SECONDARY "REDO" GYNECOMASTIA

Revision gynecomastia comprises 25 percent to 30 percent of my surgical procedures performed each year. Secondary gynecomastia is an option for a patient who has had gynecomastia surgery done once, but is dissatisfied with the outcome. These patients present to my office for a "redo," or secondary procedure. A secondary revision is most often needed as a result of the initial surgeon using liposuction alone.

The techniques used today include tumescent liposuction, ultrasonic liposuction, and sharp liposuction cannulas. The sharp liposuction cannula technique is meant to break down the glandular tissue and enable the gland to be suctioned. While this does not always happen, it does effectively break through the fibrofatty tissue and allow sufficient fat extraction. Similarly, ultrasonic liposuction cuts through the fibrofatty tissue extremely well, though it does not break down the glandular tissue. Ultrasonic liposuction adds the dimension of heat production to the procedure, which has been shown to improve skin contraction. However, in some cases, I have noticed an increased rate of seroma formation and poor healing of the areola, and as such, I have abandoned this approach.

Revision gynecomastia is a difficult procedure to perform. The scar tissue left over from the first procedure makes the dissection much more difficult. Liposuction alone is hardly ever the solution unless it is merely a "touch-up" procedure, a minor procedure that can be done in the office under local anesthesia to extract and/or inject fat, or to revise a scar. Another difficulty with secondary gynecomastia is that the skin does not contract as well due to the scar tissue. This is unpredictable, and is always something I explain to my patients in great detail.

I strive to avoid any problems in my private practice, and even just one complication is one too many. Yet in the unfortunate circumstance that a problem does occur, I have experience, compassion and dedication to correct any such issues should they arise. Secondary gynecomastia takes a great deal of skill; when selecting a surgeon, make sure he/she has the experience and confidence necessary to give you the results you desire.

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All men with enlarged breasts are candidates but the more extreme cases of gynecomastia will require more extensive surgery and possibly skin excision. It is important for the patient to be healthy and emotionally stable. Men whose gynecomastia is exacerbated by drugs should take this into consideration prior to surgery.

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  • Over Dr. Delgado's extensive career he has treated patients from all over the world including the following California cities, Regions, States and Countrys. His vast experience has allowed him to change the lives of many with Gynecomastia and other Cosmetic surgical procedures.

    Marin County Los Angeles Downey Santa Monica Torrance Pico Rivera Long Beach Pasadena Newbury Park North Hills Thousand Oaks Van Nuys Encino Valley Village La Verne Upland Fallbrook San Diego Redlands Irvine Capistrano Beach Ladera Ranch Fountain Valley Anaheim Fullerton Rohnert Park Lemoore Tulare Visalia Bakersfield Paso Robles Lancaster Clovis Sango Fresno Salinas Carmel Carmel Valley Marina Monterey Belmont Brisbane Hillsborough Daly City San Francisco Half Moon Bay Los Altos Hills Los Altos Atherton Mountain View Pacifica Penngrove Redwood City Redwood Shore San Bruno San Carlos South San Francisco Sunnyvale San Francisco Treasure Island Stanford Palo Alto San Mateo Alameda Santa Rosa American Canyon Danville Angwin Benicia Brentwood Clayton Concord Pleasant Hill Danville El Cerrito Antioch Fairfield Cordelia Travis Fremont Hayward Castro Valley Hercules Lafayette Livermore Martinez Moraga Napa Newark Oakley Orinda Pinole Pittsburg Pleasanton Dublin St. Helena Deer Park San Leandro Clayton San Lorenzo San Ramon Suisun City Union City Vallejo Mare Island Walnut Creek Yountville Oakland Emeryville Berkeley Kensington Pt. Richmond El Sobrante Richmond San Pablo San Rafael Kentfield Tiburon Corte Madera Dillon Beach Fairfax Cotati Forest Knolls Larkspur Mill Valley Novato Olema Penngrove Petaluma Pt. Reyes Station Ross San Anselmo Sausalito Stinson Beach Tomales Aptos Ben Lomond Campbell Capitola Cupertino Gilroy Hollister Los Gatos Milpitas Morgan Hill Santa Clara Santa Cruz Redwood Shores Scotts Valley San Jose Stockton French Camp Lodi Atwater Modesto Oakdale Patterson Ripon Salida Turlock Santa Rosa Clearlake Oaks Cloverdale Covelo Forestville Fort Bragg Graton Guerneville Healdsburg Kelseyville Kenwood Mendocino Middletown Occidental Hidden Valley Redwood Valley Sebastopol Sonoma Ukiah Lake Port Windsor Eureka Arcata Bayside Ferndale Fortuna Carmichael Davis Elk Grove Fair Oaks Loomis Rocklin Roseville Cameron Park Vacaville Grants Pass El Dorado Hills Sacramento Antelope Marysville Chico Magalia Uba City Redding Shasta Lake Red Bluff Trukee Winsor, Hampshire UK Paris France New York, NY Novato Newark,New Jersey Kabul, Afghanistan Shiuya-ku, Tokyo Newton Square, Pennsylvania Bear, Delaware Charleston, South Carolina Greenville, South Carolina McDonough, Georgia Orlando, Florida Wellington, Florida Bowling Green, Kentucky Columbus, Ohio Carmel, Indiana Goshen, Indiana Franklin, Wisconsin Nashwauk, Minnesota Grand Forks, North Dakota Evanston, Illinois Chicago,Illinois St. Louis, Missouri Gilmer, Texas Port Neches, Texas El Paso, Texas Aurora, Colorado Superior, Colorado Boulder, Colorado Colorado Springs, Colorado Sagle, Idaho Pleasant Grove, Utah Phoenix, Arizona Anthem, Arizona Pinon, Arizona Henderson, Nevada Las Vegas, Nevada Sparks, Nevada Reno, Nevada Honolulu, Hawaii Portland, Oregon Ashland, Oregon Sammamish, Washington Seattle, Washington Richland, Washington

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