Improving Scars after Gynecomastia Surgery

  Gynecomastia Scar Treatment | San Jose

 Before and After Gyne Surgerysan jose
Before and After Gynecomastia Surgery with scar treatment

 

San Jose, California – In most cases, the incision for gynecomastia that goes partially around the areola, will heal and be almost undetected. Due to the change in skin texture and color of the areola, the scar is well hidden after it heals. However, for some unknown reason, some people produce more collagen than others when recovering from surgery. Raised scars are referred to as keloids or hypertrophic scars. Excess collagen in scar formation can be unsightly, and the gynecomastia patient will have traded one problem for another.

 

Dr. Miguel Delgado, M.D., a Board Certified Plastic Surgeon who has specialized in gynecomastia since 1989, states that it is not medically necessary to remove male breast reduction scars, but it can cause a lot of embarrassment for the gynecomastia patient who wants the ability to go shirtless.

 

Today, there are options for minimizing scars. Depending on the severity and type of scar, surgical excision may be the best choice or steroid injections. Another very effective treatment that is now available at Dr. Delgado’s Marin Cosmetic Surgery Center is the Palomar Icon Fractional Laser, a non-invasive laser procedure that was created for scar treatment, wrinkle reduction, sun damaged skin and various other skin problems.

 

Dr. Delgado stresses the importance for men to follow all of their surgeon’s postoperative instructions, and states that those who do have the best results. The directions include avoidance of direct sunlight on the incisions while they are healing, for at least 6 months to a full year. Dr. Delgado advises his patients to keep their chest covered and use sunblock whenever outdoors during this period of healing. Sunlight is known to exacerbate the formation of hypertrophic scars.

 

Once the incisions have healed, Dr. Delgado has his patient’s start using silicone sheeting. Silicone will help control the formation of keloids.

If you have any gynecomastia revision issues, call (415) 898-4161 today for an appointment with Dr. Delgado.  Serving San Jose, San Mateo and the South Bay since 1986

Incomplete Gynecomastia Surgery-Why?

After Gynecomastia Surgery Puffy Nipples Remain

before-and-after-puffy-nipples 

             Puffy Nipples                                   After Corrective Surgery

It is not uncommon for a man to have gynecomastia surgery and then end up with “puffy nipples.” In the hands of less experienced surgeons who perform male breast reduction, all too often they will leave too much breast tissue behind. The remaining tissue behind the areola complex will push the nipple out and may be even more pronounced than before surgery.

Surgeons who attempt male breast reduction by liposuction alone will find that only the fat has been removed. The breast gland is too dense to be removed by the cannula. Only when a patient has pseudogynecomastia (enlarged breast due to fat only) will liposuction be a good technique.

In another scenario, some surgeons use liposuction and surgical excision of the gland, but so they don’t create what is known as “crater deformity” they are very conservative in the amount that is removed. Not removing enough of the breast gland will also result in “puffy nipples.”

crater-deformityafter-crater-deformity-corrective-surgery

          Crater Deformity                                                                        After Corrective Surgery

Dr. Miguel Delgado, M.D. has been performing gynecomastia surgery since 1989 and he states that 40% of his gynecomastia practice is revision surgeries to correct both “puffy nipples” and “crater deformity” for men that have had their surgery from another surgeon.

When choosing your gynecomastia surgeon, do your homework! Check that your surgeon is Board Certified in Plastic Surgery and has extensive training in gynecomastia surgery. Ask to see many before and after pictures of patients, and read reviews.

If you are considering male breast reduction surgery, or if you are in need of gynecomastia revision, call today (415) 898-4161 for an appointment with gynecomastia expert,

Dr. Miguel Delgado, M.D.

Gynecomastia Surgery and Recurrents

Can Male Breasts Recur After Gynecomastia Surgery?

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Before and After Gynecomastia Surgery

 

San Jose, California

Men who opt for male breast reduction surgery frequently ask Dr. Miguel Delgado, M.D. if it is possible for their breasts to grow back. It is possible for recurrence, however, it is rare. For true gynecomastia, the surgeon removes most of the breast gland and fat that are responsible for the enlarged male breast. Some tissue and fat remain to shape the chest and give support to the areola. It is the remaining tissue and fat that could pose a problem in the future.

 

Adolescent gynecomastia affects 65% of all young men. The good news is that for all but about 5% will find that their chest returns to normal within a few months up to 2 years. For the remaining young men, unfortunately, the male breast is permanent, and surgery will be their only option for a normal looking chest. Some young boys are so traumatized by having male breasts that surgery before finishing puberty may be recommended.

 

It is preferred to wait until a young man has completed puberty before having gynecomastia surgery; however, some boys have severe psychological issues and may be a candidate for early surgery. Since they have not completed puberty, and their hormones are still fluctuating, it is possible for the remaining tissue to regrow. Although Dr. Delgado says, this is very rare and for all the cases of young men that he has performed, he has never had to re-operate.

 

Another factor causing the reappearance of the male breast would be for a man who has gained a lot of weight. Even though many of the fat cells have been removed, the ones remaining will get larger with the additional storage of fat.

 

At the time of the consultation, Dr. Delgado will try to determine what caused the growth of the male breast so that steps can be taken to avoid recurrence in the future. Some of the more known possibilities responsible for gynecomastia after puberty and weight gain are:

  • Some prescription drugs
  • Testosterone and estrogen levels out of balance
  • Marijuana and other recreational drugs
  • Lower testosterone levels (usually in older men)
  • Anabolic steroids mostly used by bodybuilders
  • Psychological stress

 

The cause of gynecomastia for many men remains unknown and is referred to as idiopathic gynecomastia. Dr. Delgado has performed thousands of male breast reduction surgeries and has only seen a handful of cases of recurrence.

 

Schedule a gynecomastia consultation now with Dr. Delgado at, (415) 898-4161 to find what options are available for you.

 

Gynecomastia a World Wide Concern

Men Around the World Suffer From Gynecomastia

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This patient had liposuction and gland excision, fat and aspirate were removed, 350cc on the right side, 400cc on the left. The surgery was performed at Marin Cosmetic Surgery Center. The after picture is 2 months after surgery.

Each year the statistics for gynecomastia surgery have increased, according to the American Society of Plastic Surgeons. Many news articles show men seeking male breast reduction surgery have gone way past the shores of the United States.

Recently, there was an article published about a man from Singapore who we will refer to as David. David had been suffering from female type breasts for over 20 years. His breasts not only embarrassed him but were causing physical pain. Concerned that his chest pain might be due to heart problems, he sought medical advice. His exam showed that he was healthy and did not have any heart issues.

David still looking for a solution thought perhaps diet and exercise might cure him. However, even though he did lose weight, he still had breasts, and his chest pain had not abated. Frustrated, he started researching online about gynecomastia. David found a gynecomastia surgeon who confirmed that he had gynecomastia. David’s wife supported his decision to go ahead with surgery, and his comments after surgery is a common one that Dr. Miguel Delgado, M.D. hears quite often, “why didn’t I do this sooner?” David stated that he finally feels like a “real man.” He shares his story with the hopes that other men won’t wait 20 years to get a resolution to their man boobs!

Another article reveals that there is a growing demand for cosmetic surgery in Scotland for both men and women. New medical clinics are popping up in major cities to meet the needs of the population. One of the most sought after procedures for men is male breast reduction, up 13% over 2014. Young men who work out in the gym want a flatter chest and men who have substantial weight loss want their loose skin tightened.

Dr. Delgado recommends that his patient’s visit www.gynecomastia.org where they will find a plethora of information. Also, there is a section devoted to “International Forums” specifically for men outside the country. The site offers extensive information and support from other members. In addition, there is a directory to help men locate a surgeon in their area.

Dr. Delgado, a gynecomastia specialist, has performed surgery for men from all over the world. Out of town patients receive assistance in their travel plans. Call today (415) 898-416 or email info@dr-delgado.com for a consultation. For men out of state or out of the country a complimentary consultation via Skype or phone is available.

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.