December 13th, 2012 Miguel A. Delgado Jr, MD
Dr. Delgado observed that his San Francisco moob reduction surgery patients that were on high quality vitamins appeared to have a faster recovery than those who did not. For years, Dr. Delgado encouraged his patients to take vitamin supplements both before and after surgery. He pointed out that they needed to find a vitamin that did not contain vitamin E as it is a blood thinner and impedes the healing process. Patients found it difficult to find a vitamin that did not contain vitamin E. After much research, Dr. Delgado found VitaMedica to meet and exceed his requirements.
VitaMedica Surgery Support
VitaMedica has a Surgery Program of products designed specifically for the surgery patient. It not only has high quality vitamins that do not contain vitamin E, they also contain higher amounts than normal of vitamin C, which is recommended for the surgery patient. In addition to the vitamins, the program contains Bromelain with Quercetin that reduces bruising and inflammation, and Arnica Montana, which has been shown to reduce discomfort, swelling and bruising. The supplements are to be taken two weeks before surgery and two weeks after, discontinuing all other supplements while on the program.
Encouraged by the results of his gynecomastia surgery patients that take VitaMedica, Dr. Delgado now includes the Surgery Program for all of his surgery patients.
November 30th, 2012 Miguel A. Delgado Jr, MD
The American Society of Plastic Surgeons (ASPS) stated that, for the year of 2011, there were 204,000 cosmetic surgical procedures performed on men by ASPS member surgeons. Of that number, nearly 20,000 were for male breast reduction surgery (also known as Moobs) for the treatment of gynecomastia.
Male breast reduction surgery is the 4th most popular procedure, following rhinoplasty, eyelid surgery and liposuction. Rhinoplasty procedures decreased 2% from 2010, and eyelid surgery decreased 9%, and liposuction was down 3%. What is interesting is that of these popular procedures, gynecomastia surgery increased at a rate of 8% over 2010.
For a long time men suffered silently, not realizing that a high percentage of men shared their condition and even more surprising that there are solutions. Now men with gynecomastia, also known as man boobs or moobs are gaining relief from the problem. The internet has brought invaluable information to men in regard to treatment. Web sites like gynecomastia.org provide vast amounts of information, support from other members, and a directory to help them locate a gynecomastia specialist near them.
Dr. Miguel Delgado sees patients at his 450 Sutter Street, San Francisco office and at 165 Rowland Way, Novato California. Patients come to see Dr. Delgado from all over the United States and even out of the country. For more information or to schedule a consultation, call (415) 898-4161.
November 15th, 2012 Miguel A. Delgado Jr, MD
If there is a family history of gynecomastia, it is possible to inherit the condition, but not always. Sometimes one brother could inherit it and not another.
There are some genetic conditions such as Klinefelter’s syndrome and Gilbert’s syndrome that can cause the development of the male breast. The more common inherited cause is hormonal imbalance occurring in boys ranging in age from 12 to 18. For these boys, generally it settles down when they pass puberty. For a small percentage, it will persist for life, leaving gynecomastia surgery, or moob reduction surgery, as the only option for reduction.
For Sacramento men developing gynecomastia breasts in their adult years, it could be due to medications they may be taking. Gynecomastia.org has a comprehensive list of drugs that have been known to cause man boobs or “moobs” for some men.
November 15th, 2012 Miguel A. Delgado Jr, MD
There a lot of slang terms for males with large breasts. Moobs, man boobs, man breasts, man chi chis — none of these names are complimentary, and can often wound gynecomastia sufferers. Fortunately, “gynecomastia surgery” offers a solution. Dr. Miguel Delgado, Jr., M.D., is a plastic surgeon and gynecomastia specialist who has been surgically treating gynecomastia for 25 years. Please contact his office at 415-898-4161 for more information, or visit http://www.moobreduction.com/.
October 23rd, 2012 Miguel A. Delgado Jr, MD
Marin Cosmetic Surgery Center Staff
Dr. Delgado realizes that, for some San Francisco Bay Area men, it is hard to make the decision to go forward with male breast reduction surgery, some worry about what happens if they are not satisfied with the result.
Dr. Delgado’s main goal is patient satisfaction. At the time of the initial consultation he is very attentive to the patient’s concerns, he wants to be sure he understands what the patient’s goals are. He then describes to the patient what the surgery entails; stating that no surgery is perfect but tremendous improvement can be expected.
If a revision is needed within the first year for the gynecomastia breast, there is no charge if it can be done as an office procedure. If it needs to be done at Marin Cosmetic Surgery Center, there is still no professional fee by Dr. Delgado, but there may be fees for anesthesia and the operating room.
October 16th, 2012 Miguel A. Delgado Jr, MD
This question comes up frequently, it is hard to imagine that most insurance companies (if not all) consider gynecomastia surgery a cosmetic procedure. On the other hand, breast reduction surgery for women in many cases is a covered procedure. In comparing the procedures, it is understandable why it is covered for women. Women have issues of back, neck and shoulder pain due to large, pendulous breasts. Most San Francisco Bay Area men do not have physical symptoms of discomfort due to their moobs, or gynecomastia breasts.
Women do have to get pre authorization in order to get coverage for their surgery, and it is not always approved. Each insurance company has its own criteria and process that one must go through to get approval. For men seeking male breast reduction, it is almost never covered. There have been a few cases that succeeded, but almost always would be in the instance of a juvenile. For men that have pain due to their enlarged breasts, getting coverage, might be possible. It will depend on their insurance. It is worth a try!
Unfortunately, insurance companies do not consider the sometimes debilitating psychological effects male breasts can have on a man as a reason for coverage. There have been one or two court cases challenging their position, and hopefully in the future it will be a covered procedure.
September 28th, 2012 Miguel A. Delgado Jr, MD
Gynexin is a widely advertised product that claims to get rid of the gynecomastia breast. The product, which comes in pill form, is a herbal based supplement that alleges it can reduce the size and quantity of the fat cells in the male breast.
The main ingredient Chromium Picolinate is used in many diet supplements and some studies support the fact that it can act as a “fat burner”. There are other studies that refute this claim, which leaves the effect of Chromium Picolinate unsubstantiated. The University of Maryland Medical Center warns that taking Chromium Picolinate for fat reduction could interfere with several medications including antacids and diabetes medications.
In addition to the Chromium Picolinate, Gynexin has a proprietary herbal blend. See the insert. Be sure to read the company’s guarantee, note that in order to get a refund you must return the item unopened, and they charge a 20% restocking fee.
Does it make sense that if the product worked how does it just target the male chest? The biggest concern is that the claim is only for reducing the fat cells. This would only benefit those who have “pseudo-gynecomastia” which is caused by fat alone. Unfortunately, pseudo gynecomastia makes up only a small percent of those suffering with the condition. True gynecomastia, in most cases, is a combination of fat and breast tissue. Male breast tissue can only be removed by gynecomastia surgery.
Some San Francisco Bay Area men may be tempted to try this product, if so do your homework, Google “Gynexin reviews” be sure they are actual reviews and not affiliated with the company.
September 12th, 2012 Miguel A. Delgado Jr, MD
Before and After Gynecomastia Surgery, notice the darker areola
Gynecomastia surgery often causes the areola to shrink in size. The gynecomastia breast gland causes the areola to be stretched. When the breast gland is removed or reduced the areola shrinks and becomes smaller in diameter. This shrinkage causes the melanocytes (the pigment of the areola, which creates the darker color) to become more concentrated and this causes a more concentrated color or darker.
August 27th, 2012 Miguel A. Delgado Jr, MD
Revision surgery by Dr. Delgado after original surgeon did liposuction only
If you are disappointed with the results of your original male breast reduction surgery and have lost confidence with your surgeon, first discuss it with your surgeon and see what suggestions he or she may have. Then get a second opinion from a Board Certified Plastic Surgeon who specializes in gynecomastia surgery. If he or she agrees with your original surgeon you are probably on the right track and the revision may cost you little or nothing. However if, the original surgery left you with a major defect such as a crater deformity or the surgeon only did liposuction and the other surgeon confirmed that you should have had excision of breast tissue as well, you may need to choose the new surgeon with more experience for a revision. In picking a new surgeon be sure the office staff makes you feel comfortable, you will be relying on them for information and support. If they are not friendly or you sense tension in the office, go elsewhere!
Needing revision surgery can be more expensive than the original surgery, as now the surgeon has to deal with scar tissue, and the retraction of the skin may have been compromised.
San Francisco Bay Area patients have found a good source for support and opinions at http://www.gynecomastia.org/. It is free to sign up, and you can get opinions from other members and ask questions of gynecomastia surgeons who are members of the site.
August 17th, 2012 Miguel A. Delgado Jr, MD
Before and after surgery for asymmeterical gynecomastia
Unilateral gynecomastia is where one male breast is normal, and the other has developed more like a female breast with excess breast tissue and fat. Asymmetrical gynecomastia is where both the male breasts are enlarged but one more so than the other.
Gynecomastia breast asymmetry is a very common condition affecting many San Francisco Bay Area men but in varying degrees. In some cases, the condition is minor and depending on the man, correction is not necessary. For others, an experienced cosmetic plastic surgeon that specializes in gynecomastia surgery will be sought out to even out the chest as much as possible.
Some male breast reduction patients are concerned after surgery as they may see minor asymmetry of their chest. This is not unusual, and most likely due to accumulation of fluid or trauma from the surgery and usually will resolve itself in a few weeks.