Gynecomastia Surgery - San Francisco, California
San Francisco gynecomastia specialist in male breast reduction. Dr. Delgado is world renowned plastic surgeon and an expert in gynecomastia surgery.He describes the mimimal invasive-short scar gynecomastia reduction procedure.
Monday, May 4, 2015
Wednesday, July 30, 2014
True gynecomastia is male breasts or
moobs that are made up of both breast tissue and fat, affecting at least 60% of
all males at some point in their life. True gynecomastia must be corrected by
excision surgically of the breast tissue and removing the fat by liposuction.
There are many surgeons who attempt to correct man boobs by liposuction alone
necessitating a “redo” surgery for removal of the breast tissue.
Dr. Delgado’s “redo” gynecomastia
cases are now at 40% of his male breast reduction surgeries. It is very
frustrating for men to go through the surgery only to find they may need to
have it done again. Not only do they have to go through surgery and recovery
again, they will incur more gynecomastia surgery costs. Unfortunately, it is
harder for the surgeon the second time as there is now scar tissue from the
first surgery and the elasticity of the skin may have been compromised.
With all this being
said, there is a condition whereby liposuction alone may work, and
that is if the man has what is referred to as “pseudo-gynecomastia”.
Pseudo-gynecomastia is usually due to aging or weight gain; the male breasts
are enlarged only by fat and not breast tissue.
Liposuction has
worked so well for these men it is understandable that some surgeons would try
liposuction for “true gynecomastia”. When there is breast tissue in addition to
the fat, the breast tissue will not go through the cannula of the liposuction
machine, due to the fact it is too dense. It is imperative that men do their
homework; they need to select the best top plastic cosmetic surgeon that
specializes in gynecomastia, to avoid the necessity of a secondary surgery.
For the man with “pseudo-gynecomastia”, there now is an exciting non-invasive procedure available, CoolSculpting. This procedure is offered at Dr. Delgado’s “Non-Surgical Center of Excellence.” CoolSculpting is an innovative process that gets rid of small areas of fat that do not respond to diet and exercise. Patients love the fact that there are not any incisions, needles or scars. For treatment, the patient is to wear comfortable clothing, stretch out on a treatment table; relax, read a book, work on a laptop or even take a nap. The CoolSculpting machine has two cooling panels that are placed around the area to be treated, and then intense coldness is applied which kills the fat cells. It will take about 60 minutes for each treatment area. Patients say that it isn’t painful but initially the plates feel cold and they feel some pressure. The only side effects noted have been some temporary numbness, redness, and minor bruising. There isn’t any downtime, and patients are able to return to normal activities right after their treatment.
The fat cells are
then gradually shed by the body naturally, with results starting to show in two
to three weeks. Patients are thrilled when they notice their clothes feel
loose. The final result will be evident in about two to three months. Usually
one treatment is all that is needed, but additional treatments can be scheduled
to continue with sculpting the body. In addition to treating the male chest,
CoolSculpting is used for the abdomen and love handles. It is not
meant to be for large areas of fat, which are better treated by liposuction.Along with
CoolSculpting, there are many other procedures offered at Dr. Delgado’s
“Non-Surgical Center of Excellence”. Ultherapy, which is a great
skin tightening process for the face and neck, has recently been added as a
non-surgical procedure, along with fat injections, Botox, facial fillers,
laser hair removal and many more. With so many new innovative treatments
available, the best way to find out what your particular options are, schedule a consultation with Dr. Delgado at
either his 450 Sutter St., San Francisco Office or 165 Rowland Way, Novato.
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EXAMPLE OF PSEUDOGYNECOMASTIA BEFORE AND AFTER SURGERY |
For the man with “pseudo-gynecomastia”, there now is an exciting non-invasive procedure available, CoolSculpting. This procedure is offered at Dr. Delgado’s “Non-Surgical Center of Excellence.” CoolSculpting is an innovative process that gets rid of small areas of fat that do not respond to diet and exercise. Patients love the fact that there are not any incisions, needles or scars. For treatment, the patient is to wear comfortable clothing, stretch out on a treatment table; relax, read a book, work on a laptop or even take a nap. The CoolSculpting machine has two cooling panels that are placed around the area to be treated, and then intense coldness is applied which kills the fat cells. It will take about 60 minutes for each treatment area. Patients say that it isn’t painful but initially the plates feel cold and they feel some pressure. The only side effects noted have been some temporary numbness, redness, and minor bruising. There isn’t any downtime, and patients are able to return to normal activities right after their treatment.
Thursday, November 7, 2013
Gynecomastia Crater Deformity
Crater Deformity after Gynecomastia Treatment
San Francisco, California - Gynecomastia is a common occurrence in men and boys. Male reduction surgery is the definitive treatment. The treatment entails breast gland excision and liposuction. The crater deformity occurs when the central mound of breast gland and tissue is over resected and forms a depression in the central location. The correction can be difficult and may require fat flap rotation or advancement or fat grafting. The following video shows a crater deformity and the outline of the fat flaps to be advanced.
Video of a Crater Deformity after Gynecomastia Surgery
The Video below is the correction of the crater deformity with fat flaps.
Correction of the Crater Deformity with Fat Flaps
The best way to avoid a crater deformity is to go to a gynecomastia specialist. Dr.Delgado is a gynecomastia specialist from San Francisco, California. He has offices in San Francisco and Marin County. Call Today 415-898-4161 or email for a in office or virtual consultation.
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Location:
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Friday, October 25, 2013
Severe Gynecomastia a Two Stage Surgical Treatment - San Jose, California
Severe Male Breast Gynecomastia -Two Stage Surgical Treatment
San Jose, California - This is a 28 year old male from Sacramento, California who seeks treatment for his severe gynecomastia. This is a very complicated gynecomastia case, in which, most doctors would perform a mastectomy for the removal of the skin, fat and breast tissue. The surgery may be a successful but would cause large scars across lower chest region. This would defeat the purpose of the this young man wanting to take of his shirt and go swimming or other events with his family.
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Severe Gynecomastia |
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Gynecomastia surgery after the first stage at 3 months |
You will notice that after the first stage, the mass of breast tissue and fat has been removed but the lax skin remains. The second stage will be performed after the blood supply has re-established itself to the nipple-areola area after 4 to 5 months.
The above is the patient laying down and we are looking at his right chest 5 months after the first stage. The outline is the peri-areolar lift with the doughnut shape skin in the center to be excised and the outer circle being closed to the inner circle as a purse-string closure.
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3 weeks after stage 2 peri-areola lift |
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3 weeks after stage 2 peri-areola lift |
The above photos show him at week 4 after the periareolar lift. The skin puckering will improve over time. |
Dr. Delgado specializes in the surgical treatment of this medical condition. This blog gives up to date changes in the industry and technical issues. Dr. Delgado has a specialized gynecomastia website which has over 500 before and after photos. Visit his cosmetic surgery website for a list of full service procedures. We have offices in Marin County and San Francisco. Call today 415-898-4161 or email for a in office or virtual consultation.
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Location:
San Jose, CA, USA
Thursday, November 1, 2012
Gynecomastia Surgery-The Dynamic Approach
Gynecomastia Surgery and the Dynamic Approach
Gynecomastia surgery be performed in many ways. A variety of factors go into the technique that a surgeon selects. It may depend on the anatomy of the patient, the severity of the gynecomastia, the patient's desires and the surgeons experience and skill.
A concern that I hear from men are the change in the nipple region when the arms are raise above the head or the muscle is flexed. Eventhough it looks great in the normal arms down position, the other postion look somewhat abnormal. This is due to scar tissue which results from surgery and the removal of the breast and fat tissue.
The "dynamic approach" will remove the glandular tissue which results in a crater, then the fat tissue on either side is sewn together which closes the space. This results in a more normal look when the arms are raised and less of a abnormal look with muscle contraction. This procedure can be performed through a small incision. This dynamic technique can not be done for all patients. The photos below show an intra operative case.
Pull Through with small incision |
Profile of Dynamic Procedure |
After Dynamic Procedure The gynecomastia treatment with the emphasis on dynamics must be discussed with in advance. This is a very good procedure and with high patient satisfaction. Dr. Delgado is a gynecomastia specialist and has offices in San Francisco and Marin County. Call Today 415-898-4161 or email for a in office or virtual consultation. |
Friday, August 31, 2012
Gynecomastia- Pull Through Procedure
Gynecomastia Surgery - A Minimal Invasive Surgical Procedure
Gynecomastia Specialist San Francisco Bay Area
This is a short video of the gynecomastia minimal invasive procedure call the "Pull Through Procedure". The technique is through a very small incision and the breast gland is pulled through this small incision. This is a minimal invasive procedure.
For more information visit Dr. Delgado's website which has over 500 before and after photos.
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Location:
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Monday, January 23, 2012
ADOLESCENT GYNECOMASTIA
San Francisco, California - Adolescent gynecomastia occurs during the early teenage years typically 12 to 13 years old. The hormone balance is very critical during this time. The hormone estrogen encourages female characteristics to develop and testosterone causes male development. The imbalance of these hormones with an over balance of estrogen will cause breast bud development in males causing gynecomastia.
Dr. Delgado is a gynecomastia specialist who has performed hundreds of these surgeries. He has an office in San Francisco and Marin County. Please call Today 415-898-4161 or email for a in office or virtual consultation.
Adolescent gynecomastia will usually regress within 18 months of development. When breast enlargement does not regress in a timely fashion, the emotional consequence that can result in the teenage years can be long lasting for both emotional and social development.
14 year old with adolescent gynecomastia
before and after photos at 4 months
Despite all efforts, gynecomastia can further affect self-esteem and social development. A team of approach for these young men is required with an Endocrinologist, dietitian, and social support network. If all efforts are unsuccessful then surgical intervention may be reasonable to prevent further emotional and social deterioration. The video below is a story of three men who have undergone surgery.
.
Story of 3 men with gynecomastia-short version
Dr. Delgado is a gynecomastia specialist who has performed hundreds of these surgeries. He has an office in San Francisco and Marin County. Please call Today 415-898-4161 or email for a in office or virtual consultation.
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bay area,
best,
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top,
treatment
Location:
San Francisco, CA, USA
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