Miguel Delgado, MD
Board Certified Plastic Surgeon
Sacramento, California Gynecomastia Expert
By Miguel Delgado, M.D.
Dr. Delgado is a Plastic Surgeon who is board-certified by the American Board of Plastic Surgery. He specializes in Gynecomastia surgery with offices in San Francisco, Sacramento, and Marin County. Dr. Delgado is a gynecomastia specialist of international renown. Patients worldwide come to his private clinic, the Gynecomastia Center of Excellence, for his expertise in male breast reduction operations.
What sets Dr. Delgado apart from other surgeons who perform gynecomastia surgical procedures?
GYNECOMASTIA EXPERIENCE: This is one of the primary reasons patients choose Dr. Delgado and his team. His vast experience dates back to 1988 when he collaborated with Merle Yost, LMFT, the pioneer of gynecomastia education, to develop gynecomastia.org’s informational website, gynecomastia.org.
GYNECOMASTIA SURGICAL VOLUME: Dr. Delgado performs over 150 gynecomastia reduction surgeries every year, including the most challenging cases and many are Sacramento, CA patients.
GYNECOMASTIA REVISION SURGERY. One of the best tests of a surgeon’s skill is his execution of a corrective surgery case. Dr. Delgado excels in this area, with 45% of his practice consisting of revision surgery.
Reputation. Dr. Delgado holds one of the highest reputations in the field of gynecomastia surgery. This high regard has been established over many years of practice and remains steadfast. Dr. Delgado was voted the Top Plastic Surgeon by San Francisco Magazine in 2020. The staff at the Gynecomastia Center of Excellence has been specially chosen and trained by Dr. Delgado himself. His team shares his vision for a high standard of patient care and safety. His core staff consists of a board-certified anesthesiologist, registered nurses for the operating room and post-anesthesia recovery unit, operating room technicians, and patient coordinators. Many staff members have been with Dr. Delgado for over ten years. The team enjoys working together, and this is reflected in the exceptional care our patients receive.
Staff. The staff at the Gynecomastia Center of Excellence has been specially chosen and trained by Dr. Delgado himself. His staff shares his vision for a high standard of patient care and safety. His core staff consists of a board-certified anesthesiologist, registered nurses for the operating room and post-anesthesia recovery unit, operating room technicians, and patient coordinators. Many staff members have been with Dr. Delgado for over ten years. The team enjoys working together, and this is reflected in the exceptional care our patients receive.
Surgical Options for treating gynecomastia
In puberty, men and young men desire a masculine chest profile, but sufferers of enlarged glandular tissue may have difficulty achieving such a physique. A medical condition defined as an accumulation of glandular breast tissue and excess fatty tissue in the male chest is gynecomastia. Several factors may contribute to this condition, including weight gain, hormonal imbalance, various medications, and genetic predisposition. Some male patients can reduce their breast swelling by following a low-estrogen and high testosterone diet and exercise routines.
The shame associated with the physical and psychological effects of having gynecomastia surgery can be life-changing. If the non-invasive treatments or medication are not producing results, then breast reduction surgery is the cure. This surgery is the operation of choice and is often combined with liposuction. Dr. Delgado has performed thousands of breast reduction procedures, many of them being revisions of patients who are not happy with their previous operation. He is a surgical master and gets impressive results with these aesthetic procedures due to his vast experience, the volume of cases, and the uniquely personal care of his patients.
The following are some of Dr- Delgado’s plastic surgery treatment protocolsthat he uses for his breast reduction surgery:
When deciding which reconstructive surgery method is most appropriate, it is crucial to consider the size of the glandular tissue and the laxity of the skin. This is called the degree of gynecomastia or the grade of gynecomastia. The various techniques are as follows:
Gynecomastia pull-through technique
An incision of approximately 4-5 mm is made during the operation, through which the excess breast tissue is removed.
Gynecomastia glandular excision with liposuction
This is by far the most common gynecomastia surgery procedure. A skin incision is made at the bottom of the areola, approximately between 4 and 8 o’clock. First, liposuction is performed, then the breast tissue is removed surgically using a lighted retractor.
Gynecomastia two-stage operation
When skin laxity is mild to moderate, this technique is utilized. An initial stage consists of gland excision and liposuction, and the second stage is performed four months later. This period will allow the new blood flow to become established. Then, a doughnut shape of skin is removed from around the areola, and the outer circle of skin is purse-stringed closed around the smaller areola skin, which tightens the skin.
Mastectomy | Double incision mastectomy with a free nipple graft
Gynecomastia treatment, with this technique, is for patients with excess skin with poor skin elasticity in grades 3 or 4. The cases in this category are more severe due to skin laxity.
The mastectomy will result in a tighter, firmer, and contoured chest that can be achieved by removing excess breast tissue and excess skin. Additionally, the nipples are resized and repositioned for a more masculine appearance. To improve the contour of the upper chest, liposuction is used to reduce fat deposition. In addition, ultrasonic liposuction is sometimes utilized for revision plastic surgery cases.
Post – Op Recovery
In the early days following surgery, the patient may experience some swelling and discomfort for a few days after surgery, but this is easily managed with light pain medication. In the early days of surgery, the patient will likely experience some swelling and discomfort for a few days after the procedure. Still, the physical discomfort is easily managed with light pain medication.
Patients are encouraged to rest during the initial stage of recovery, but they are advised to walk around the house to promote adequate circulation and healing.
Sleeping in an elevated position is essential for reducing swelling. During the recovery process, the drains will need to be emptied each day.
In approximately three days, the drains will be removed. Then, a compression garment is worn for six weeks to reduce swelling, re-form the chest to its new masculine shape, and prevent fluid buildup. A moderate exercise program can be implemented once the surgeon has approved it, usually around 3-4 weeks after surgery.
Recovery time depends on the surgical technique performed, but in general, these are the timeline.
The presence of large breasts can be a source of low self-esteem and embarrassment for men. In addition, there is a high level of stress experienced by men with man boobs when exposed to social settings, especially when the chest is exposed. Dr. Delgado can add to your quality of life and improve your chest contour to the masculine shape you always wanted.
The best surgeon for these specialized techniques is a plastic surgeon, a gynecomastia specialist, instead of an average general surgeon. A plastic surgeon is an aesthetic surgeon with special training in breast enlargement reduction procedures. Dr. Delgado has been serving Sacramento, CA and the surrounding area since 1996.