Common Myths About Breast Reduction Surgery

July 9, 2018/0 Comments/in Breast Procedures, Breast Reduction, Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Results, Breast Reduction Risks, Breast Reduction Surgery /Posted by Dr. Delgado

Before and After Breast Reduction Surgery

Breast reduction surgery rates as one of the highest in patient satisfaction for elective plastic surgery. Surprisingly, there are several myths about the procedure that discourages many women from proceeding with surgery. Dr. Miguel Delgado, M.D. states that is unfortunate because most women who have undergone the procedure wish they had done it sooner as it significantly enhanced their quality of life.

Some of the inaccuracies that you should be aware of are:

Losing weight will reduce your breast size

• Breasts are composed of both breast tissue and fat. Losing weight may affect the breasts a bit but won’t reduce breast tissue. Also, when you lose weight, you can’t know where you will lose fat. The ratio of fat to breast tissue is different for all women. For those women that do have a high percentage of fat, losing weight may help if you could count on the fat loss coming off your breasts. Otherwise, liposuction is a good alternative for these women.

You can’t breastfeed after breast reduction surgery

• If you select an experienced Board Certified Plastic Surgeon, the chances are good that you will still be able to nurse if the nipple and areola are still connected to breast tissue. However, in some breast reduction cases, it is necessary to reposition the nipple/areola complex, and the ability to breastfeed may be somewhat compromised. With the passage of time, sensation may start to return, and lactation may be possible.

Women can choose their breast size.

•You can have a general goal for the desired breast size. However, some factors influence the final result, such as variations in surgery, and how the breasts heal. Showing your surgeon pictures of what size you are aiming for can be a big help, but results cannot be guaranteed.

Women should be happy with large breasts

• Some men and women with small breasts don’t understand why a large breasted woman would want a reduction. Having breast reduction surgery is a very personal decision. Many women suffer from back and neck pain, shoulder grooving from bra straps, rashes, not to mention difficulty exercising, and shopping for clothes that will fit them. For many women, surgery is medically advised.

Call today!

If your breasts have been causing you discomfort and you have wondered about breast reduction surgery, call for an appointment now (415) 898-4161, and consult with Dr. Delgado, to learn what options are available to you.

Newsbrief October 2015 the Mommy Makeover

October 1, 2015/0 Comments/in Body Procedures, Breast Procedures, Breast Reduction Patients /Posted by Dr. Delgado

Welcome to Dr. Miguel Delgado’s Newsbrief. This month we will discuss the exciting topic of the “Mommy Makeover.” The combining of procedures that will return a woman’s body to her pre-pregnancy state.
~ Enjoy

All Moms’ Deserve a Mommy Makeover!

God’s greatest gift is probably the ability to have children, however, it does come with a price. Mother’s give much of their time, their attention, caring, love, and for most their bodies, for their children. Without a doubt, most feel it is worth it. The toll on their bodies is a small price to pay for the joy they receive from their children.

It is believed that it is in women’s genes to nurture, love and sacrifice for their family. This is not to say that it can be very disheartening for women to deal with the effects of what childbirth has done to their bodies. From stretching of the skin, which can involve stretch marks, and loose sagging tummies, drooping deflated breasts and pockets of fat that just will not resolve no matter how much they diet and exercise.

San Francisco Plastic Surgeon Mommy Makeover

Before and After Mommy Makeover

*Results may vary

What better gift can a woman (husband or significant other) give to herself than a flat tummy, full and perky breasts, slim hips and thighs! Mothers, who are always giving to their family, deserve what a “Mommy Makeover” can do for her self-esteem and confidence.

Once her family is complete, it’s Mom’s turn to do something for herself. The Mommy Makeover is a surgical procedure that combines a tummy tuck with some type of breast surgery. It could be a breast augmentation, a breast lift or both, or even a breast reduction, and usually some liposuction.

The Mommy Makeover is tailored to the individual needs of the patient and remains one of the most people pleasing procedures performed. For some women, they feel they look even better than pre-pregnancy!

Call now (415) 898-41-61 or email ([email protected]) for a consultation with Miguel Delgado, M.D. to find out what combination of procedures will return you to your pre-pregnancy body!

San Francisco Plastic Surgeon Miguel Delgado, M.D.

Dr. Miguel Delgado

Miguel A. Delgado, Jr., MD 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. Dr. Delgado is a world-recognized specialist in the treatment of male breast enlargement, also called gynecomastia.

Dr. Delgado takes great pride in his plastic surgery specialty and constantly strives to keep abreast of the latest, most advanced techniques in order to offer his patients the best options available.

PROCEDURES:
Facial Rejuvenation | Body Contouring | Breast Enhancement
Male Specific Procedures | Skin Care Products | Non-Invasive Procedures

Phone: 415.898.4161
SAN FRANCISCO OFFICE
450 Sutter Street Suite 2433
San Francisco, CA 94108 NOVATO OFFICE
165 Rowland Way Suite 300
Novato, CA 94945

Breast Implants With a Breast Reduction?

May 23, 2015/0 Comments/in Breast Procedures, Breast Reduction, Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Results, Breast Reduction Risks, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Dr. Delgado

Miguel Delgado, M.D.
★★★★★ Ratings: 4.74 -118 Reviews

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.

Before and After Breast Reduction

*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.

Contact us!

If you have been considering breast reduction surgery, call today (415 898-4161) for a personal meeting with Miguel Delgado, M.D.

Will Breasts Remain Full After Breast Reduction Surgery?

April 14, 2015/0 Comments/in Breast Reduction Patients, Breast Reduction Recovery, Breast Reduction Results, Breast Reduction Risks, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ 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.

CASE DESCRIPTION: This is a 32-year-old resident of San Rafael, California who is seen in the Novato office in Marin County. She is 5 feet 4 inches, 130 pounds, and underwent a short scar vertical breast reduction at the Marin Cosmetic Surgery Center. Her size was reduced from a size F to a size C. The photographs are seen approximately nine months after surgery and the incisions are starting to fade quite nicely.

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.

Breast Reduction Surgery Statistics Announced

March 14, 2015/0 Comments/in Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Results, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ 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.

This is a 58-year-old San Rafael resident who was seen at the Novato office in Marin County for breast reduction. She is 5 feet 4 inches, 148 pounds. She underwent an inverted -T breast reduction at the Marin County Surgery Center. She had 400 grams removed from her right and 600 from her left side. She went from a size DDD to size C. The photographs are seen eight months after her surgery, note the scar to be fading nicely.

For non-surgical procedures, Botox remains number one, year after year! Botox has an astounding increase of 6407% since 1997.

Call Today!

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.

Choose a Board Certified Plastic Surgeon for Your Breast Reduction Surgery

February 16, 2015/0 Comments/in Breast Reduction Patients, Breast Reduction Results, Breast Reduction Risks, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ 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]).

Husband Upset About Wife’s Breast Reduction Surgery?

January 18, 2015/0 Comments/in Breast Reduction, Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Recovery, Breast Reduction Results, Breast Reduction Risks, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ Ratings: 4.74 -118 Reviews

Breast Reduction Obstacles

San Francisco, CA-Some women in need of breast reduction surgery may find some difficult obstacles they need to overcome before proceeding. There may be issues in getting time off work, arranging for help with children and household duties, someone to pick them up after surgery and give post-operative care for 24 hours.

Dr. Delgado says the most challenging complication may be a husband or significant other who is against the surgery. Many men like their wives the way they are and are very fearful of them having surgery.

Before and After Breast Reduction Mammoplasty Surgery

This is a 23-year-old resident of San Francisco and seen in the Marin County Office for a breast reduction. She is 5 feet 2 inches, 167 pounds. She underwent an inverted T breast reduction at the Marin Cosmetic Surgery Center. She went from a size DDD to a C cup in size. The photographs are approximately nine months after surgery. Note the nicely fading incisions.

Getting support from your husband can be a big help, so being sensitive to his feelings is definitely something to consider. Here are some suggestions of what you can do to bring him around:

1. Take him to meet your surgeon, let the surgeon explain how the surgery is done.
2. Have your husband see before and after pictures of other patients
3. Be sure he feels comfortable to ask the surgeon any questions he may have
4. Have you explained why you want the surgery?
5. Back and neck pain?
6. Rashes under the breasts?
7. Difficulty in fitting into clothes off the rack?
8. Inability to participate in sports and/or exercise?

Remember the unknown can be scary, the more your husband understands, the less apprehension he may have.

The New You

If you decide to proceed without your husband’s support, as many women do, be patient, give him time to adjust. You may want to wait until most of the healing has taken place before revealing your new breasts. Perhaps you could buy some sexy new nighties and clothing that will show off your new figure.

In any case, he will probably appreciate the new you, a woman who is happy with herself and pain free for the first time in many years.

It’s Easy to Schedule a Consultation!

If you are considering breast reduction surgery, you are invited to bring your husband to a consultation with Dr. Delgado, who will explain exactly what can be expected from surgery and answer all your questions. Dr. Delgado will show both of you many before and after pictures of women just like you that say their only misgiving is that they did not have the surgery years ago. Dr. Delgado, a Board Certified Plastic Surgeon, has been performing breast reduction surgery for men and women since 1988.

Call today for an appointment (415 898-4161) or email ([email protected]), you’ll be glad you did!

Breast Reduction Surgery and a Free Nipple Graft

December 19, 2014/0 Comments/in Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Results, Breast Reduction Risks, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Breast Reduction Options

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ Ratings: 4.74 -118 Reviews

Breast Size Matters

Dependent on how large a woman’s breasts are will determine which type of breast reduction surgery is recommended. It is imperative that a woman seeks a Board Certified Plastic Surgeon that specializes in breast surgery. The surgeon will be able to help her determine which procedure will give her the results she desires.

Women with extremely large breasts are divided into two groups, gigantomastia and macromastia. Gigantomastia is where more than 1500 grams needs to be removed from each breast and macromastia refer to women that need just less 1500 grams removed from each breast during breast reduction surgery, also known as a reduction mammoplasty.

Free Nipple Graft Versus the Pedicle Method

Dr. Delgado explains to his breast reduction patients that when such a large amount of tissue needs to be removed it may be necessary to perform a free nipple graft. A free nipple graft (FNG) is when the nipple areola complex is completely removed and transposed without a blood supply, skin and glandular pedicle.

The pedicle method is the preferred method for breast reduction; this is where the nipple areola complex remains intact and is moved higher on the breast mound, typically preserving sensation and function. However, a woman with gigantomastia and many with macromastia will be limited to how much the breast can be reduced. It is very difficult to protect the pedicle when large amounts of breast tissue are removed. Shaping a breast around a pedicle is very challenging, and the resulting shape may be disappointing.

Risks of the Free Nipple Graft

Some of the risks with a free nipple graft are:
• The graft might not look natural
• The color of the nipple areola complex may fade
• Loss of the ability to breast feed
• The graft might not survive
• Probable loss of sensation

Dr. Delgado has observed that some of his patients have regained sensation, but it could take up to six months. As far as the viability of the graft, he states his results have been excellent. In some cases they may have partial take but less than 1 percent loss.

This is a 45-year-old San Francisco resident seen in the San Francisco office. She is 5 feet 5 inches, 220 pounds, with size GGG breasts. She underwent an inverted T free nipple breast reduction due to the extreme size of her breasts. She is seen four months after surgery with early healing, but note the nice size and shape of her breasts. She went from GGG to a D cup.

As a guideline, a woman who has over 20 cm from the inframmary fold to the nipple may be a candidate for the free nipple graft. Older women seem less concerned about loss of nipple sensitivity and will opt for the FNG in order to have a smaller size. This is a highly individualized procedure where an expert breast reduction surgeon needs to be consulted. Patient input is very important for the surgeon to help guide her in the right direction.

Dr. Delgado, a breast surgery specialist since 1989, has been performing breast reduction surgery for both men and women. The procedure for breast reduction for men is referred to as gynecomastia. Anyone suffering from large breasts is invited to call (415 898-4161) or email ([email protected]), for more information or to schedule a personal consultation.

Can Breast Reduction Surgery be Combined With Other Procedures?

November 14, 2014/0 Comments/in Breast Reduction Patients, Breast Reduction Recovery, Breast reduction surgeon, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

★★★★★ Ratings: 4.74 -118 Reviews

For San Francisco Bay Area women who decide to proceed with a reduction mammoplasty surgical procedure, it is not unusual for them to ask if other procedures can be done at the same time.

Dr. Delgado does multiple procedures frequently as long as the patient is healthy. For example, the popular Mommy Makeover can include a tummy tuck, liposuction and breast augmentation, breast lift or breast reduction. Men who elect to have male breast reduction surgery, known as gynecomastia, also frequently combine additional procedures.

This is a 35-year-old resident of Mill Valley, California who presented to the Novato office in Marin County for evaluation of a tummy tuck (abdominoplasty). She had a large weight loss due to diet and exercise. She underwent a full tummy tuck, breast reduction and liposuction of her flanks. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California.

Breast reduction is usually done as an outpatient procedure, however, if additional procedures are going to be added, an overnight stay will most likely be necessary. It is not surprising that many women choose to add procedures so that they can take advantage of their time off for recovery, and to save time and money. The amount of surgery to be done will depend on the patient’s health and Dr. Delgado’s evaluation of what is appropriate.

Dr. Delgado has his own private surgery center that offers his patients the best concierge care. Marin Cosmetic Surgery Center (MCSC) is accredited by Medicare and the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (Quad A), meaning it meets the highest of standards. In the rare event of a medical emergency, Novato Community Hospital is just steps away.

Patients who stay overnight will have a registered nurse who is certified in “advanced cardiac life support” (ACLS) and an additional staff member for further comfort and safety. The surgery center has its own entrance providing privacy for Dr. Delgado’s patients.

During your initial consultation, Dr. Delgado will be glad to discuss any and all of your cosmetic surgery goals and determine what combination of procedures is feasible and safe. Call today (415 898-4161) or email ([email protected])for your personal consultation with Dr. Delgado and find out what options are available to you.

Can Uneven Breasts be Corrected During Breast Reduction Surgery?

September 26, 2014/0 Comments/in Breast Reduction, Breast Reduction Benefits, Breast Reduction Patients, Breast Reduction Results, Breast Reduction Surgery, Uncategorized /Posted by Miguel Delgado

This is a 52-year-old patient who resides in San Francisco. She was seen in the San Francisco office at Union Square for a breast reduction. She is the mother of two children. She is 5 feet 5 inches, 140 pounds. She underwent a vertical short scar breast reduction in which her size was reduced from a DD to size C. In addition she had a tummy tuck and liposuction at Marin Cosmetic Surgery Center at the same time. This is also termed a mommy makeover. The photographs show her at approximately six months after surgery.

It is quite common for women to have uneven breasts. They may be uneven in volume or different nipple shape or size, or uneven nipple position or the breasts may be different shapes. Some women choose to live with their asymmetry while others seek options to even them out. Especially if the woman has a hard time finding bras to fit without having to pad one side, and/or finding clothes to fit properly.

Today there are many ways to achieve symmetry and have the breasts nicely contoured. During a consultation with Dr. Delgado, he will explain all options and determine what the patient wants her breasts to ultimately look like.

There are several reasons that the breasts may be asymmetric, including; location of the nipples, location of the breast fold, amount of breast tissue, previous biopsies, congenital deformities such as Poland syndrome.

For the woman that has uneven breasts, it is common to reduce one or enlarge one to achieve symmetry. There can be quite a combination of procedures to achieve this such as; a breast lift, breast reduction, breast implants and fat transfers.

In a study done by the American Society of Plastic Surgeons, women who have had surgery to correct breast asymmetry and/or breast reduction, have a significant increase in self-esteem. Dr. Delgado has found this to be true with his patients, over and over again.

If you have asymmetric breasts and/or are in need of a breast reduction, you are invited to call (415 898-4161) or email ([email protected]) for a consultation with Dr. Delgado, who is a breast surgery specialist.

Dr. Delgado, a breast surgery specialist, has been doing all types of breast surgery; breast augmentation, breast lift, breast revision, breast reduction and male breast reduction, since 1988.