Sacramento Gynecomastia Surgeon
By Miguel Delgado, M.D.
Dr. Delgado is a Plastic Surgeon, board certified by American Board of Plastic Surgery. Dr. Delgado specializes in Gynecomastia Surgery and has offices in San Francisco, Sacramento, San Jose, and Los Angeles.
Gynecomastia is the condition of "female like" breasts on a man. Unfortunately, when gynecomastia persists into adulthood it is generally irreversible except by surgical means. The surgical treatment of this condition is male breast reduction or gynecomastia surgery.
Gynecomastia is informally referred to as man boobs, man breasts, or moobs. Regardless of what term is used to describe this phenomenon, gynecomastia reduction surgery is one of the most common cosmetic procedures performed on men in the United States, if not the world. Gynecomastia reduction or male breast reduction is, overall, the fourth most common surgical procedure performed in the United States.
Adolescent gynecomastia is quite prevalent. It can be entirely normal for male breasts to enlarge during puberty due to the hormone levels present at that time. When this situation occurs, the excessive breast tissue will resolve spontaneously within two years in 90 percent of the cases. The less fortunate ten percent of these young men will continue to live with their breast enlargement, and the social and psychological hardships that accompany this condition. In many cases, gynecomastia has a devastating impact on a man’s social development.
Steroid-induced gynecomastia is another common cause of male breast enlargement, and this is seen all too often in body builders, baseball players, and other athletes who are seeking increased size and strength in order to excel. Actually, gynecomastia is a documented side effect of nearly 200 different drugs. Aldactone, for example, causes gynecomastia in 17% of the patients who take it regularly, and Digoxin and furosemide, particularly in combination, are known culprits, as well.
Pseudo-gynecomastia is male breast enlargement due to fat accumulation and occurs in men who are overweight. Weight loss alone can correct the problem or at least improve the appearance of the chest. It is hard to make a distinction between true gynecomastia and pseudo-gynecomastia based on examination, although a history of the condition’s onset may provide a clue.
The treatment of gynecomastia is surgical glandular excision and liposuction. A firm breast gland cannot be removed by liposuction alone, regardless of whether it is Vaser, ultrasonic liposuction, or Smart Lipo that is used. The breast gland must be surgically removed and then liposuction serves to feather or blend the tissue into a smooth contour. Only if the condition is pseudo-gynecomastia, can it be successfully treated with liposuction alone.
Like anything in life, gynecomastia surgery is best done correctly the first time. Secondary or revision gynecomastia surgery is more difficult due to the presence of scar tissue from the initial surgery. Experience plays a major role in the success of this operation. Dr. Delgado’s expertise has evolved from years of experience with this particular kind of surgery. For this reason, gynecomastia patients from around the world are coming to the San Francisco Bay Area to seek out Dr. Delgado and the level of excellence that he provides.
All men with enlarged breasts are candidates but the more extreme cases of gynecomastia will require more extensive surgery and possibly skin excision. It is important for the patient to be healthy and emotionally stable. A consultation with Dr. Delgado will help determine if the patient is a good candidate and what may be the potential result.FAQ'S ABOUT MALE BREAST REDUCTION >>