migueldelgado's blog

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.

Gynecomastia Surgery and Avoiding a Seroma


Avoiding complications after gynecomastia surgery is a goal of all surgeons. With careful planning, most complications can be minimized or avoided altogether. Most gynecomastia surgeons believe in the use of drains and the wearing of a compression vest after surgery.

Tis the Season For Gynecomastia Surgery


Deciding to proceed with male breast reduction surgery is an exciting time. It also presents with many arrangements that you will need to make; such as, having someone care for you for at least the first 24 hours, transportation home after surgery, getting lab tests done, filling prescriptions, getting time off work…and when will you have the surgery?

Gynecomastia Affects Posture

Many men attempting to hide their gynecomastia breasts may roll their shoulders and even tip their spinal cord forward. Ultimately, this poor posture may have many detrimental effects such as; back and neck pain, and misalignment of their skeleton, and even digestive and breathing problems.

Risperdal Lawsuits Accelerate in 2017

In 1993 the FDA approved the use of Risperdal for the treatment of autism, bipolar mania, and schizophrenia. However, it became evident that the drug had some serious side effects including the development of breasts in boys and men.

Asymmetry and Gynecomastia

When a man has too much estrogen stored in his body, female type breasts may develop. In most cases when breasts develop, they are mostly the same size and shape. However, it is possible for breasts to be different sizes or possibly only one breast will develop. Asymmetric breast development can cause even more distress for men than symmetric gynecomastia.

It is normal to have some asymmetry, but when it is obvious, it may cause shame and embarrassment. A gynecomastia specialist can correct asymmetry with liposuction and removal of some breast tissue.

After Gynecomastia Surgery, What Does The Male Chest Look Like?

Understanding what to expect after gynecomastia surgery helps ease anxiety. The goal, of course, is to reduce the size of the male breast and to leave a masculine contoured chest. Removing too much breast tissue may result in a "crater deformity" and may necessitate further surgery. If not enough tissue is removed, additional surgery may also be needed. It is important to choose a Board Certified Plastic Surgeon who specializes in gynecomastia.

Gynecomastia and Parabens

For many years it was believed that parabens as a preservative were safe. Manufacturers loved parabens because they are cheap, stable, and effective. Parabens have been used for decades and give products a long shelf life. They have been used extensively in toiletries and in food. In the late 1990’s new data was beginning to surface showing negative reactions to parabens.

Gynecomastia, Body Builders, and Performance Enhancing Drugs

Body builders have almost no fat or excess skin, and therefore gynecomastia surgery takes a different approach than men with “true gynecomastia.” Their chest muscles are highly developed with increased blood flow, and therefore they have a higher risk of bleeding complications. All patients are warned to stop taking blood thinners before surgery and body builders need to be aware that they need to stop, protein shakes, fish oil and vitamin E, among many other products.

Should You Worry About Your Male Breasts?

Dr. Miguel Delgado, M.D. recommends that men seek a professional evaluation from a Board Certified Plastic Surgeon who specializes in gynecomastia if they feel tenderness, pain or have swelling of their breasts. If it is determined that the patient has gynecomastia, caused by fat and breast tissue, no treatment will be required unless the condition is causing psychological distress, in which case surgery may be recommended.


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