Gynecomastia Surgery Video Just Released by San Francisco Cosmetic Plastic Surgeon Miguel Delgado, M.D.

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Miguel Delgado, M.D. has been specializing in gynecomastia surgery since 1989 clearly making him an expert in the field. In his pursuit to educate men of the availability and procedures of treatment for this debilitating condition, Miguel Delgado, M.D. has produced a comprehensive 6 part video showing the entire journey of a patient from consultation to the final post operative visit.

Dr. Randy Gaynor the anesthesiologist with
Miguel Delgado, M.D.

Dr. Randy Gaynor the anesthesiologist with Miguel Delgado, M.D.

Veiwing gynecomastia videos such as these demystifies the process for men and provides a supportive reference.

According to the American Society of Plastic Surgeons, Gynecomastia surgery or male breast reduction, is one of the top five surgical procedures for 2011, up 8% from 2010. As more men become aware that the procedure exists, Miguel Delgado, M.D. saw a need to produce a video for men to watch in the privacy of their home so they can learn what gynecomastia surgery entails. An actual patient of Miguel Delgado, M.D.’s allowed his journey to be videotaped in its entirety for the education of men with this condition.

The first part of the video is the initial consultation and exam. Questions and answers are exchanged between Miguel Delgado, M.D. and the patient. The patient is shown before and after pictures of actual patients with varying degrees of male breast development. Miguel Delgado, M.D. goes into detail of how and why he does the surgical procedure the way he does. He states that 40% of his male breast reduction cases are a redo of surgeries performed elsewhere, in most cases this is because the surgeon used liposuction alone and not the necessary excision of the breast tissue itself.

Part two of the video is the pre operative exam. Miguel Delgado, M.D. demonstrates the use of the compression vest that must be worn 24/7 the first 6 weeks after surgery. For maximum comfort of the patient, Miguel Delgado, M.D. designed his own compression vests. The first stage vest has pockets to hold the drains. After a few days, the patient is switched to the second stage vest which is even more comfortable. The video shows the nurse explaining how to measure and empty drains. Dr. Gaynor, the anesthesiologist, will then meet with the patient to ask about previous surgeries, medications and allergies. He then explains what he will be doing before and during surgery. Miguel Delgado, M.D. and Dr. Gaynor agree that when patients understand what, and why things are happening, the patient's level of anxiety is greatly reduced.

Part three is the actual surgery; Miguel Delgado, M.D. explains what he is doing as he goes along. After the initial liposuction, he begins to remove breast tissue, stating that it needs to be done a little at a time in order to get the proper sculpting, feathering it out so as not to remove too much which could create a crater deformity. At the end of the surgery, the patient is taken to the recovery room where the first stage vest is placed on the patient’s chest.

Part four is the first post operative visit, usually 3 days later. Miguel Delgado, M.D. shows the surgical results at this time and removal of the drains. He reminds the patient that he must continue to wear the vest 24/7 except for when showering which now that the drains are out he is allowed to do.

Part five is the second and third post operative visits, showing suture removal, and adjustment of the vest. Miguel Delgado, M.D. states at the 5th or 6th week the patient may resume exercise and start silicone application for scar management.

Part six is the 3 month exam and the patient’s impressions of his surgical experience at the 6 month mark.

The video ends with impressive side by side before and after photos.

Miguel Delgado, M.D. holds the two credentials most coveted by plastic surgeons practicing in the United States, namely certification by the American Board of Plastic Surgery and membership in the American Society of Plastic Surgery. He has his own fully accredited surgery center and two offices located in the Bay Area, San Francisco and Marin. For more information visit or call for a consultation at (415) 898-4161.

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