take a nap during their treatment. The area to be treated is placed between two cooling plates which patients claim is not painful, but they feel pressure and coldness from the plates. The treatment usually lasts about an hour.

As the body sheds the fat cells that have been destroyed, clothes will begin to feel loose. The results are not immediate, but noticeable results will start to become evident after 2 to 3 weeks and continue for up to 2 to 4 months. Most patients get the desired result after one treatment, but it is possible to have an area treated again if more fat removal is desired. The only risks associated with CoolSculpting have been some temporary bruising, redness or numbness. CoolSculpting is not to be considered fat reduction for large amounts of fat, but more for sculpting the areas of the body that has stubborn pockets of fat, such as; the love handles, the abdomen and chest of a man that has pseudo-gynecomastia. For larger amounts of fat removal, liposuction remains the best treatment.

CoolSculpting is an exciting treatment for patients that previously wanted to avoid surgery due to; the cost, fear of surgery, or the time taken out of busy schedules. If you have areas of stubborn body fat that you would like to melt away, schedule a consultation with Dr. Delgado to find out what your options are.

As always, Dr. Delgado has the most innovative procedures available to his patients, in addition to CoolSculpting, Ultherapy is a non-surgical treatment to tighten the skin of the neck and face.  Call Today 415-898-4161 or email.

2013 10-21

Gynecomastia and Breast Cancer

Breast Cancer and Gynecomastia


San Jose, CA-Breast cancer is less common in men (1 in 1,000) than women (1 in 8) because men have lower levels of female hormones and less breast tissue. Men with gynecomastia, also known as moob’s have more breast tissue than normal, and many feel a button or disk like growth under the areola. This can be benign, or a possible cancerous tumor, and they need to have their breasts checked by the best top plastic cosmetic surgeon.

There can be many causes for the male breast to develop as discussed in the blog dated May 15, 2013. In many cases, the cause remains unknown. Even though the incidence of breast cancer in men remains low, at 1% of all breasts cancers, it needs to be ruled out.

Breast cancer in adolescent boys is extremely low; it is more likely found in men over 60 years of age.

There are several risk factors related to breast cancer for men. Men at risk might not develop breast cancer and others who have no apparent risk may, there is no way to prove the actual cause.

It is wise to be informed of possible risks so that one can take measures to protect themselves. Some of the risks are; obesity, fat cells in men converts the male hormones into female hormones, this means the estrogen level is higher in the obese male body.

Some men with prostate cancer have been treated with estrogen related drugs, it is believed this treatment many increase the risk of breast cancer.

Heavy alcohol consumption affects the liver, and the liver carries hormones in the blood, the man with cirrhosis of the liver will have estrogen levels and lower levels of androgen resulting in a higher rate of developing man boobs and a higher risk of developing breast cancer.

Before and After gynecomastia surgery
This 29-year-old San Francisco Bay Area man is 6’4” and 275 lbs. He has never been able to expose his chest without feeling uncomfortable. He underwent glandular excision and suction-assisted lipectomy of the chest and axillae.

There are many more factors that can influence the threat of breast cancer in men; some occupations such as working in a hot climate may affect hormone levels, radiation exposure, and family history of breast cancer, aging, inherited gene mutations, and congenital conditions such as Klinefelter’s Syndrome.

The main thing men can do to protect themselves is maintain a healthy body weight through a wholesome diet and regular exercise, and limiting alcohol consumption.

Early detection can be lifesaving, although men are notorious for being negligent in seeking medical advice even when they may present with symptoms. Some symptoms to watch for are; skin changing around the areola or puckering or dimpling, bloody or opaque discharge from the nipple, a firm non-painful mass below the nipple. Usually it is the woman in a man’s life that is responsible for the man seeking an evaluation. It is routine that breast tissue samples are sent to pathology for all breast reduction surgeries to rule out breast cancer. The cost for pathology many times is covered with insurance, but even if it is not, it is a small price to pay for peace of mind.

Breast Cancer in men are rare.

Dr. Delgado in all his years of performing breast reduction treatment on men and women has only had two women that he had to inform that breast cancer was found through the pathology test and as unfortunate as this is for those women; he may have saved their lives through the discovery. So far, there have not been any reported cases of discovery of breast cancer in any of his male patients that have undergone male breast reduction surgery.

Patients who are contemplating gynecomastia surgery are invited to call for a consultation with Dr. Delgado who is a gynecomastia specialist. Newly added to the office is “CoolSculpting”, a non-invasive fat reduction treatment for the love handles and abdomen that has proved to be a very popular treatment for men and women alike.