MALE BREAST REDUCTION SURGERY (GYNECOMASTIA) BY DR. ZUCKERMAN IN NEW YORK CITY

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gynecomastia, male breast reduction, before and after, frontal view

Gynecomastia correction, or male breast reduction, by Dr. Zuckerman. Frontal view. Patient pictured before and two months post-op. Patient required direct excision of male breast tissue and therefore inframmary fold incisions. Some patient may be able to be treated with liposuction alone, thereby avoiding this incision.


Introduction to Male Breast Reduction Surgery (Gynecomastia)

Men who have excess breast and glandular tissue suffer from the medical condition known as gynecomastia and may be good candidates for male breast reduction surgery by Dr. Zuckerman, a permanent method of addressing these issues. While not often discussed, this condition is relatively common, affecting up to half the male population and is the second most commonly performed male plastic surgery procedure. It can occur in both those who are overweight and those who are not. If you experience anxiety about your appearance that prevents you from participating in normal activities such as sports, gym exercise, or simply removing your shirt in front of others, you may be a good candidate for this surgery. Male breast reduction surgery is very effective at reducing the appearance of enlarged male breasts through the removal of excess skin and breast tissue. Gynecomastia is not something a person just has to learn to live with. Depending on the severity of the condition, Dr. Zuckerman may able to treat it with liposuction alone, creating no external horizontal scarring outside of millimeter width “poke holes”.

The cause of gynecomastia is multifactorial, and male breasts can also develop at a range of ages from adolescence to middle age and may occur due to a variety of factors. Male breast reduction surgery by Dr. Zuckerman can not only improve the appearance of your chest area, but it can also restore one’s confidence and mental well-being. Dr. Zuckerman performs this procedure in the accredited operating room facilities inside his office for maximum discretion, privacy, and comfort. He is an expert in both male and female aesthetic breast surgery and was trained in plastic surgery at some of the most elite institutions in the world including Brown University and New York University (NYU). He will work with you to ensure the most efficacious treatment possible in a safe, comfortable, and private manner.


Male Breast Reduction Surgery (Gynecomastia)

Am I A Candidate For Male Breast Reduction Surgery?



Gynecomastia can develop for a number of reasons and while it typically appears in adolescence, it may develop later in life as well. The condition is characterized in males by an enlargement of the breasts due to excess skin, fat, and in more severe cases glandular tissue. Excess deposits of fat in this region may be difficult or impossible to eliminate even with a healthy lifestyle of diet and regular exercise. If you experience anxiety about your appearance in public or during exercise due to your enlarged breasts, you may be a good candidate for this surgery. In some cases, male breasts can lead to psychological issues or depression, as a result of a feeling of isolation and stigmatization. Gynecomastia is multifactorial, but is often due to irregularities in the production or regulation of the hormones testosterone and estrogen which, despite a common misconception, is present in males. The condition may also present due to the blocking of testosterone by certain medications or underlying endocrine conditions. Male breasts may be caused by one of more of the following factors:

  • Some medications: Medications containing the hormone estogen or anti-androgens, which block the body’s use of testosterone, for example those used in the treatment of prostate cancer or enlarged prostate. In addition, medications including diazepam (Valium), antidepressants, chemotherapy drugs, and others may also be responsible for the condition of enlarged male breasts.
  • Use of anabolic steriods: Unfortunately, attempts to build your muscle mass and sculpt your body may have unintended consequences.
  • Drugs: Use of alcohol, marijuna, and other drugs has been shown to affect gynecomastia. If you use marijuana excessively, Dr. Zuckerman may recommend eliminating such usage before attempting to undergo surgery.
  • Underlying genetic conditions: Klinefelter Sydrome and other testicular function problems.
  • Tumors: Some tumors may also affect hormone regulation and be responsible for gynecomastia.
  • Obesity: While not the only cause of this condition, it is more prevalent in those who are overweight.
  • Aging: Over time, the distribution of fat deposits may change, leading to an increase in the appearance of breast tissue.
  • Other conditions: Liver failure / cirrhosis, kidney function issues, or thyroid gland problems may all contribute.

Because this condition has several potential causes, there are few strict inclusion criteria for candidate patients, but Dr. Zuckerman will recommend an appropriate medical work-up before surgery. This may include an endocrine panel, testicular exam, and thorough medical history to determine causation. The surgery can be performed on young men, possibly even those under twenty years of age, but requires the appropriate candidate. In addition, in some cases insurance may cover part or all of the cost of surgery.

Dr. Zuckerman does recommend that those who are above a maximum BMI lose weight through diet, exercise, and other methods before undergoing gynecomastia correction surgery. It is also important that patients who undergo this surgery have enough skin elasticity to ensure adequate postoperative skin contraction. Consequently, those who have significant sun damage, are age fifty or older, or have undergone significant weight loss may not be good candidates. Dr. Zuckerman will discuss with you at your initial consultation after a brief physical exam if your skin elasticity is adequate to allow for a successful operation. Dr. Zuckerman also recommends you cease excessive drinking of alcohol and use of marijuana for a period before undergoing gynecomastia correction surgery. If you are a male in good health and have reasonable expectations for your aesthetic appearance, you could be a good candidate for this surgery.

Dr. Zuckerman will help you evaluate your candidacy in a private cosmetic surgery consultation in his midtown Manhattan office. He encourages you to ask any and all questions you may have including any questions on causation of your condition, surgical outcomes, if weight loss before surgery is necessary for you, and if your skin elasticity is sufficient. Surgery can help you eliminate excess skin and breast tissue to achieve a more contoured, athletic chest, and it may also significantly increase your self-confidence and lower anxiety during daily activities.




Male Breast Reduction Surgery (Gynecomastia)

Male Breast Reduction Surgery in Detail



An illustration of the three possible ways that Dr. Zuckerman may perform male breast reduction surgery in increasing severity. Top: Liposuction only, Middle: Liposuction plus areolar incision, Bottom: modified Roberts pattern. Source: ASPS

An illustration of the three possible ways that Dr. Zuckerman may perform male breast reduction surgery in increasing severity. Top: Liposuction only, Middle: Liposuction plus areolar incision, Bottom: modified Roberts pattern. Source: ASPS

Depending on the degree of enlargement, Dr. Zuckerman will approach your male breast reduction surgery in one of three ways as described below.

Male Breast Reduction with Liposuction Alone (Mild to Moderate Cases)

For mild to moderate cases, Dr. Zuckerman will remove fat in breast area via liposuction alone, which avoids any incisions outside of small poke holes in a few regions of the breast area. Liposuction incisions are only a few millimeters across and typically heal to essentially imperceptible scars, which is one of the reasons liposuction is the most popular cosmetic plastic surgery procedure of the body nationwide. This method also minimizes recovery and downtime. This approach is demonstrated in the top diagram at left.

Male Breast Reduction with Periareolar Incision (Moderate Cases)

For moderate cases, Dr. Zuckerman will combine the above liposuction-based approach with an incision around the bottom half of the nipple areolar complex. The areola is the more darkly pigmented area around the nipple. This approach is demonstrated in the middle diagram at left. He will remove breast glandular tissue via direct excision and with liposuction. After surgery, the patient will have a relatively invisible scar along the border of the areola. Perioareolar, or around the areola, incisions are commonly used in female breast reductions and breast augmentation as well, because they camouflage nicely with the more pigmented tissue on the border of the areola.

Male Breast Reduction with Under-Breast Incision (Severe Cases)

For more severe cases of gynecomastia, Dr. Zuckerman will employ what is known as a modified Roberts pattern. In this case, the patient will have an incision along the fold below the breast after surgery. It is also possible to perform male breast reduction surgery by making small incisions hidden in the armpit. Dr. Zuckerman will then remove excess skin, deposits of fat, and breast glandular tissue.

Depending on the surgical approach Dr. Zuckerman recommends for your procedure, he will perform your male breast reduction procedure as an outpatient under local anesthesia / sedation or general anesthesia. He more often recommends general anesthesia for its safety, comfort, and possibly better surgical outcomes. See the liposuction guide for more information on the tradeoff between local versus general anesthesia. The length of the procedure will vary with the approach taken, but most procedures are completed in under two hours with the liposuction approach being the shortest. You may undergo surgery at Dr. Zuckerman’s state-of-the-art, fully equipped operating room located inside his office in midtown Manhattan. This operatory facility has been certified by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF), certifying it as a facility that offers an equally high standard of care as a hospital. The privacy, discretion, and convenience of Dr. Zuckerman’s private in-office operating room facility is an exclusive benefit of Zuckerman Plastic Surgery that many patients appreciate. Should you desire, you may also undergo surgery with Dr. Zuckerman at Manhattan Eye, Ear & Throat Hospital, a major hospital in Manhattan in the Northwell system where all types of breast, body, and face cosmetic surgery procedures are performed. Dr. Zuckerman is on staff in the department of plastic surgery for Northwell system hospitals in Manhattan among others.



Male Breast Reduction Surgery (Gynecomastia)

Male Breast Reduction Surgery Recovery



Recovery from the procedure varies with the surgical approach taken, but most patients can resume normal activities within a few days. Some degree of swelling and discomfort should be expected immediately after surgery. On the day of surgery, Dr. Zuckerman applies a long-acting local anesthetic called EXPAREL® for all male breast reduction patients. Whereas most traditional pain medicines last up to a maximum of twelve hours, EXPAREL® gradually releases medication to a particular region for up to three days. This approach is a significant departure from previous techniques and minimizes postoperative pain and discomfort. Patients may even avoid the need for narcotic pain medication altogether.



Male Breast Reduction Surgery (Gynecomastia)

Male Breast Reduction Surgery Before and After by Dr. Zuckerman



gynecomastia, male breast reduction, before and after, left oblique

Gynecomastia correction, or male breast reduction, by Dr. Zuckerman. Left oblique view. Patient pictured before and two months post-op.

gynecomastia, male breast reduction, before and after, right oblique

Gynecomastia correction, or male breast reduction, by Dr. Zuckerman. Right oblique view. Patient pictured before and two months post-op.

More Before & Afters

Dr. Zuckerman publishes many of his previous male breast reduction surgery (gynecomastia) results with patient consent. The before and after image gallery has pairs of high resolution images from three to four angles for each patient. Many prospective patients enjoy finding a similar case to their own that Dr. Zuckerman has performed in the past. Take a look through the gallery by clicking on the button below.

BEFORE AND AFTER IMAGE GALLERY



Male Breast Reduction Surgery (Gynecomastia)

Risks of Male Breast Reduction Surgery



Male breast reduction surgery is overwhelmingly safe when performed by a board-certified plastic surgeon. Dr. Zuckerman is an expert in both male and female breast surgery and is highly experienced with male breast reduction surgery. He uses the latest techniques to ensure patient safety, comfort, and to minimize the risk of complications. However, as with all surgery, there are possible, albeit rare, complications including:

  • Wound breakdown
  • Alterations in nipple sensation
  • Hypertrophic, raised, scarring
  • Bleeding or hematoma formation
  • Infection of the incision sites


Male Breast Reduction Surgery (Gynecomastia)

Frequently Asked Questions About Male Breast Reduction Surgery



Below are the answers to some questions Dr. Zuckerman most frequently receives from prospective patients. If you don’t see your question below, feel free to contact Dr. Zuckerman’s office, and a member of his staff will be glad to reach out to you.

• Will weight gain after surgery affect my results?

Yes, unfortunately weight gain after surgery will adversely affect your gynecomastia correction surgery results. The degree to which the result may be compromised will depend on several factors including genetics, the amount of weight gain, and the amount of fat that was removed from the area during surgery. Dr. Zuckerman recommends that you try to maintain a healthy lifestyle after surgery for optimal long-term results.

• Can I undergo a male breast reduction with liposuction alone?

If you have a mild amount of excess breast tissue, this technique may be a good option for you. However, Dr. Zuckerman strongly recommends visiting him in person to allow him to evaluate your existing anatomy. If your case is too severe for liposuction alone, using the technique could leave you with excess skin and skin laxity.



Male Breast Reduction Surgery (Gynecomastia)

Request Your Male Breast Reduction Surgery Consultation



Are you ready for your male breast reduction surgery (gynecomastia) consultation with Dr. Zuckerman? He will perform a thorough evaluation of your desired outcome and needs based on your anatomy and medical history. Dr. Zuckerman will also address any questions or concerns you may have about the surgery and discuss with you the details of his approach: incision location(s), procedure length and techniques, likely operative outcome, etc. Contact his office by clicking the button below or by calling 212-231-9897. Dr. Zuckerman also offers consultations via Skype and a process for out-of-town patients to visit New York City to have surgery with him.

REQUEST YOUR CONSULTATION


Dr. Zuckerman speaks with a cosmetic surgery patient.

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ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic forehead, lip and cheek treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


About Us

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Zuckerman Plastic Surgery is the cosmetic surgery practice of board-certified plastic surgeon Dr. Joshua D. Zuckerman, MD, FACS located in New York City. Dr. Zuckerman specializes in tummy tuck surgery, liposuction, buttock augmentation, and cosmetic breast surgery. Zuckerman Plastic Surgery also offers an array of non-surgical treatments including musculoparalytics such as Botox, lip augmentation, tear trough rejuvenation for dark eye circles, laser resurfacing, microneedling, medical grade skincare and more. Zuckerman Plastic Surgery is a d.b.a. name for Joshua D. Zuckerman, MD, FACS, P.C., a Professional Corporation registered in the state of New York (DOS ID #: 5192265)
635 Madison Avenue 4th Floor
New York, NY 10022
Phone: 212-231-9897
Specialty: Plastic Surgery
Joshua D. Zuckerman, MD, FACS, P.C.
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Disclaimer: All content including text, titles, links, images, videos, and diagrams on this website are for general information and educational purposes only. Diagrams may have approximate proportions. Content should not be construed as medical advice. No representations or guarantees are made by Dr. Joshua D. Zuckerman, MD, FACS or Joshua D. Zuckerman, MD, FACS, P.C. Individual results do vary. All surgery carries risks. Claims of superiority, awards, recognition are documented where possible.

All before and after images are actual patients of Dr. Zuckerman who have given their consent for publication unless noted. Other images may be stock images or models with copyright belonging to 123RF Stock Photo photographers: domenicogelermo, andersonrise, sofiazhuravets, subbotina, olegdudko, Piotr Stryjewski, puhhha, curaphotography, sakkmesterke, nobilior, Piotr Marcinski.

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