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Tuesday, April 10, 2018

Gynecomastia Surgery and the Formation of Scar Tissue





Crater Deformity and After Gynecomastia Revision

After gynecomastia surgery sometimes scar tissue will develop. Scar tissue takes a while to form, usually around 4 to 12 weeks but could be longer. When scar tissue develops, some men are fearful that their breast tissue is growing back as it feels somewhat similar under the skin. Take a look at some websites such as gynecomastia.org and RealSelf.com to see the numerous men who have this concern.

It is understandable that men would be worried that their man boobs are coming back after undergoing surgery! However, if they have avoided known causes of gynecomastia such as; some medications, steroids, Propecia, etc., then it is not likely to be the return of breast tissue. If after surgery they had a nicely sculpted chest but noticed changes after a few weeks it is most likely scar tissue. Swelling noted right after surgery is normal in the recovery process or possibly not enough fat and/or tissue was removed.

It is not known why some men develop more scar tissue than others, but there are non-surgical solutions such as steroid injections like Kenalog, which are often used and work well.

Dr. Miguel Delgado, M.D. states that over 40% of his gynecomastia surgery is revision surgery where other surgeons have not removed enough tissue or too much creating a “crater deformity.” Revision surgery is more challenging because now the surgeon has to deal with scar tissue and less skin elasticity.

Be sure to choose your surgeon carefully, make sure the surgeon has lots of experience with gynecomastia surgery and is board certified in plastic surgery.

Dr. Delgado has been performing male breast reduction surgery since 1988 and is an expert in his field. Call now (415) 898-4161 for a consultation if you have any gynecomastia concerns.                              


Sunday, February 18, 2018



Liposuction is not a Solution for Gynecomastia


Before and After Gynecomastia Surgery

The ratio of fat to breast tissue for men with gynecomastia can vary greatly. Each patient needs to be evaluated for a personal approach to treatment.

Many surgeons treat gynecomastia with liposuction alone claiming that the breast tissue can be removed, in addition to the fat. Unfortunately, many of the patients will have to have revision surgery to remove the breast tissue that liposuction failed to remove. There are many liposuction machines available today. However, there is not an energy device that can eradicate breast tissue. More than 80% of men with gynecomastia have both breast tissue and fat. The only way to remove breast tissue and give the appropriate contours to the chest is by surgical excision along with liposuction.

There is an exception for “liposuction only,” and is the patient with pseudogynecomastia. Pseudogynecomastia is where the patient has male breasts that consist of fat only. In this case, liposuction or even “CoolSculpting” can be an effective treatment. But “true” gynecomastia consists of varying ratios of fat and breast tissue.

If liposuction is the only treatment for a man with “true” gynecomastia, the breast tissue will be left behind. Without the extra “padding” of fat, the remaining breast tissue pushes the nipples out giving a condition referred to as “puffy nipples.” The nipples will look even more pronounced than before surgery. You can see many complaints about this condition on RealSelf.com and gynecomastia.org; unfortunately, the only resolution will be gynecomastia revision surgery.

More than 40% of Dr. Miguel Delgado, M.D.’s gynecomastia practice is patients that need revision surgery after having surgery by another surgeon. Usually, the revision is for “puffy nipples” or some for “crater deformity” where too much fat and/or tissue have been removed.

For a consultation with Dr. Delgado, Call today (415) 898-4161 to discuss any concerns you may have about male breasts.


Tuesday, December 12, 2017

The Best Season for Gynecomastia Surgery

Before and After Gynecomastia Surgery




There are many things to consider when scheduling gynecomastia surgery such as; taking time off work, arranging transportation after surgery, having a caregiver for a minimum of 24 hours, getting labs tests, prescriptions filled, etc. but another important decision is when to have surgery.

If you have flexibility, the best season is winter time. Wearing layers of clothing is not unusual or uncomfortable in winter; however, wearing a compression vest plus thicker shirts in the summer will be quite warm.

After surgery, you will be wearing a compression vest for 6 weeks. Dr. Miguel Delgado, M.D. has designed custom vests for his patients that are more comfortable and functional than other vests. For 2 or 3 days you will have drains that sit securely in special pockets instead of being held in place with safety pins. It is easier to hide the vest with drains under heavier clothing, but once the drains are removed, Dr. Delgado lightweight vests are well hidden under clothing.

Summer is a time when people enjoy the outdoors with such events as; pool parties, barbecues, and a day at the beach, etc. Men like to wear T-shirts, tank tops, or even go shirtless while soaking up the sunshine. Planning surgery in the winter months allows enough recovery time for men to participate in all of their favorite outdoor activities.

Dr. Delgado stresses to his patients that they need to take care of their new scars while they are still pink in color. Be sure to use a good sunblock of 30 SPF or more, and keep the young scars covered for at least 6 months and possibly up to one year to prevent hyperpigmentation, where they can turn permanently dark brown.

If your exercise program includes outdoor activities such as riding bicycles, jogging, playing basketball or volleyball, giving up a few weeks for recovery in winter may be preferable than the sunny days of summer.

Whenever having male breast reduction surgery is convenient for you, Dr. Delgado is ready to help you on your journey. Call now for a consultation! (415) 898-4161.


 

Monday, November 20, 2017

Part 5 Steroid Induced Gynecomastia- 6 Month Follow Up | Finally

STEROID INDUCED GYNECOMASTIA 

 San Francisco, California 

David is a body builder and trainer. He has taken steroids throughout his life to enhance his body image. This is his story and how it lead up to male breast reduction surgery with Dr Delgado. This documentary goes through the consultation, pre-op exam, surgical procedure and the follow exams out to six months. For more information call 415-898-4161 or visit Dr. Delgado's official website at https://gynecomastia-specialist.com/
Category



Sunday, November 19, 2017

Part 3B Surgery Part 2 Double Incision Mastectomy | Free Nipple Graft

STEROID INDUCED GYNECOMASTIA

San Francisco, California


David is a body builder and trainer. He has taken steroids throughout his life to enhance his body image. This is his story and how it lead up to male breast reduction surgery with Dr Delgado. This documentary goes through the consultation, pre-op exam, surgical procedure and the follow exams out to six months. For more information call 415-898-4161 or visit Dr. Delgado's official website at https://gynecomastia-specialist.com/



 



Part 3 Surgery Part 1 Double Incision Mastectomy | Free Nipple Graft

STEROID INDUCED GYNECOMASTIA SURGERY


San Francisco, California -

David is a body builder and trainer. He has taken steroids throughout his life to enhance his body image. This is his story and how it lead up to male breast reduction surgery with Dr Delgado. This documentary goes through the consultation, pre-op exam, surgical procedure and the follow exams out to six months. For more information call 415-898-4161 or visit Dr. Delgado's official website at https://gynecomastia-specialist.com/


 


Part 1 Steroid Induced Gynecomastia Surgery - Consultation

  • Surgery for Steroid Induced Gynecomastia



San Francisco, California -  David is a body builder and trainer. He has taken steroids throughout his life to enhance his body image.  This is his story and how it lead up to male breast reduction surgery with Dr Delgado.  This documentary goes through the consultation, pre-op exam, surgical procedure and the follow exams out to six months. For more information call 415-898-4161 or visit Dr. Delgado's official website at https://gynecomastia-specialist.com/