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


             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 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?


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



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 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 for a consultation. For men out of state or out of the country a complimentary consultation via Skype or phone is available.

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.

Gynecomastia Affects Mental Well Being of Teens

Adolescent gyno
16 year old with adolescent gynecomastia who suffers from serious emotional and social issues due to his physical presentation. He underwent suction assisted liposuction with glandular excision. It is important to note that no skin was removed, but the resulting skin contraction is tremendous. He could benefit from a slight lift on the right side to secure the best possible result.


San Jose, California- The American Society of Plastic Surgeons (ASPS) publishes a monthly journal called “Plastic and Reconstructive Surgery”. In this month’s issue is an article with the results of a study done on the psychological impact gynecomastia, (male breasts) has on adolescents. The study had two groups of young men ages 12 to 21, with one group of males with gynecomastia, and the other group of males with normal chests.

The participants completed three different surveys covering such issues as; physical functioning, bodily pain, general health, emotional and mental health, self-esteem and eating attitudes.

As would be expected, the group with gynecomastia had a higher body mass index, and they had lower scores in general health, social functioning, mental health and self-esteem. The tests for eating attitudes showed no difference between the two groups. Prior studies have shown 2/3 of adolescents with gynecomastia are overweight.

The study results indicate regular evaluation for adolescents with gynecomastia with particular attention to weight control for the overweight or obese patient. However, weight control should not be considered as primary treatment for man boobs. Most adolescents with gynecomastia will find that it will resolve on its own in 1 to 3 years of onset. Unfortunately for about 8% it will persist into adulthood.

For some patients, early intervention and treatment for gynecomastia may be recommended to improve negative physical and emotional symptoms.

Insurance companies are still reluctant to provide coverage for male breast reduction surgery based on psychological, emotional or social effects rather than physical impairment alone.


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 Surgery be Combined With Other Procedures?

This is a 33-year-old male who presented for evaluation of gynecomastia and excess fat around his waist and abdomen. He is 5 feet 7 inches and weighs 170 pounds. He underwent male breast reduction with gland excision and liposuction of his chest with ultrasonic liposuction of the abdomen and flanks.


At the time of the initial consultation with Dr. Delgado, some San Jose patients ask if it is possible to have additional liposuction done at the same time as male breast reduction surgery. This is very common and is performed quite frequently at Marin Cosmetic Surgery Center. Men notoriously carry localized fat deposits around their waist (love handles) abdomen and sometimes lower back and armpits. To have additional liposuction at the time of gynecomastia surgery makes a lot of sense, it saves the patient time and money and allows the surgeon to better sculpt the body.

Due to some patient’s schedules, it is not unusual for a patient to ask for an unrelated procedure to be done at the time of their gynecomastia procedure, such as a rhinoplasty (nose surgery), eyelid surgery or something else. With advances in anesthesia and surgical techniques, longer elective procedures are considered very safe and are performed often. Many men have limited time off so this is not an unusual request; however each patient needs to be evaluated individually. You are encouraged to discuss all of your goals during your consultation with Dr. Delgado.

Gynecomastia Surgery Patients Want to Know: What type of Anesthesia?


gynecomastia anesthesiologist Dr. Gaynor
Board Certified Anesthesiologist
Dr. Randy Gaynor

Gynecomastia San Jose patients ask about the type of anesthesia used during gynecomastia surgery. With any type of anesthesia other than general, there is a possibility the patient may move around, compromising the surgical result. There may be some surgeons who do male breast reduction surgery under what is known as IV sedation or a twilight sleep; I use general anesthesia.

General anesthesia is a medically induced state of unconsciousness. Due to significant advances in technology and medications, general anesthesia is extremely safe. Some of the advantages are that the patient is not unduly stressed during surgery, keeping blood pressure under control and remaining completely still over prolonged periods of time.

Some may say that the disadvantages are that a trained anesthesiologist or nurse anesthetist needs to be present; costly equipment is needed and pre-operative preparation of the gynecomastia patient is required.

At Marin Cosmetic Surgery Center, we don’t see these as disadvantages. As a superior surgery center, we have Dr. Randy Gaynor a Board Certified Anesthesiologist on our highly trained surgical team. The surgery center has state of the art equipment. Being able to offer all our gynecomastia patients the best in concierge services is what they deserve.

Gynecomastia Recovery Room
Recovery Room
Marin Cosmetic Surgery Center

Benefits of

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 will come up in one of the first positions. 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, the webs best resource for information.