Caused by a hormone imbalance–gynecomastia, or man boobs–is a condition that affects both adolescent and adult males. What cause men to have excess breast tissue growth? According to leading gynecomastia expert Dr. Miguel Delgado in San Francisco, gynecomastia can occur for a number of reasons: puberty, steroid use, and excess fat (a condition called pseudo-gynecomastia). Fortunately, men who suffer from gynecomastia can have treatment options. Male breast reduction surgery is a cosmetic procedure that can remove unwanted breast tissue and create a more appealing chest. For those with pseudo-gynecomastia fat pockets, liposuction can reduce the size of the breasts. The cost of gynecomastia surgery will depend on the individual case, but it usually ranges from $8,500-$12,000.
Facelifts for men are more challenging than for women for several reasons. Men with short hair, shaved heads or who are bald present a significant challenge for the surgeon. No one wants their surgery to be obvious; therefore, it is imperative that when the incisions heal they are almost invisible.
Facelifts for Men Takes an Expert
The aesthetic goals for men are different than for women. Women want a more youthful feminine facelift result. Men want rejuvenation of the face but preserve a natural masculine appearance with an athletic neck and jawline.
The expert facelift surgeon carefully chooses the location of incisions for the male. If there is excess skin requiring excision, with a less experienced surgeon, the sideburns may inadvertently be removed giving an unacceptable result. To avoid displacement or removal of sideburns, the incision should be along the temporal hairline with the removal of excess skin anterior to the sideburns allowing their position to remain unchanged with no distortion to the shape or position of the ears.
Facelift Surgeons Use Different Techniques
Different surgeons use different techniques to hide scars when performing facelifts. Ask to view many before and after pictures of a doctor’s patients. Pay particular attention to the placement and visibility of the scars.
In choosing a facelift surgeon, many patients are understandably anxious because they have seen unwanted results such as the windswept look, visible scars, pulled earlobes (pixie ears), the skin being pulled in the wrong direction, and distorted hairlines.
The incision around or in the ear needs to be placed without tension so that it will blend in with the natural anatomy of the ear and hairline. This is a very time-consuming procedure but necessary for hiding scars. Well-hidden scars are critical for men with short hairstyles and for women who want to wear their hair up or pulled back without fear of obvious scars.
Choose Your Facelift Surgeon Carefully!
Several procedures can be done without the need for a full facelift. For example, the short scar neck lift where the incision is submental (under the chin), a brow lift, and eyelid surgery.
For the man who needs a full facelift and has little to no hair to hide the incisions, expert plastic surgeons get excellent results by extensive planning.
More important than procedure choice, is the selection of a Board Certified Plastic Surgeon who has an expert aesthetic eye and knows what technique will achieve the patient’s goals.
Dr. Miguel Delgado, M.D. a Board Certified Plastic Surgeon has received rave reviews from his facelift patients for the natural, refreshed results he has achieved for his patients. View his before and after pictures here.
Are you ready to turn back the clock? Call now (415) 898-4161 for a personal consultation with Dr. Delgado.
No Butts About it!
Gravity affects many parts of the body as we age, and the buttocks are no exception. Have you noticed your butt is starting to sag and lose some of its firmness?
Today there are many celebrities such as; Kim Kardashian, Micki Minaj, and Jennifer Lopez who have made a shapely, full butt, an obsession with Hollywood, and Hollywood is the trend setter for much of the population. The American Society of Plastic Surgeons 2016 statistics reveals an all-time high in butt enlargement with an increase of 26% over 2015.
Plastic Surgery’s Brazilian Butt Lift
The Brazilian butt lift is accomplished with fat removal by liposuction from one part of the body and then transferring the fat to the buttocks. However, some patients do not have enough fat to transfer or do not want a surgical procedure. These patients may be excellent candidates for the Sculptra Butt Lift.
Now a Non-Invasive Butt Enhancement
Sculptra, which is an FDA approved volumizer, stimulates natural production of collagen and has shown to be effective in restoring a more youthful butt. The Sculptra enhanced butt procedure is more subtle than the surgical procedure but has the advantage of no recovery time except for some bruising that may last one to two weeks.
Dr. Miguel Delgado, M.D. is one of the only board certified plastic surgeons in the San Francisco Bay area trained to use a series of micro-injections of Sculptra for butt enhancement. Having performed many butt lifts with Sculptra, Dr. Delgado states the results can last up to 3 years. The number of treatments will be dependent on the results the patient wants to receive.
If you are looking to lift sagging buttocks, call today (415) 898-4161 for a consultation with Dr. Delgado to learn what options may be available to you.
Contradiction of Terms
The use of breast implants with a breast reduction sounds like a contradiction of terms. However, there are rare occasions where implants are used.
The goal of breast reduction is to remove enough fat and tissue to give a woman relief from her large and pendulous breasts. However, a breast reduction may leave the breast lacking upper pole fullness.
Upper pole fullness can be accomplished by using the patient’s own tissue and this is the preferred method. The tissue that is being removed during surgery may be moved into a pocket created in the upper pole. Using a patient’s tissue can get a great result, but for some patients the tissue may have a tendency to gravitate South over time and they might request that an implant is used.
*Results may vary
The Use of Breast Implants
Miguel Delgado, M.D. prefers to use the patients tissue and not breast implants due to constant issues with implants. However, some patients request implants for fullness of the upper pole, and so on rare occasions, Miguel Delgado, M.D. will accommodate his patients, but it is not his preference.
Plastic surgeons have opposing opinions on the use of breast implants with a breast reduction. It is important that a woman sees a Board Certified Plastic Surgeon who specializes in breast surgery. The breast reduction patient needs a surgeon who will take the time to be sure she understands all the options of surgery and what will be best for her.
Miguel Delgado, M.D. discusses in detail all options of breast reduction surgery with his patients and makes sure all questions have been answered.
If you have been considering breast reduction surgery, call today (415 898-4161) for a personal meeting with Miguel Delgado, M.D.
★★★★★ Ratings: 4.74 -118 Reviews
Breast Shape After Breast Augmentation
Many women are concerned about the shape of their breasts shortly after breast augmentation. This is understandable, especially when a woman makes the decision to get a breast augmentation, and the look is not at all what she expected. Plastic surgeons tell their patients that they must be patient and that the shape and sometimes the size will be changing with time.
Right after surgery, the implants usually sit higher on the chest and appear very full and swollen in the upper pole, (the area above the nipples.) It usually takes 3 to 4 months for the body to create new skin to accommodate the breast implants; this is known as “tissue expansion.” With the help of gravity, the implants will settle into their new position. The volume of the implant moves from the upper breast to the lower breast for a more natural look.
*Results may vary
Drop and Fluff for a Natural Look
Most breast implants are placed behind the muscle and referred to as “sub-muscular.” The muscle provides soft tissue coverage but the space behind the muscle is tight and can take a while to stretch out and allow the implant to drop into place, or what is referred to as “drop and fluff”. As the shape and appearance change, the breast will soften and become more round and natural looking. Massaging the breasts can help speed up the settling of the implants.
As everything starts to relax and stretch, the lower pole fills out with the implant. Imagine pressing the palm of your hand down on a soft rubber ball, and it flattens out, and then as you slowly release it, it goes back to its round shape. Some women end up with larger appearing breasts as they drop into place and “fluff out.”
Breast Shape May Change Post-Operatively
The process can be short or may take 6 months or more; it is different for everyone. Miguel Delgado, M.D. advises his patients to wait before investing in new bras until the breasts have dropped into place as the size will most likely change.
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★★★★★ Ratings: 4.74 -118 Reviews
Breast Reduction Goals
As noted on this website, there are several different breast reduction procedures. The amount of fullness will depend on the technique used, the talent of the surgeon, the quality and firmness of the breasts prior to surgery. Usually when the nipple maintains its blood supply, fullness for the upper pole tends to be maintained.
By definition, a breast reduction surgeon’s goal is to reduce the volume of the breast. However, Miguel Delgado, M.D.’s objective, in addition, is a natural appearing shaped breast.
Avoiding “Bottoming Out”
The inverted T is usually for larger breasted women, but over time the skin may stretch out resulting in “bottoming out.” There are techniques surgeons use to try to prevent bottoming out such as positioning the breast pedicle to a more superior position. Some surgeons use internal sutures.
The short scar technique, also known as the lollipop, or vertical breast reduction, maintains fullness better with less bottoming out. The short scar technique is a very popular procedure for women with moderate sized breasts.
Some techniques can leave the breast looking boxy and flat. Other techniques rely on internal shaping to give the breasts projection and natural looking fullness. The surgeon’s goal is not to remove tissue above where the nipple will be placed, maintaining maximum fullness in the upper pole.
Patience for Patients
The patient must be “patient” and allow time for the breasts to settle into their new position. Unfortunately, for some women, over time gravity may cause their breasts to sag, or they may lose fullness due to pregnancy, weight fluctuations, and aging. Breast reduction patients need to have realistic expectations.
Communication with your surgeon as to your goals is most important. Be sure to view before and after pictures so you can get a clear idea of what results you might expect.
Board Certified Plastic Surgeon Miguel Delgado, M.D. has been performing breast reduction surgery since 1988. His reduction mammoplasty results are excellent; making breast reduction one of the most pleasing procedures he performs according to his patients, whose only complaint is that they wish they had the surgery sooner.
Schedule a Consultation!
Call today (415 898-4161) or email ([email protected]) for a consultation or to answer any questions you may have.
★★★★★ Ratings: 4.74 -118 Reviews
30,000 Questionnaires Sent
Each year the American Society for Aesthetic Plastic Surgery (ASAPS) that was founded in 1967 publishes statistics for both cosmetic surgical and non-surgical procedures. Board Certified Physicians from many different specialties contribute to ASAPS statistics.
A questionnaire was sent to 30,000 Board Certified Physicians, including; 7,500 plastic surgeons, 10,500 otolaryngologists, and 12,000 dermatologists. The questionnaires were compiled and analyzed by an independent research firm, Industry Insights, Inc. from Columbus, Ohio. The survey results were plus or minus a 3.45% error and a level of 95% confidence.
$12 Billion a Year on Cosmetic Procedures
For the past two years, Americans have spent $12 billion a year on cosmetic procedures; this is more than any year since 2008.
For 2014, breast reduction remains a very popular procedure with 114,470 cases reported, just slightly less than 2013 but with an increase of 139.1% since 1997.
Breast Reduction Most Patient Pleasing Procedure
Miguel Delgado, M.D. states that breast reduction or reduction mammoplasty remains one of the most patient pleasing procedures that he performs.
For non-surgical procedures, Botox remains number one, year after year! Botox has an astounding increase of 6407% since 1997.
If you have been considering breast reduction surgery, you are invited to call (415 898-4161) or email ([email protected]) for a personal consultation with Miguel Delgado, M.D.
®★★★★★ Ratings: 4.74 -118 Reviews®
LIFESTYLE LIFT® ONE SIZE FITS ALL?
If you watch television at all, you are most likely familiar with the multiple ads for Lifestyle Lifts. The ads claim that the procedure does not need to be performed under general anesthesia, but local anesthesia and the recovery is much shorter than for a modern facelift. Many of Miguel Delgado, M.D.’s patients have asked him about the Lifestyle Lift® and ask if he performs it. The answer is no. He does the modern facelift and says that it needs to be done under general anesthesia to keep the patient the most comfortable and to be sure that the patient does not move around during such delicate surgery.
Patients are swayed by the infomercial, and many do not bother to seek a second opinion and, therefore, are not aware of what options may be available to them. If additional procedures are to be added, such as eyelid surgery, there will be additional fees. They are sold on the “concept,” not the surgery; all patients receive the same basic facelift. The cost is appealing to many at $4,000 or $5,900 coming in well below the cost of a regular facelift.
When patients come in for a consultation at Lifestyle Lift, they are met with a plastic surgery consultant who is not required to have any type of plastic surgery training. They are met with a very hard sale, and many have paid a surgery deposit before they even meet with the surgeon.
Lifestyle Lift employed 100 doctors in various offices and 10 doctors that were in private practice, they were trained to perform the Lifestyle Lift. There have been over 100,000 Lifestyle Lifts performed since 2001.
In 2009, Lifestyle Lift agreed to pay the State of New York $300,000 in penalties in a settlement for publishing false endorsements, some of which were published on the popular website of RealSelf. There are multiple malpractice claims pending in Florida.
Lifestyle Lift May File Bankruptcy
On Monday, March 2, it was reported in the Wall Street Journal that the company abruptly closed most of its doors and that they may file bankruptcy. Employees were notified not to show up for work unless otherwise directed. These notices followed previous massive layoffs.
Many patients have been very disappointed with their results (see the reviews on RealSelf). Remember the Lifestyle Lift is only as good as the surgeon performing it.
Just as this blog was to be posted, The American Society for Aesthetic Plastic Surgery, Inc. posted in the Aesthetic Society E-News that on March 11, 2015 Lifestyle Lift filed for bankruptcy. They filed chapter 7 which means there will be no restructuring of debt and thereby ending the 14 year old business.
Miguel Delgado, M.D. has been a Board Certified Plastic Surgeon since 1988 and has extensive experience and training in all facial surgeries. If you have been considering a facelift, please be sure to see a Board Certified Plastic Surgeon.
Find out what options are available to you, call (415 898-4161) or email ([email protected]) to arrange a personal consultation with Miguel Delgado, M.D.
★★★★★ Ratings: 4.74 -118 Reviews
Breast Reduction by a Dentist?
As unbelievable as it sounds, state laws allow any licensed physician to call themselves “cosmetic” or “plastic surgeons,” even if they do not have training as a surgeon! If a doctor is wearing a white coat, it does not mean he/she is qualified; this is referred to as “white coat deception.”
There are numerous incidents of botched plastic surgery cases by unqualified doctors. See for yourself and Google “botched breast reduction” and you will see multiple horror stories of women who ended up with; misshaped breasts, horrific scars, nipple loss, infection and more. Fox News reported a few years ago about a dentist from Oregon, who was sued for a disfiguring breast reduction done on a 15 year old girl.
Choosing Your Breast Reduction surgeon
Dr. Delgado states that this can be avoided if you do your homework when choosing your surgeon. In order to avoid a doctor who advertises as a “plastic surgeon” ask this specific question, “is the doctor Board Certified in Plastic Surgery?” If you feel uncomfortable asking, you can go online to the website for American Society of Plastic Surgeons (ASPS) and go to “find a Plastic Surgeon.” All plastic surgeons that are members are Board Certified. Another thing to check online is your state medical board, see if there are any complaints or lawsuits filed.
Board Certified Plastic Surgeons have had extensive training and must complete a minimum of 5 years of surgical training after medical school. They must complete a residency program in plastic surgery which gives them “in-depth” training of the face and body.
Safety for the Breast Reduction Patient
Plastic surgeons are trained to handle all types of emergencies including; circulation, ventilation, electrolyte balance, etc., which are all critical to the safety of the patient.
Schedule a Consultation Today!
With all the years of training, plastic surgeons develop outstanding technical skills and aesthetic judgment. Dr. Delgado has been a Board Certified Plastic Surgeon since 1990 and is a breast reduction specialist. Call today for a consultation at (415 898-4161) or email ([email protected]).