migueldelgado's blog

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.

The hot new trend of CoolSculpting for men

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.

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.

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.

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.

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