gynecomastia

Dr. Miguel Delgado Welcomes Dr. Ivan Puah From Singapore!

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.

What is a Gynecomastia Specialist?

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.

Level II gynecomastia before and 4 months post-op

This 36-year-old gentleman from Athens, Ohio came to discuss the gynecomastia procedure with top surgeon Bivik Shah MD. During his consultation, it was determined that he was a Level II gynecomastia case, and in order to reach optimal results, he would require tissue excision and liposuction. Dr. Shah flawlessly executed the surgery while this patient was under twilight (IV) sedation. He is photographed here before and a full 4 months post-operatively.

Gynecomastia Surgery and Nipple Sensitivity

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.”

Young Men With Gynecomastia Need Support!

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.

Gynecomastia Revision Surgery and Scar Tissue

After male breast reduction surgery, if a lump is felt weeks or even months later, the natural reaction is the breast tissue has grown back. Unless the patient has been taking anabolic steroids, Propecia or other substances that may cause breast tissue growth, it is most likely the formation of scar tissue. Scar formation is normal after any type of surgery and generally takes 4 to 12 weeks to form.

If there is puffiness early in the recovery, it could be residual swelling or possibly not enough tissue was removed, but it would not be scar tissue.

26 year old man before and 1 year after level II gynecomastia surgery

This is a 26 year old gentleman from Orient, Ohio who desired a male breast tissue reduction procedure. He saw Dr. Shah in consultation, and was advised to go forward with a level II Gynecomastia for the best results. This involved both liposuction and glandular tissue removal. His results are astounding! He is shown here before surgery, and 1 year and four months following surgery. New found confidence!

Patient 26815.

The Importance of the Compression Vest

Not all surgeons require a compression vest after surgery, or some for only a short time. I have my gynecomastia patients wear a compression vest 24/7 for 6 weeks. The vest may be bulky, and a little uncomfortable, but is necessary for the healing process. It should be worn snug, but not tight.

Dr. Miguel Delgado recommends the vest be worn 24/7 for 4 to 6 weeks, depending on how the patient is healing. The vest should only be removed when showering. It is recommended to have 2 vests so that you can rotate them while one is being laundered.

The Cure for Man Boobs

Enjoy swimming at the beach, feel comfortable working out, get your confidence back and take your shirt off!
Dr. Adrian Lo was recently featured in Men's Health Magazine explaining Gynecomastia and what men can do about it. Read the article here: http://www.mygynecomastiasurgeon.com/wp-content/uploads/2016/05/Man_Boob...