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Thursday, October 19, 2017

Risperdal Lawsuits Escalate in 2017!

Risperdal an anti-psychotic drug was approved by the FDA in 1993 for treatment of schizophrenia, bipolar mania, and autism. However, one of the serious side effects of the drug is gynecomastia or the development of female type breasts in men and boys.

Risperdal Sales Have Exceeded $30 Billion

Thousands of lawsuits have been filed against Johnson and Johnson because they hid the fact that gynecomastia could result from the drug. In addition, Johnson and Johnson has been accused of practicing illegal marketing ploys such as paying kickbacks to physicians for prescribing Risperdal. To date, the sales of Risperdal have exceeded $30 billion worldwide.

More than 3,000 new Risperdal lawsuits have been filed in the first quarter of 2017, bringing the total to approximately 20,000 for the U.S. and Canada.

A Claimant Was Awarded $77 Million!

Last year a Risperdal claimant received a record-setting verdict award of $70million with an additional $7 million added by the judge for delay damages. The tolling agreement on thousands of cases was canceled by Johnson and Johnson, which pauses the statute of limitations deadline. With no expiration date for filing a lawsuit, the courts will be overburdened. Either side retains the right to cancel the agreement.

Of the 8 cases that have gone to trial in Philadelphia, 4 verdicts went in favor of the plaintiffs and 4 in favor of Johnson and Johnson, but appeals are still pending in the state’s Superior Court.

With large awards being handed down, TV ads are prolific in search of more claimants. In 2016 there were over 3,800 TV.

36 states have now filed lawsuits against Janssen, a subsidiary of Johnson and Johnson and the manufacturer of Risperdal.

To date, the drug is still being prescribed by doctors. 

Call Today!

If you are having any issues with gynecomastia, call now (415) 898-4161 for a consultation with Dr. Miguel Delgado, M.D.

Wednesday, August 16, 2017

Gynecomastia May be Linked to Parabens

Parabens are man-made products that have been used since the 1950’s as a preservative to prevent harmful mold and bacterial growth. Parabens are found in many cosmetics, lotions, hair products, makeup, shaving cream, and can be absorbed through the skin. In addition, parabens enter the body through ingested pharmaceuticals, and many food products and beverages.

Parabens are Listed in Ingredient Labels

The common parabens are, Ethylparaben, Methylparaben, Propylparaben, and Butylparaben. Many times a product may contain more than one paraben. When reading ingredient labels, look for words ending in paraben!

Parabens are considered xenoestrogens which mimic estrogen. There is concern that the cumulative effect may cause health concerns. However, according to the Center for Disease Control (CDC), the effects of low levels of parabens for the human body are unknown.

High Estrogen Levels in Men May Cause Breasts

Men who have a disproportionate level of estrogen in their body may have a higher propensity for developing female type breasts or gynecomastia.

This 18-year-old gynecomastia patient had significant gynecomastia. He underwent breast gland excision and liposuction. He also had a crescent areola lift for superior advancement of the areola tissue.

It has been noted that men with high concentrations of parabens have lower muscle mass, more body fat, and may have developed female type breasts. Research done in Japan has shown some men having damaged reproductive systems, lower sperm count, and lower levels of testosterone.

Parabens Outlawed in Europe

In 2006, Europe banned the use of parabens in food, but it is still allowed in the United States. Dr. Miguel Delgado, M.D. recommends that his gynecomastia patients read labels and avoid food and products that may be conducive to increasing estrogen levels.

Schedule a gynecomastia consultation today (415) 898-4161 with Dr. Delgado to learn what options are available to you!

Wednesday, June 21, 2017

Performance Enhancing Drugs and Gynecomastia

Body Builder's and Gynecomastia

Body builder’s treatment for gynecomastia will be different than for other men due to their lack of fat and excess skin. They do have a higher risk of bleeding complications because their chest muscles are highly developed which allow for an increase in blood flow. They will be warned to stop taking products that contain fish oil, vitamin E and some protein shakes that have blood thinners to avoid bleeding issues.

It is not possible to determine who will develop gynecomastia, but for body builders that had adolescent gynecomastia, their risk is higher.

Some men will do anything to make more muscle mass, even if it shortens their life span. It is against the law for body building purposes, but many take anabolic steroids, knowing there are risks and many side effects. One of the main side effects is the development of female type breasts. In order to counteract the additional estrogen, sometimes estrogen blockers such as Tamoxifen is taken. However, Tamoxifen is a treatment for breast cancer and also is not allowed to be prescribed for body building purposes. Due to its popularity, men can find ways of obtaining these drugs online and through social media.

Anabolic steroids have other side effects besides the development of breasts such as; painful erections, a decrease in sperm count, impotence and infertility. Tamoxifen also has many unwanted side effects including; vomiting, numbness, hot flashes, leg cramps, blurred vision, thinning hair, skin rashes, cataracts, and depression.

It is not unusual for competitive body builders to request to have all of their breast tissue removed so that they can continue with steroids without the possibility of breast regrowth.

Dr. Miguel Delgado, M.D. states that some breast tissue needs to remain in order to get a natural contour to the chest. Dr. Delgado advises his body building patients to stop performance enhancing drugs and enjoy a healthy life with an attractive male chest.

Call now (415) 898-4161 for a gynecomastia consultation with Dr. Delgado.

Thursday, April 20, 2017

Male Breast Reduction and Loose Skin

Gynecomastia Surgery and Loose Skin

BodyTite is liposuction that has a duel treatment. Along with liposuction, the device also combines radio frequency energy that tightens the skin while melting fat.

Recently the TV show “The Doctors” featured an episode showing a gynecomastia patient having a BodyTite treatment for male breast reduction.

Liposuction is one of the most popular cosmetic plastic surgery procedures and has become the focus of intensive marketing. There are variations of liposuction such as; ultrasound, tumescent, and laser assisted. Each one has multiple catchy names causing confusion for patients hoping to find the best treatment.

Over 40% of Dr. Miguel Delgado, M.D.’s gynecomastia practice is for male breast reduction revision. The revision most common is for patients that had liposuction alone by another surgeon and who did not use surgical excision of the dense breast tissue.

The “Gold Standard” for gynecomastia surgery is surgical excision of the breast tissue with liposuction for fat removal and sculpting. No matter what claims are made with marketing gimmicks, there are not any effective short cuts! The most important decision a patient can make is the selection of a skilled surgeon and not the type of liposuction that is being used.

Dr. Delgado has been performing gynecomastia surgery since 1989 and has a different technique for skin tightening. Instead of radio frequency devices, he contracts the skin by applying controlled heat directly to the underlying skin, thereby avoiding surgical excision of loose skin for most cases.

Call now (415) 898-4161 for a gynecomastia consultation for any concerns you may have about male breasts.  Serving San Jose, California since 1988.

Thursday, March 30, 2017

Classification of the Degree of the Gynecomastia Condition.

Gynecomastia Grades

Upwards of 60% of men will experience the development of female type breasts at some point in their life. The most common are for adolescent boys as they go through puberty and have changing hormones. The majority of young men will find that their developed breasts or “puffy nipples” will go away on their own within 2 months to 2 years. After 2 years if their breasts have not returned to normal, they may have permanent gynecomastia that can only be corrected by surgery.

San Jose Before and After Adolescent Gynecomastia Surgery

 Before and After Adolescent Gynecomastia Surgery

 The development of breasts can be different for each patient and requires the expertise of a gynecomastia specialist to determine the best approach for surgery. The American Society of Plastic Surgeons (ASPS) has a scale to help describe the degree of severity of male breasts.

·         Grade I: Mild severity, breast tissue is felt under the areola
·         Grade II: Mild to High severity with the breast tissue and fat outside of the areola but without excess skin
·         Grade III: The same as Grade II except there is excess skin
·         Grade IV: High severity female type breasts with excess skin

For some of the more severe grades of gynecomastia, a 2 stage procedure may be required due to excess skin. Depending on the severity of the male breast determines the surgical approach. Sometimes only one breast needs correction; a gynecomastia specialist knows how to do unilateral gynecomastia surgery to obtain symmetry.

Not long ago the term “gynecomastia” was virtually unheard of.  Due to a class action suit filed against Johnson and Johnson, the term “gynecomastia” came to the forefront. Their drug “Risperdal” which is for the treatment of autism and bipolar disorders in children had the unwanted side effect of developed breasts in young men. Attorneys were advertising on television for potential victims of the drug and ended settling for one of the largest payouts in history.

Dr. Miguel Delgado, M.D. has been performing gynecomastia surgery since 1989 and states that over 40% of his gynecomastia practice are revision cases where the original surgery was done elsewhere. Get it right the first time. Do your homework! Be sure your surgeon is Board Certified in Plastic Surgery and has extensive training in male breast reduction surgery.

Call Dr. Delgado today at (415) 898-4161 for a consultation for any gynecomastia issues.  Serving San Jose and the surrounding San Francisco Bay Area since 1988.

Sunday, February 26, 2017

Weight Loss and Gynecomastia Surgery

Gynecomastia and Weight Loss

San Jose, CA. - After overweight men lose a great deal of weight, they may find they have another issue to deal with, man boobs! With the loss of a substantial amount of fat, men may find they have a lot of redundant breast skin and tissue. The only way to reduce all the skin and tissue is by surgery. It is extremely important that men find an expert gynecomastia specialist to address this complicated condition.

Severe Gynecomastia
After Stage One with Gland Removal
The approach for male breast reduction varies depending on the man’s unique situation. An evaluation by a Board Certified Plastic Surgeon who specializes in gynecomastia will determine the best procedure. Dr. Miguel Delgado, M.D. states that some men may be candidates for the 2 stage male breast reduction surgery. In the first stage, the extra skin is removed from around the areola in a doughnut shape. The incision is closed with purse string sutures, which heal nicely around the areola. Due to the change in color and texture of the areola, the incision is well hidden. The 2nd stage is a minor procedure that can be done in the office under local anesthesia.
san Jose gynecomastia
After the second stage with a peri-areola
skin removal

Not all men are candidates for the 2 stage procedure, due to the extent of their excessive skin and tissue. For men that need more extensive removal of skin and tissue, a mastectomy type incision will be required. The incision goes around the areola and laterally down to the breast crease and then horizontal to make what is known as an anchor incision or inverted T. Even though this procedure will leave visible scars, men understand the trade-offs, and most are accepting of this.


1 month after surgery
In recent years there have been many advances made for scar management. Experienced surgeons will use deep sutures to reduce tension on the skin. The use of silicone sheeting once the incision has healed has proven to be very good in avoiding the formation of keloid scars by keeping the skin hydrated. If a patient should develop keloid scars, the surgeon may use steroid injections, scar massage or laser treatments such as the Palomar Laser, which treats scars, wrinkles, and many other skin conditions with excellent results. For more difficult scars, scar revision surgery may be the answer.

Call Dr. Miguel Delgado, M.D. at (415) 898-4161 today for any gynecomastia concerns you may have.

Tuesday, January 24, 2017

Scar Management after Gynecomastia Surgery

Scar Solutions for Gynecomastia in San Jose

San Jose Gynecomastia Surgery

Before and After Gynecomastia Surgery

During the healing process, if the body produces too much collagen, thick scars known as keloids may form. This can be disturbing to many patients depending on the location of the scar.

Dr. Miguel Delgado, M.D. states that gynecomastia patients that come to him for revision surgery are particularly upset if they develop noticeable scars around the areola. They feel they have traded one problem for another and still do not feel comfortable going shirtless.

Scar tissue is benign and medically speaking does not need to be removed. However, in cases where it is causing emotional distress, there are options for removal or at least revising the scar and making it well hidden.

Dr. Delgado has been performing gynecomastia surgery and gynecomastia revision surgery since 1989 and can offer his patients options for scar removal. Depending on the severity and type of scar, Dr. Delgado can remove or reduce most scars by; surgical excision, steroid injections and now available is the Palomar Icon Fractional Laser, a non-invasive procedure that is specially designed for the treatment of various scars.

In choosing your gynecomastia surgeon, be sure the surgeon is Board Certified in Plastic Surgery and has extensive training in gynecomastia. It is imperative to follow your surgeon’s pre and postoperative instructions to get the best surgical results. For scar management, you will be advised to avoid direct sunlight on the incisions for 6 months to a year. It has been proven that sunlight can cause hypertrophic scars.

To keep unsightly scars from forming, Dr. Delgado has his patients use silicone sheeting over the incisions once they have healed. This has proven to be a very effective way of suppressing the formation of keloids.

Call today (415) 898-4161 for a consultation with Dr. Delgado if you are looking for solutions for your gynecomastia issues.

Serving the South Bay, San Mateo and San Jose since 1986.