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.

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.

 

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 www.gynecomastia.org 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.

 

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 info@dr-delgado.com for a consultation.

Benefits of Gynecomastia.org

Only in the last few years San Jose men have learned of a surgical procedure called male breast reduction. Today, there are still some men that are not aware of it. Gynecomastia surgery is a surgical procedure that removes or reduces the male breast. Men are notoriously embarrassed by this condition and are reluctant to seek advice, not realizing how prevalent it is.

There have been many news stories lately and television shows that refer negatively to male breasts. There are unkind descriptions such as; man boobs, moobs, and even bitch tits. While these references are hurtful, they are bringing attention to gynecomastia, prompting some men to research the condition. The internet has brought vast amounts of information on this subject. If you were to Google; gynecomastia support forums or gynecomastia find a surgeon, the website gynecomastia.org will come up in one of the first positions.

Gynecomastia.org was conceived in 1998 by a psychologist who suffered with male breasts. He discovered there was very little information available and little to no support for men suffering with the condition. Through the years, the website has evolved to become the most informative source on gynecomastia. The site has forums where men can share stories, ask questions and get support from each other. There is an “Ask a Doctor” section where members can post questions. There are doctors that specialize in gynecomastia surgery that are members of the site, their membership fee help cover the expense of maintaining the website. There is no fee for the men who are members, but registration is required to help maintain the privacy for all.

In addition to the forums, there is a directory of surgeons to help members locate a specialist in their area. The site offers before and after pictures, news articles, and blogs submitted by the surgeons. There have been numerous comments from patients and their families of their appreciation of the vast information and support they have received from gynecomastia.org, the webs best resource for information.