San Francisco, California-Each year in late February, the American Society of Plastic Surgeons (ASPS) reports surgical statistics they have gathered from their Board Certified Plastic Surgeon members for the previous year. These statistics show trends in popularity of both surgical and minimally invasive procedures.
The statistics for cosmetic plastic surgery procedures showed an increase of 3% for 2013 over 2012, which includes both surgical and minimally invasive. It is believed that advances in technology and the introduction of new products contribute to the increase, as well as the increasing demand for facial rejuvenation for patients wanting a refreshed look. Breast augmentation remains the number one overall procedure performed for 2013, followed by nose surgery, eyelid surgery, liposuction and then facelifts.
Gynecomastia (male breast reduction) overall is the most consistent procedure showing an increase year after year, while others that stay in the top 5 show less growth. In 2010, it was reported that for 2009, gynecomastia surgery increased by 6%. In 2011, the increase was 8% over 2010. In 2012, the increase was 5% over 2011. 2013 as previously stated showed an increase of a whopping 11% over 2012.
It is evident by these figures that men continue to seek correction of their man boobs. It is extremely important for men to choose a Board Certified Plastic Surgeon that specializes in gynecomastia surgery so that revision surgery will be unnecessary.
San Francisco, California-Each year the amount of men undergoing gynecomastia surgery has increased according to the American Society of Plastic Surgeons (ASPS). Men are becoming more comfortable with the idea of corrective surgery for their male breasts as more information is made available through all types of media. ASPS also reports that many elective cosmetic procedures for men are increasing each year, among the most popular are; liposuction, eyelid surgery, facelifts, and rhinoplasty.Â For non-surgical anti-aging treatment, Botox remains number one for both men and women.
Men seem to be less self-conscious about cosmetic plastic surgery than in the past as statistics show. No longer is self-improvement through surgery mainly for women.Â As competition grows in the work place, men are looking for whatever means may be at their disposal for them to keep a leading edge over their younger counterpart. Online dating and social media, that post profile pictures, have men taking a critical look at their appearance and pursuing improvements.
With the increase of male breast reduction surgery, it is becoming more common for men to want to add procedures. For men in good health seeking surgery, this is a very acceptable practice, and it makes a lot of sense. Scheduling a surgical procedure means taking time out of oneâ€™s daily schedule, there is a pre-operative visit to schedule, blood tests, and prescriptions to fill. In addition to the day of surgery, the patient must plan on some time off to recuperate at home; arrangements need to be made for someone to care for the patient for the first 24 hours, and transportation for at least the first post-operative visit. Healing time will be about the same for the patient that has one procedure versus multiple procedures. The cost for surgery will most likely be somewhat reduced as pre-operative tests and prescriptions will only need to be done once. The surgical time will be somewhat less than if procedures are done separately.
It is very common for the gynecomastia patient to add some liposuction (most commonly the abdomen and love handles), and many request to add such procedures as; rhinoplasty, facelift or eyelid surgery along with his male breast reduction surgery.
Dr. Delgado a gynecomastia surgery specialist, has been treating patients in the greater San Francisco Bay Area since 1988, including San Jose, Sacramento and Los Angeles.
Call or email today at (415) 898-4161 for a consultation or virtual consultation with Dr. Delgado to see what procedures you might want to add to your gynecomastia surgery.
San Francisco, California-According to statistics from the American Society of Plastic Surgeons, the number of gynecomastia procedures performed increases each year. It is believed that as men become more aware of gynecomastia, through all types of media coverage, they seek out corrective surgery.
True gynecomastia is caused by a combination of fat and breast tissue. When a surgeon only uses liposuction, only the fat will be removed, leaving breast tissue behind. Breast tissue is just too dense to be effectively removed by liposuction.
For the few men that have â€śpseudo-gynecomastiaâ€ť, which is male boobs caused by fat alone, liposuction can be very effective. Some men may even get great results by â€śCoolSculptingâ€ť which is a non-surgical treatment for the removal of pockets of fat.
The majority of men, however, have â€śtrue gynecomastiaâ€ť; which requires surgical excision along with liposuction. Every case of gynecomastia needs to be evaluated individually due unique nature of each man. A top Board Certified Plastic Surgeon that specializes in gynecomastia surgery will be able to determine the best course of action. The surgeon will take into account many different factors, such as the age of the patient, the elasticity of the skin, has male breast reduction been attempted before leaving scar tissue behind? If the cause for the development of breasts is known, such as taking steroids, smoking pot or prescription drugs, has that factor been removed?
Upon evaluation, the surgeon may determine that the patient may be a good candidate for one of the less invasive surgical procedures. An excellent procedure for the man with mild to moderate sized breasts (no more than an A or B cup) or â€śpuffy nipplesâ€ť is what is referred to as the â€ślight pull-through procedureâ€ť. This is not a new procedure, but it has been improved through the years with advances in technique and technology. Among the benefits of this procedure are a shorter surgical time, faster recovery, no need for drains,Â and a much smaller resulting scar due to a smaller incision, which in fact, heals to almost invisible.
For the â€ślight pull-through procedureâ€ť, the surgeon uses an endoscope, which is an instrument that transmits a picture of the inside of the chest via optical fibers to a monitor for the surgeon to observe.Â The endoscope is inserted through the same incision as the cannula that has been used for liposuction. The incision is only 2 to 3 millimeters and is on the lateral sides of the areola. After the fat has been removed by liposuction, the surgeon inserts an instrument similar to a pickle fork to free up the breast tissue and removes it gently through the small incision.
Not all men with gynecomastia are candidates for this less invasive procedure, it is imperative that men seek out a top cosmetic plastic surgeon that specializes in gynecomastia in order to avoidÂ the discouraging and frustrating experience of needing a â€średoâ€ť surgery.
San Francisco, California-Many men develop breasts, or man boobs, as they go through puberty, fortunately for most; their chests will return to normal within a couple of years. Others find the condition continues into adulthood and becomes permanent. Gynecomastia or male breasts may be caused by, heredity, medications, illicit drugs, or the aging process. Then there are the mysterious cases where no known cause can be determined.
Whatever the cause for the gynecomastia breast, it is a stressful and embarrassing condition that can affect relationships and lifestyle. Men are notoriously reluctant to seek help or counseling. Women are used to sharing personal information and getting referrals from each other for issues such as: facelifts, breast augmentation, breast reduction, etc. Mothers, sisters, girlfriends or wives are an influencing factor to assist men in getting help.
Gynecomastia is a very sensitive and individual issue for each man. Some men may choose to live with the condition while others may opt for surgical intervention. Whatever route a man may decide, having support is essential. Support can come from many different sources: parents, spouse, friends, doctor, counseling and/or support groups. This is where it can get a little tricky for many men. Men are mostly very private and reluctant to share such a sensitive issue. Today, we have the internet, which offers limitless avenues of information; one can find answers to almost any question posed. This is where Gynecomastia.org comes in.
Gynecomastia.org originated in 1999 by Merle Yost, LMFT a dedicated psychologist who not only specializes in treating men with gynecomastia, but was a patient himself of Dr. Delgadoâ€™s. Before the internet, information on gynecomastia was difficult to find, in his desire to educate men about gynecomastia; Merle Yost had developed the website, gynecomastia.org.
Gynecomastia.org is now the worldâ€™s best resource on information about the male breast. The website offers forums where members can interact with each other in: asking questions, sharing stories and getting advice. The ability for men to get information from other men who suffer with man boobs has proved an invaluable source of support.
In addition to the forums, members can ask questions of participating Board Certified Plastic Surgeons who monitor the site regularly. The forum members need to sign up to participate, but there is no charge. The surgeons pay a reasonable fee which helps support and maintain the site and keeps the site free to the forum members.
The website has much more to offer, including many before and after pictures of gynecomastia patients, a â€śfind a surgeonâ€ť section, with surgeons listed by state, interesting medical articles, and blogs posted by some of the surgeons.
When Merle Yost decided to sell the site a couple of years ago, due to the amount of time involved maintaining it, Dr. Delgado stepped up and purchased the site in order to keep it evolving as the best source of information for men seeking knowledge about gynecomastia. Dr. Delgado encourages all his patients and anyone reading this blog to explore the Gynecomastia.org Website. Dr. DelgadoÂ serves the entire San Francisco Bay Area including, Sacramento, San Jose and Los Angeles since 1988. For a personal phone or virtual consultation to discuss male breast reduction options, call today at (415) 898-4161.
San Francisco, California- For the man seeking a solution to rid himself of his man boobs, he must first find the best top plastic cosmetic surgeon that specializes in gynecomastia.
It is recommended that men try to have 2 to 3 consultations to find the surgeon and office staff that makes them feel the most comfortable. Male breast patients of Dr. Delgadoâ€™s find that they are warmly greeted on their first consultation visit making that first difficult step much easier. Understanding what to expect at that first consultation helps most men feel less nervous.
In an effort to further educate men seeking moob reduction, Dr. Delgado produced a 6 part video detailing the whole gynecomastia surgery journey from consultation to postâ€“operative visits, they can be viewed on his website or YouTube.
After filling out routine paperwork, the patient is escorted to an exam room where he will first meet with Dr. Delgado. Men find themselves immediately relaxing when greeted by Dr. Delgadoâ€™s warm and friendly manner. Dr. Delgado will ask some standard questions from the patient in order to make an evaluation. He will ask questions such as; when did you first notice the development of male breasts, and how long have you had them? Do you notice a change in your breasts with weight gain or weight loss? Do other members of your family have gynecomastia? Are you taking any type of medications? Are you uncomfortable removing your shirt in public or private? What expectations of gynecomastia surgery do you have?
Next Dr. Delgado will do an exam and make his recommendations, going into detail how he performs male breast reduction surgery. For the man with â€śtrue gynecomastiaâ€ť he will explain how he does a combination of liposuction and surgical excision to get the best result for a sculpted chest. Unfortunately, there are many surgeons who still attempt to make the male breast correction by liposuction alone which ultimately leaves breast tissue behind necessitating a future revision surgery. At this time, Dr. Delgadoâ€™s gynecomastia surgery cases are at 40% for revision of this type. There is an exception to this, and that is for the man that has â€śpseudo-gynecomastiaâ€ť, that is the development of the male breast caused by fat alone and not breast tissue. For this man liposuction can be an effective treatment, or possibly â€śCoolSculptingâ€ť, the non-surgical treatment now available to Dr. Delgadoâ€™s patientâ€™s that removes fat without surgery.
Dr. Delgado further explains where the incisions are made so that they heal almost invisibly around the areola. He points out the need for drains and how they will help in promoting faster healing. Dr. Delgado has compression vests for his patients that he specifically designed for optimal comfort, with removable pockets for the drains. He will tell them that after 6 weeks of wearing the vest they will be able to return to normal activities.
After the exam and evaluation, Dr. Delgado escorts his patient to the office of his patient coordinator. It is at this time that Dr. Delgado will present several photo albums with before and after pictures of hundreds of his patients. It is of interest for men to find men with similar body types and breast development that will give them an idea of the type of results they can expect.
Many patients at this point ask about having additional procedures performed at the same time as their gynecomastia surgery to save recovery time and surgical costs. Very popular procedures that patients often include are liposuction of the abdomen and love handles, even some request a rhinoplasty or eyelid surgery.Â Feel free to ask Dr. Delgado about add on surgery if you are interested.
If the patient does not have any further questions of Dr. Delgado at this time, he will leave the patient to meet with
the patient coordinator who will present a written estimate of all surgical costs. The patient coordinator will be able to answer all questions pertaining to pre-operative and post-operative care, financing and scheduling of surgery. To schedule a consultation call (415) 898-4161 or email.
San Francisco, California-Included in a Board Certified Plastic Surgeonâ€™s training is the correct way to take pre and post-operative photographs. The fact that surgeons have specialized training for this is evidence of the importance of the skill and the documentation.
There are several reasons for having documented photographs. First, it is an excellent tool for surgical planning. In addition, the patient and the surgeon can go back to get an accurate determination of surgical results. Patientâ€™s appreciate this ability because in most cases after a patient has healed from surgery and they grow used to their new look they often forget what they looked like before surgery.
It has been stated many times in these blogs; a man looking for the best top plastic cosmetic surgeon in gynecomastia, needs to seek out a Board Certified Plastic Surgeon that specializes in male breast reduction. There are many surgeons who attempt gynecomastia treatment who have not had specialized training that leave men with less than desirable results. It is difficult for men to make a decision in their choice of a surgeon unless they know what to look for. After researching surgeons, it is advised to see 2 or 3 in consultation so that you can make comparisons. The consultation is a good time to ask a lot of questions such as; how many male breast reduction surgeries do you perform each year? Is the anesthesiologist Board Certified? Where will the surgery take place? Is the facility accredited? If it is not at a hospital, but a private surgery center, ask for a tour and note if it looks clean and well organized.
Next, a very important question to ask would be, what procedure would you recommend for me? If the surgeon plans on liposuction only (unless you have what is referred to as pseudo-gynecomastia), be very careful. Liposuction alone will not remove the male breast tissue, only the fat, (in which case CoolSculpting may be the solution). Dr. Delgadoâ€™s gynecomastia practice is now at 40% due to revision surgeries where liposuction alone was performed at another facility. Removing only the fat by liposuction will leave breast tissue behind which can actually end up looking more prominent.Â A secondary surgery may be necessary to remove the breast tissue.
One of the best means a patient has in determining a surgeonâ€™s skill is to see pre and post-operative pictures. Most surgeons are proud of their work and will have many photos to share. If you know the guidelines to look for in well documented pictures, it will help you determine the surgeonâ€™s attention to detail.
In looking at the pictures, note if the patient is filling the frame equally and in the same position with arms preferably down at their sides.Â Three angles are best, showing the front, sides and obliques, anything can be made to look good when only showing one angle. The background needs to be consistent with either a blank wall or a drape of a solid dark color. Also, the color saturation and lighting should be as similar as possible.
Unfortunately, most men with moobs have what is referred to as “true gynecomastia”. True gynecomastia means their man boobs are caused by fat and breast tissue. There are a few lucky ones that have pseudo-gynecomastia, which is fat only; in which case liposuction or CoolSculpting may be the solution, which would bring down the gynecomastia cost.
Now available for Dr. Delgadoâ€™s patients is CoolSculpting, a non-surgical solution for removal of fat pockets. This innovative treatment works well on love handles, the abdomen and pseudo-gynecomastia. Schedule a consultation with Dr. Delgado at either his 450 Sutter Street, San Francisco office or 165 Rowland Way, Novato office for an evaluation.
San Francisco, CA-True gynecomastia is male breasts or moobs that are caused by a combination of fat and breast tissue, affecting at least 60% of all males at some point in their life. True gynecomastia must be corrected by surgical excision of the breast tissue and liposuction of the fat. There are many surgeons who attempt to correct man boobs by liposuction alone necessitating a â€średoâ€ť surgery for removal of the breast tissue. Dr. Delgadoâ€™s gynecomastia surgery cases are now at 40% for â€średoâ€ť surgeries. It is very frustrating for men to go through the surgery only to find they may need to have it done again. Not only do they have to go through surgery and recovery again, they will incur more gynecomastia surgery costs. Unfortunately, it is harder for the surgeon the second time as there is now scar tissue from the first surgery and the elasticity of the skin may have been compromised.
With all this being said, there is a condition whereby liposuction alone may work, and that is if the man has what is referred to as â€śpseudo-gynecomastiaâ€ť. Pseudo-gynecomastia is usually due to aging or weight gain; the male breasts are enlarged only by fat and not breast tissue. Liposuction has worked so well for these men it is understandable that some surgeons would try liposuction for â€śtrue gynecomastiaâ€ť. When there is breast tissue in addition to the fat, the breast tissue will not go through the cannula of the liposuction machine, due to the fact it is too dense. It is imperative that men do their homework, they need to select the best top plastic cosmetic surgeon that specializes in gynecomastia, to avoid the necessity of a secondary surgery. In addition to finding a Board Certified Plastic surgeon, check that the surgical facility where the male breast reduction surgery to be done is fully accredited.
For the man with “pseudo-gynecomastia”, there is even a less invasive procedure than liposuction now available. CoolSculpting is offered at Dr. Delgadoâ€™s â€śNon-Surgical Center of Excellenceâ€ť. CoolSculpting is an innovative process that gets rid of small areas of fat that do not respond to diet and exercise. As a non-surgical procedure, patients love the fact that there are not any incisions, needles or scars. For treatment, the patient is to wear comfortable clothing, stretch out on a treatment table; relax, read a book, work on a laptop or even take a nap. The CoolSculpting machine has two cooling panels that an area of fat is placed between, and then intense coldness is applied which kills the fat cells. The treatment lasts about an hour per area. Patients state that it is not painful but feel the coldness from the plates and some pressure. The only side effects noted have been some temporary numbness, redness, and minor bruising. There is no downtime, patients are able to return to normal activities right after treatment.
The fat cells are then gradually shed by the body naturally, with results starting to show in two to three weeks. Patients are thrilled when they notice their clothes feel loose. The final result will be evident in about two to three months. Usually one treatment is all that is needed, but additional treatments can be scheduled to continue with sculpting the body. In addition to treating the male chest, CoolSculpting is used for the abdomen and love handles. It is not meant to be for large areas of fat, which are better treated by liposuction.
Along with CoolSculpting, there are many other procedures offered at Dr. Delgadoâ€™s â€śNon-Surgical Center of Excellenceâ€ť. Ultherapy, which is a great skin tightening process for the face and neck, has recently been added as a non-surgical procedure, along with fat injections, Botox, facial fillers,Â laser hair removal and many more. With so many new innovative treatments available, the best way to find out what your particular options are, schedule a consultation with Dr. Delgado at either his 450 Sutter St., San Francisco Office or 165 Rowland Way, Novato.
San Francisco, CA-Gynecomastia surgery and all elective cosmetic procedures have some risk with possible complications. Board Certified Plastic Surgeons who perform surgeries in an accredited facility such as Marin Cosmetic Surgery Center have excellent safety records with less than half of 1% of serious complications.
Even though the percentage of complications is very low in healthy patients, they need to be aware of what they are and what they can do to help minimize their occurrence.
The main risks for all surgeries are:
â€˘Â Â Â Bleeding â€“ bleeding is normal during surgery, but excessive bleeding can cause serious complications. If during surgery bleeding can cause a drop in blood pressure. If after surgery bleeding should occur known as a hematoma, additional surgery may be required.
â€˘Â Â Â Blood clots â€“ The most common type would be Deep Vein Thrombosis (DVT)which forms in the legs but are usually not life threatening unless it breaks free and starts to travel toward the heart or lungs. If it is traveling, it is a medical emergency and must be treated immediately.
â€˘Â Â Â Infection â€“ An infection can occur at the incision site or other areas of the body and can be very dangerous. Patients are started on anti-biotic medication prior to surgery and are given more during surgery and after, greatly reducing the possibility of infection.
â€˘Â Â Â Anesthesia complications â€“ Anesthesia has a host of its own possible complications, such as; abnormal heart rhythm, heart attack, malignant hyperthermia, stroke or the possibility of aspiration which is caused by vomiting which may block the airways. To prevent vomiting, the patient is not to eat or drink anything for 12 hours before surgery so that the stomach is empty. There have been great advances in anesthesia; if it is administered by a Board Certified Anesthesiologist the rate of complications is very low.
Gynecomastia or male breast reduction surgery has some additional risks that are specific to its procedure such as:
â€˘Â Â Â Breast Asymmetry â€“ It is normal to have some minor asymmetry and usually not noticeable,Â however, if it is noticeable, a revision is in order.
â€˘Â Â Â Nipple inversion â€“ This is most likely where the nipple is attached to the mammary gland.
â€˘Â Â Â Temporary or permanent loss of sensitivity for the nipples
â€˘Â Â Â Scarring
â€˘Â Â Â Seroma â€“ Collection of clear body fluid that should be aspirated.
â€˘Â Â Â Over or under resection of tissue â€“ If under resected, revision surgery can correct it if over resected fat injection or a fat flap may be needed.
â€˘Â Â Â Loose skin â€“ If the skin doesnâ€™t retract well skin tightening may be needed.
The majority of risks and possible complications are attended to by the surgeon and anesthesiologist; however the patient needs to take some responsibility for their own safety.
Smoking will interfere with proper healing of any surgery and must be avoided at all costs. The patient must have quit smoking for a minimum of two weeks prior to surgery but the longer the better. Smoking will increase inflammation and the incidence of infection. Even second hand smoke can be dangerous. For more information see the blog dated November 26, 2011 â€śSmoking and Gynecomastia Surgery Risksâ€ť.Â
In addition to smoking, the male breast reduction patient has the same warning list as other patients seeking breast revision surgery to avoid all blood thinnersÂ such as aspirin, and many herbs and some vitamins. An extensiveÂ list will be given to you at your pre-operative visit along with detailed instructions of what you must avoid two weeks before and after surgery as they can interfere with the healing process. Also, at your pre-operative visit all risks and possible complications will be discussed. A medical history will be taken, and a physical will be done, you will be given prescriptions, as well as an order for the required blood tests that check to be sure you are healthy and that your blood clotting time is normal. You will receive a phone call from the anesthesiologist prior to surgery to discuss your medical history, and any past surgeries you may have had.
San Francisco, CA-Patients need to be aware that all surgeries pose some risks, even cosmetic surgery. With that in mind, it is very important to select your surgeon and hospital/surgery center with utmost care to minimize risks.
You probably have heard that you should pick a Board Certified surgeon, but may be confused as to what that actually means.Â Â
There are 24 medical specialties recognized by The American Board of Medical Specialties (ABMS) only some of them include surgical training, plastic surgery is one of them. The function of ABMS is to confirm that ABMS certified physicians have met educational and professional standards that merit board certification. Of the approved 24 medical specialties boards,Â none of them have the name â€ścosmetic surgeryâ€ť in them.Â Â Some of them may cover a few cosmetic procedures, but the American Board of Plastic Surgery is the only one to cover all cosmetic surgery procedures. In addition to seeking a Board Certified surgeon, specify that he/she is Board Certified in Plastic Surgery.
Physicians have joined together to create over 100 unofficial or uncertified “boards” that do not meet the high standards of the ABMS and, therefore, have not earned Board Certification.
In order for a plastic surgeon to be Board Certified by The American Board of Plastic Surgery, the requirements are that the doctor has to have graduated from an accredited medical school and completed at least five years as a resident surgeon. The residency training includes all areas of surgery with at least two years devoted entirely to plastic surgery. Then to become Board Certified in Plastic Surgery, the doctor then must pass comprehensive written and oral exams.
Plastic surgeons have an extensive education in anatomy and physiology and are trained to prevent and/or handle emergencies. They have an understanding of all body systems that are vitally important to patient safety, including ventilation, circulation, fluid and electrolyte balance.
Plastic surgeons gain tremendous experience through years of training in reconstructive surgery.Â Their experience provides them with exceptional technical skill and aesthetic judgment. They need to develop a superior sense of aesthetics which is critical to the success of cosmetic surgery with a delicate balance of proportion with attention to form and function.
To find a Board Certified Plastic Surgeon that specializes in a particular procedure you can check with either The American Society for Aesthetic Plastic Surgery www.surgery.org or the American Society of Plastic Surgeons www.plasticsurgery.orgÂ for a listing. Both societies require that all of their members are Board Certified in Plastic Surgery. You can also check to see if a particular surgeon is Board Certified by going to the American Board of Medical Specialties website www.abms.org and click on â€śIs your doctor certified?â€ť
In addition to determining if your surgeon is Board Certified you might want to check with your stateâ€™s medical board to see if there are any complaints filed against him/her. This information is available online at no charge.
For a man looking for a gynecomastia specialist, in addition to finding a plastic surgeon that is Board Certified, he needs to determine how much experience the surgeon has in male breast reduction surgery. The best way to find out is to ask! Important questions would be how many gynecomastia procedures are performed a year on average, how many total, what problems or complications have you encountered?Â How does the surgeon perform the surgery, does he/she do liposuction alone or a combination of liposuction with surgical excision? There is a website, www.gynecomastia.org that has a listing of Board Certified surgeons throughout the United States.
Surprisingly state laws permit any licensed physician to advertise themselves as a “plastic” or “cosmetic” surgeon, even if he or she has not had training as a plastic surgeon or even any surgical training at all!Â Patients must select their doctor carefully.