Dr. Miguel Delgado and his staff recently welcomed Dr. Ivan Puah from Singapore to Marin Cosmetic Surgery Center, to further hone his surgical skills in gynecomastia surgery.
Dr. Miguel Delgado shared clinical and surgeries cases with Dr. Ivan Puah. Both doctors exchanged experiences on cases they have seen and performed, including post-surgery complications, surgical approaches, and more.
It was rewarding for Dr. Ivan Puah to receive one-on-one mentorship from Dr. Miguel Delgado in gynecomastia surgeries as well as observation of liposuction and a tummy tuck procedure. At the clinic, Dr. Ivan Puah had the opportunity to observe consultations, pre-operative patients, and management of post-operative patients who were having drain and suture removal.
Dr. Ivan Puah has been practicing medicine for more than 20 years with training in various disciplines including general surgery, orthopedic surgery, urology, dermatology, and many more. Since the establishment of his medical aesthetic practice, Amaris B. Clinic in 2004, Dr. Ivan Puah has been performing various types of surgical body sculpting procedures such as laserlipolysis, liposuction, VASER® Lipo, fat grafting, and gynecomastia.
Dr. Ivan Puah is a certified VASER® practitioner, obtaining his VASER® Body Sculpting training in Colorado and Argentina. In Singapore, he is accredited and recognized by the Ministry of Health to perform surgical body sculpting procedures.
“Gynecomastia is the top main concern for male patients in Singapore. As a doctor, it is important to provide patients with honest, ethical advice, as they put their trust in you; while managing their expectations realistically, working with them on achieving the results they want,” explains Dr. Ivan Puah.
We asked Dr. Ivan Puah on his key takeaway from the training, and he stated, “It was a very fruitful trip. Although I have been performing gynecomastia surgery for years, I am extremely humbled to have the opportunity to receive further training and to be mentored personally by Dr. Miguel Delgado, who is an expert in this field. He is very approachable, yet professional, and always ready to give advice. I look forward to more learning opportunities with Dr. Miguel Delgado in the near future.”
Gynecomastia.org, a popular educational online site, set up by Dr. Miguel Delgado and his team, is dedicated to providing comprehensive information for males who are facing issues with manboobs.
“I am glad that gynecomastia.org offers a platform for patients to share their experiences, research for the right information for their specific concerns and treatment options. To be listed on the doctor’s panel provides physicians like myself another useful channel to communicate and offer appropriate advice,” says Dr. Ivan Puah.
Visit https://www.gynecomastia.org/ to learn more about gynecomastia. To learn more about Dr. Ivan Puah, visit his biography here.
The “wrinkle fairy,” cosmetic medicine expert Leslie Forrester, visits the TV show “The Windy City Live.” See her interview where she explains how CoolSculpting, the non-invasive fat reduction treatment can help men remove trapped fat from their bellies, love handles, and MAN BOOBS! Click here for more…
Please note: CoolSculpting for man boobs is a treatment for men with pseudogynecomastia only; it will not diminish glandular breast tissue and therefore is not recommended.
Gynecomastia specialists’ see too often the cases of male breast reduction done by less experienced surgeons. Many gynecomastia revision cases are necessary because the primary surgeon removed too much fat and tissue leaving a “crater deformity,” or in some cases, not removing enough tissue. A large percentage of revision cases are due to liposuction alone being performed, and there is breast tissue left behind.
Just because a doctor is certified by the American Board of Plastic Surgery (ABPS) or the American Society of Plastic Surgeons (ASPS) doesn’t mean that is the right surgeon for your procedure. There are hundreds of plastic surgery procedures; no surgeon can “master” all of them.
So what makes a gynecomastia “specialist?” In searching for your surgeon, it is important to do your homework. Things to look for in your surgeon are: • How many years has the surgeon been performing male breast reduction surgery? • How many cases does the surgeon do in a year? It should be in the hundreds. • There should be available an extensive photo gallery of before and after surgery.
Gynecomastia surgery is very complex; each patient needs to have a surgery plan based on their unique case. For example, bodybuilders do not need removal of excess fat or skin. However, they can be at a higher risk for bleeding due to an increase in blood flow in the chest muscles that are highly developed.
Beware of advertised discounts and specials on surgery fees. Specialists have devoted many years to perfecting their skills. Specialists are in high demand; they do not need to “reduce” their fees to attract new patients. Unless they should get an unavoidable cancellation, you may find that you have to wait a few months to get on their surgery schedule. But it will be worth the wait, avoid the possibility of gynecomastia revision surgery which will compromise your results and add additional fees. Remember you get what you pay for.
As potential patients research all the pros and cons of male breast reduction surgery, there is one issue in particular that comes up from time to time. It is discussed extensively on the forums of this site, and that is the concern of the loss of nipple sensation.
Permanent loss of nipple sensation after gynecomastia surgery is possible although rare, but needs to be considered as a surgical risk. For some men, it may be a deal breaker, and for others the tradeoff is worth it, to be rid of their “man boobs.”
The degree of injury will depend on the extent of surgery and the technique used. Nerves regenerate slowly, depending on the amount of breast tissue that is removed. It is normal for the nipples to be hypersensitive or to lose sensation. This is usually temporary with sensation returning in a few weeks to a few months.
The temporary loss of sensation or numbness is known as neurapraxia and is caused by stretching or compression of the nerves during surgery. It is considered a mild injury with full recovery likely. As sensation starts to return and the nerves begin to regenerate the patient may feel pins and needles which are referred to as dysesthesia/paresthesia. This is a normal condition during the healing process.
After about three weeks into your recovery, gentle massage may help to reduce hypersensitivity, but this should be done only under the direction of your surgeon.
Up to 65% of young men will develop breasts by the age of 14. As boys go through puberty, they will have an imbalance of sex hormones. This is a normal condition but can be very frightening as they see their body going through changes
Unfortunately, if boys do not understand what is happening they will probably try to hide their chest with loose fitting shirts, avoid swimming, or any activities that require removing their shirt. Most boys are too embarrassed to confide in their parents.
With the prevalence of bullying in school, boys with gynecomastia are easy targets. Cruel nicknames can cause isolation and self-hatred.
Thankfully, 90% to 95% of young men will find the condition will resolve itself in a few weeks up to 2 years without any treatment. However, when you are young, 2 years can feel like an eternity! Receiving emotional support from parents or other family members can make a big difference.
Hopefully, young men and their parents will find this website. In addition to all the information posted here, there are many forums available (at no charge) where members can ask questions of each other and of gynecomastia specialists.
There are many personal stories posted on this site, one in particular is “A Mother’s Story.” She encourages boys to let their parents know how much they are suffering, and that they may be surprised at how supportive they are.
If any young men are reading this blog but feel it is impossible to talk to their parents, you might try sending an email with a link to the Mother’s story and also to this site. It is surprising how many people are unaware of gynecomastia. It is a tragedy for boys to suffer when help is available. The pictures below are of a 12 year old boy, he did not have any skin excision due to good elasticity.
In some cases of severe gynecomastia or severe depression, surgery may be an option and can be a life-changing event. Parents are urged to seek a consultation with a Board Certified Plastic Surgeon who specializes in gynecomastia.