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.


What is the Cost of Gynecomastia Surgery?

Gynecomastia Specialist
Miguel A. Delgado, Jr., M.D.

San Jose men, in order to plan for their gynecomastia surgery, ask what the cost will be. Cosmetic plastic surgery is highly personalized as no two people are exactly alike. For the male breast reduction patient, gynecomastia comes in many different forms. There is what is known as “pseudo-gynecomastia”, which is caused by fat alone and usually remedied by liposuction. Then for “true” gynecomastia, there can be a mild to moderate condition, which is sometimes treated by the “light pull-through” procedure. There are moderate cases on up to extreme or severe cases that may require two to three separate surgical procedures in order to get the best outcome. With all these variables, the surgical time and complexities affect the cost.

To give an approximate cost for what would be considered average for male breast reduction surgery that includes both surgical excision and liposuction, the range for Dr. Delgado’s fee would be approximately $4500-$5100. Based on 3.5 hours of surgery for Marin Cosmetic Surgery Center the fee would be $2450. The fee for the anesthesiologist would be $1050, and for garments and supplies about $300 for a total of $8900.

You need to factor in the location of the surgery bearing in mind that the metropolitan areas are more expensive as is the more experienced surgeon. A gynecomastia specialist earns a higher fee due to his/her extensive experience. Be careful about cutting costs in finding a surgeon who is not considered a specialist in male breast reduction surgery as the incidence of revision surgery can be quite high. In fact, Dr. Delgado states that of his gynecomastia surgery cases, almost 50% are redo cases of surgeries done elsewhere.  With consideration for the need of travel for a great number of his patients, Dr. Delgado offers a complimentary Travel Package to help cover expenses; details are on his Out-of-Town page,

Frequently men want to have additional surgery done at the time of their moob reduction as mentioned in the previous blog. Adding more surgery would increase the time and fees, but not as much as if they were done separately.

Can Gynecomastia be Cured by Liposuction Alone?

Before and After gland excision and liposuction

Numerous San Jose men have asked if it is possible to have male breast reduction done by liposuction alone. Liposuction would seem to be a quick fix, and many surgeons offer this, which accounts for many of the gynecomastia redo surgeries.

Liposuction definitely has its place in the surgical procedure, but only in select cases can it provide the result that men want. The gynecomastia breast in most cases is made up of glandular tissue and fat. Liposuction does a good job of removing the fat, but the breast tissue, which is present in almost all cases, is too dense to be removed by the cannula. Breast tissue needs to be removed by surgical excision.

Having said this, there is an exception. If the condition is not true gynecomastia, but what is known as “pseudo-gynecomastia”, then removal by liposuction alone is possible. Pseudo-gynecomastia is where the enlarged breast is caused by fat alone. The patient usually cannot determine if his male breasts are true gynecomastia or pseudo-gynecomastia but should be evaluated by a gynecomastia specialist. If the enlarged breasts are caused by fat alone, weight loss can help reduce the size of the breasts, if that doesn’t work then liposuction would be in order.

Some surgeons who have not had training in gynecomastia surgery attempt to reduce the male breasts by liposuction alone when excision of the breast tissue is necessary. The result is now without the supporting fat; the breast tissue can appear even more prominent, giving the patient a very disappointing result, usually requiring “redo” surgery. Unfortunately, when the surgery needs to be redone, it is much more difficult for now there is scar tissue to be dealt with, and in many cases, the skin has lost much of its elasticity. I would say in my San Francisco Bay Area practice, a good 35% to 40% of my gynecomastia surgical cases are “redo” cases performed by other surgeons who attempted liposuction alone, or where too much or not enough tissue has been removed.

Gynecomastia Specialist, How to Find the Best

The internet is a great source of information for men suffering with man boobs, or moobs or technically known as gynecomastia. There is a website, that has been

around since 1999 that is dedicated to providing men with information along with forums where they can share stories, offer advice, ask questions of each other and of surgeons about gynecomastia.

Many men find in their research horror stories of patients who have opted to have surgery, only to find their situation worse than before surgery. Unfortunately, there are surgeons that will perform male breast reduction surgery that have not had special training. Very common are the surgeons that think that liposuction alone will reduce the male breast. Liposuction alone will reduce the male breast if the enlargement is due to fat and not fat and breast tissue. This condition (male breast enlargement by fat alone) is referred to as “pseudo-gynecomastia”. Most men have true gynecomastia, which is a combination of fat and breast tissue. Breast tissue is too dense to go through a cannula, and it needs to be removed by surgical excision. 30% of Dr. Delgado’s gynecomastia surgery cases are redo surgeries that were done elsewhere.

In looking for a surgeon, ask if surgical excision will be done along with liposuction. Ask to see before and after pictures of actual patients. has a directory of gynecomastia specialist’s, listing surgeons from all over the United States and even some outside the country.

Dr. Delgado offers out of state patient’s that want to come to his 450 Sutter Street, San Francisco, CA office a travel package to help defray costs. For more information call (415) 898-4161.