Dr. Miguel A. Delgado
Dr. Miguel A. Delgado M.D.,F.A.C.S.
Address: 165 Rowland Way Suite 300 Novato, CA 94945
Address: 450 Sutter Street Suite 2433 San Francisco, CA 94108
Dr. Miguel A. Delgado is a plastic surgeon with offices in Novato, CA and San Francisco. His experience in completing plastic surgery procedures stems from the ‘80s, making him one of the most experienced and viable California plastic surgeons. He is also world-renowned for his male breast, or gynecomastia surgeries. Dr. Delgado is passionate about plastic surgery and is constantly on the lookout for the latest techniques available in this field to offer the best solutions for his patients. He remains wary of new technologies, though, and waits to see how they fare before incorporating them into his office.
Q: What are your credentials?
Dr. Delgado: I am a board-certified by the American Board of Surgery. I hold membership in the American Society of Plastic Surgery. I trained at some of the most prestigious academic institutions in the country. I first graduated with honors from medical school at University of California San Francisco and then interned with a residency at Johns Hopkins University teaching hospital in Baltimore, Maryland. I completed a plastic surgery residency at Stony Brook University Medical Center in East Meadow, New York. I began my career in 1988, when I joined as a staff member of Kaiser Permanente Medical Group in San Rafael, California. Only a year later, I opened my private practice, the Marin Cosmetic Surgery Center in Novato, California and my career took off from there. I opened another plastic surgery practice in San Francisco.
Q: What sets you apart from other plastic surgeons?
Dr. Delgado: I run a comprehensive plastic surgery practice. I do plastic surgery procedures on the face, the breasts for men and women, the thighs, buttocks, arms and midsection. I also offer several noninvasive procedures. I don’t just operate on out-of-town patients; my patients hail from all over the United States and the world. I have performed procedures on patients from Canada, Australia, Europe, Thailand, Pakistan and Afghanistan. I am also internationally recognized for my gynecomastia, or male breast surgery, for my development of new techniques on the surgery. I am the owner of www.gynecomastia.org, the world’s largest gynecomastia forum. I myself have travelled great distances to volunteer my surgical expertise, primarily to South America to help an economically disadvantaged and underserved populace. I have performed life-changing operations for patients suffering from disfigurements from burns and birth defects, including cleft palates and lips.
Q: Have you gotten any praise?
Dr. Delgado: My Marin Cosmetic Surgery Center has been honored by notable visits from the media, including the BBC (British Broadcasting Corporation), Discovery Australia and Fox News. All of these outlets have filmed documentaries at my practice that have been broadcasted throughout the United States and abroad. I have a hefty amount of national and international exposure, particularly with gynecomastia surgery and Mommy Makeover procedures, which is a kind of praise in itself.
Q: I am interested in getting a facelift. What kinds do you offer and how are they different from one another?
Dr. Delgado: A facelift is an excellent surgical procedure to rejuvenate the face with lifts on the parts that are beginning to droop or lose their elasticity as well as remove the appearance of folds and wrinkles. There are three types of facelifts I offer: the Short-Scar Facelift, the Mini Facelift and the Modern Facelift. The Short Scar Facelift is a relatively new procedure since around year 2000. The demand is strong, because the lift is significant and the incision is limited to the front of the ears. The keystone of this facelift method is that it lifts the deep structure. I suggest getting a Short-Scar lift for a patient who has minimal to moderate laxity of his/her skin. For these patients, the Short-Scar lift is a good option because it corrects what is required without over-operation. The Mini-Facelift involves only the skin. This is not a deep lift and does little, if anything, to improve the neck. If you pull the skin back and upwards in front of the ears, this will mimic the effect of a Mini-Facelift. Since it pulls only skin, it does not hold up well for more than a few years. The skin is not a strong structure and will stretch easily. This is a good option for those who intend to have future facial procedures or against invasive surgery. The Modern Facelift technique often includes an incision behind the ear and into the hairline. This is needed if a significant amount of redundant skin is present, especially in the neck. This lift is a gold standard and will typically last eight to ten years, so it is a good action for those seeking longer-lasting results.
Q: You’re well-known for gynecomastia surgery, but you also perform breast reduction surgery. What is that process like and who is a good candidate?
Dr. Delgado: Breast Reduction, or a mammoplasty is a surgical procedure that reduces the size and shape of the female breasts by removing excess skin and underlying breast tissue. Unlike gyneomastia surgery, which men get, a mammoplasty also reduces the size of the nipple-areolar complex, which frequently becomes enlarged as a result of breast development. The surgery creates breasts that are lifted, smaller and shapelier. In essence, the breasts still appear feminine but they weight less and cause less difficulty. A candidate may have incurred a variety of medical conditions such as shoulder grooving due to excessive weight on bra straps, back and neck pain, difficulty fitting into clothes, slumped shoulders and other postural changes, difficulty with physical activities, and irritation to the skin in the crease underneath the breasts. For these reasons, most insurance plans provide coverage for Reduction Mammoplasty procedures. However, it can be purely a cosmetic procedure for women who are self-conscious about their breast size and do not meet the requirements of the insurance company. I have extensive experience with Breast Reduction surgery as well as working with insurance companies who cover this type of surgery.
Q: What causes gynecomastia and can it be reversed?
Dr. Delgado: Gynecomastia is a physical condition of enlarged breasts among males that can lead to destructive psychological conditions that impair men and boys from living normal and healthy social lives. Gynecomastia is thought to be associated with weight gain and while this is partly true, there are other contributing factors that come into play. The first is puberty, which everyone experiences differently. This is the time when hormonal levels of both testosterone and estrogen surge. With low testosterone, a male sex hormone and high estrogen, the female hormone, the outcome brings on female-like breast tissue, which is the primary cause of gynecomastia. Another cause of male breasts can be attributed to the use of some drugs, and medications, but especially steroids. Hormone-secreting tumors, although rare, can cause some enlargement. Once men start approaching their sixties, testosterone levels naturally decrease and can result in breast development. Weight gain actually is considered pseudo-gynecomastia which is not to be considered as true gynecomastia. In this case, fat tissue alone is responsible for the enlargement, and affects many men who have gained a significant amount of weight. If the skin has not been stretched too much, weight loss can reverse pseudo-gynecomastia. Otherwise, gynecomastia can be reversed via gynecomastia surgery, which I am pleased to offer as my tour de force surgery.
Q: Do you offer any nonsurgical treatments?
Dr. Delgado: I offer minimally invasive surgeries and non-surgical procedures. For fat removal, my practices offer CoolSculpting, Ultherapy to tighten your face and neck, skin peels, skin care treatments, SkinMedica skin peels and injectables. My injectable fillers include the prominent Botox, Juvederm, Voluma, Belotero, Radiesse, Sculptura, and Artefill, which help remove wrinkles and volumize your face. I would be more than happy to discuss which of these is best for you. I also offer my own line of prescriptive pigment peels called DelgadoMD.
Q: Can the breast tissue return after gynecomastia surgery?
Dr. Delgado: This is probably the most sought-after question for guys who are considering this surgery. The good news is that in most cases, it will not. However, the tissue can be still stimulated by steroids or other medication usage which can ultimately result in the re-enlargement of the breast. If the patient gains weight, the amount of fat content will show up on the chest and body. If enough of the breast gland is removed during the surgical procedure, the male breasts will seldom return. Due to continued hormone stimulation, I have noted that for some adolescent gynecomastia patients that have had surgery at a young age, recurrence of their breasts seems to come at a higher rate.
Q: What happens if I am not happy with the results of the gynecomastia surgery?
Dr. Delgado: Having patients be extremely satisfied with their results is my mission. I understand that some results may not be optimal and may require further work. That is why I will not charge anything if a revision can be done in my office, known as an outpatient procedure. Likewise I will not charge a fee for my services if a procedure needs to be done in the surgery center, which is known as an inpatient procedure. However, there may be fees for the anesthesiologist and the surgery center.
Q: Rhinoplasty is a popular plastic surgery, how do I know if I am a good candidate?
Dr. Delgado: Rhinoplasty, or nasal reconstruction surgery, can be performed in both men and women at almost any age. But it is usually recommended that young people wait until their facial growth is complete, usually about 18-21 years old. You may be a candidate for rhinoplasty if you have a nose that is disproportionate to your other facial features, you have a noticeable hump or bump that can be seen on you profile, a widened nose, excessive flare of nostrils, a crooked nose, deformity from a previous injury, an asymmetrical nose, or an obstructed airway that causes breathing problems. Also if you have had a past rhinoplasty surgery and are not happy with your results, you may be a candidate for secondary revision. The issues related to a primary rhinoplasty can be under- or over-resection of tissue. The initial surgery may produce breathing difficulties. Many techniques exist today to reconstruct the nasal anatomy, both for function and aesthetic reasons.