Monday, May 4, 2015

Gynecomastia Breast Reduction Surgery -Discovery Channel Australia TV

San Francisco, CA- Gynecomastia Surgery

The is a great video explaining gynecomastia and Merle Yost's story. He formed

Wednesday, July 30, 2014

CoolSculpting Treats Pseudogynecomastia

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.

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. 

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.

severe gynecomastia
Severe Gynecomastia
Dr. Delgado has developed a two-stage procedure for these difficult cases.  It is not successful in all cases like morbid obesity but may be useful in many other cases of severe gynecomastia.

Severe Gynecomastia and Male Breast Enlargement
Severe Gynecomastia Breasts

The first stage is done under general anesthesia.  Dr. Delgado will remove the breast gland perform liposuction for both the chest and the axilla region.  A breast lift will be performed with an incision above the areola and a crescent  or half moon shape of skin excised above.  This will lift the skin to further reduce the breast fold. 

This photo is after the first stage in which the breast tissue has been removed and the superior crescent lift  has been performed.  Tacking sutures have been placed  above the areola to help maintain the skin's position.

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.
gynecomastia severe two stage procedure
3 weeks after stage 2 peri-areola lift

gynecomastia severe two stage procedure
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.

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.

Gynecomastia Surgery San Francisco
Pull Through with small incision

Gynecomastia Surgery San Francisco
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.

Monday, January 23, 2012


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.

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.

adolescent gynecomastia san francisco bay area, california
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.