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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.