Male Breast Reduction New York City

A well-defined chest is one of the most sought-after physical attributes for men. While the ideal amount of definition can usually be achieved through a healthy diet and regular exercise, these efforts may prove to be unsuccessful for some men.

Gynecomastia, or enlarged breasts in men, makes it impossible to reduce the appearance of breasts with diet or exercise alone. This condition can be caused by many factors, such as hormones, supplements, certain medications, marijuana usage and weight fluctuations, but even thin men can have gynecomastia. Fortunately, these cosmetic concerns can be addressed with a male breast reduction.

A male breast reduction, also known as gynecomastia surgery, eliminates excess breast tissue in men and reshapes the chest for a more masculine contour. Board-certified plastic surgeon, Dr. David Cangello, can help you regain confidence with this transformative procedure and restore the masculine physique that gynecomastia has altered.

Contact plastic surgeon Dr. David Cangello today at (212) 644-4416 to schedule a consultation for a male breast reduction (gynecomastia surgery) in NYC.


Hear from Dr. Cangello’s Gynecomastia Surgery Patients

“Had male breast reduction surgery in June and I truly believe he is the best man for the job. He takes his job serious, amazing staff that are always there when you need them. Truly thankful to have Dr. Cangello do my procedure.”

“Overall interactions with Dr. Cangello were superb. He and his staff addressed all my pre-operative concerns, and thanks to their superb surgical skills, successfully and significantly improved my physical appearance.”

Ideal Candidates for Gynecomastia Surgery

Men who find themselves not wanting to take their shirt off or avoiding social activities or personal relationships because they feel uncomfortable with the appearance of their enlarged breasts may be candidates for male breast reduction. Ideal candidates should also be at least 18 years old, in good health, and at a stable weight.

In some cases, gynecomastia is the result of pectoral fat accumulation, a condition commonly caused by weight fluctuations. This type of gynecomastia, referred to as “pseudogynecomastia,” can sometimes be improved with a healthy diet and exercise. However, true gynecomastia is caused by excess glandular breast tissue. For patients suffering from true gynecomastia or significant pseudogynecomastia, exercise will not reduce enlarged breasts. Both types of gynecomastia can be surgically corrected with a male breast reduction.

It’s important to understand that this condition is fairly common, so there is no need to feel ashamed about seeking gynecomastia surgery in NYC. In fact, according to the American Society of Plastic Surgeons, gynecomastia surgery is consistently one of the most popular cosmetic procedures performed on men every year. To see the transformative results that a male breast reduction can produce, view our before-and-after gallery below.

View More Male Breast Reduction Photos

Your Consultation for Gynecomastia Surgery in NYC

Dr. Cangello understands that cosmetic concerns caused by gynecomastia can be a source of embarrassment for men, which is why he and his courteous staff will handle your questions and concerns with the utmost privacy and respect. Your personal consultation for gynecomastia surgery in NYC will help you decide whether this procedure is right for you.

Dr. Cangello will conduct a physical examination to assess your breast tissue and determine the extent of your gynecomastia. He will also help you explore your surgical options for treatment and other procedures that may complement the effects of a male breast reduction. Some men opt for liposuction of the abdomen to enhance the definition of their entire trunk. Whether you’d prefer to have gynecomastia surgery performed alone or in conjunction with another procedure, Dr. Cangello will create a custom treatment plan for you.

Get the Results You Deserve with Cangello Plastic Surgery

While a male breast reduction may seem straightforward, it requires a great deal of technical skill and a keen sense of aesthetics. Men undergoing a male breast reduction don’t want to look obviously altered, but this sometimes occurs when too much tissue is removed, or when the nipples are not repositioned properly (as may occur in cases where skin needs to be removed and the nipple needs to be elevated). Dr. Cangello combines artistry with surgical precision to produce the most natural-looking results possible. Guided by artistic insight, he can visualize what improvements are necessary to restore a more masculine appearance to the chest without overcorrecting.

Dr. Cangello uses a combination of the most effective surgical techniques available, and he takes great care to sculpt surrounding tissues so that the results blend seamlessly with the patient’s natural chest contours. When you choose Cangello Plastic Surgery for your male breast reduction, you can look forward to feeling comfortable with your body again.

Understanding Your Male Breast Reduction

Depending on the severity of your gynecomastia, one of a series of surgical options may be used to reduce the size of enlarged breasts. Gynecomastia severity can be categorized in multiple ways:

  • Type I: A localized protrusion of tissue that is concentrated around the areola only. This is the mildest form of gynecomastia and may cause the nipples to look “puffy.”
  • Type II: Moderate breast enlargement that’s restricted directly around the areola.
  • Type III: Moderate breast enlargement that’s grown past the edges of the areola and excess skin.
  • Type IV: Marked breast enlargement with excess skin, sagging nipples, and feminization of the breast.

In some cases, liposuction of the breasts alone may be sufficient to reduce their size and achieve a masculine appearance. When only liposuction is used, usually one small (2mm incision) is made in the fold of each breast, so the resultant scar from the procedure is virtually non-existent.

In cases of moderate gynecomastia, excision of glandular tissue in addition to liposuction of the fatty breast tissue is necessary to achieve a flat breast contour. When excision of glandular tissue is necessary, an additional incision at the lower border of the areola and breast skin is made. This scar is usually hidden well and is barely visible.

In severe cases of gynecomastia, the fatty and glandular tissue of the breast will be removed, excess skin will be excised, and the nipple will be repositioned to a higher position on the chest wall. This results in more scarring; however, it is the only way to address cosmetic issues related to sagging and excess skin. Dr. Cangello will make each incision in areas where the scar will be the least conspicuous.

How Your Male Breast Reduction Will Be Performed

If liposuction is used, Dr. Cangello will begin by making a tiny incision in the crease at the bottom of your breast. Next, he will insert a cannula – which is a small, hollow tube – through the incision. Once the cannula is in place, a fluid consisting of saline, lidocaine, and epinephrine is injected to eliminate pain and minimize bleeding during the procedure. This solution also loosens the fat to make it easier to remove. Dr. Cangello will then suction out the fluid and fat. The incision will be closed with tiny sutures.

If glandular breast tissue is removed, the surgery will begin with an incision similar to the one described above. The fat will then be suctioned in the same way as previously described. Following suction of the fatty tissue, an incision is made around the lower border of the areola. The excess glandular tissue is then excised.

In cases where excess skin needs to be excised, the incision will go around the border of the areola, and then it will extend downward vertically and into the breast crease (where the breast meets the chest wall). This technique allows for the removal of a substantial amount of skin. Additionally, the nipple-areolar complex can also be moved to a higher position and resized, if needed.

Lastly, the incision sites are closed with sutures, and dressings and a compression garment are placed on the chest. Although the scars are permanent, they are discreetly hidden and will fade over time to the point where they are nearly imperceptible.


Gynecomastia – FAQ’s

  • Can I Just Reduce My Breasts with Diet and Exercise?

    Some men have gynecomastia (specifically, pseudogynecomastia) due to excess fatty deposits. Exercise and a healthy diet can sometimes reduce the appearance of enlarged breasts in such cases. However, you might still have exercise-resistant pockets of fat in the breasts or significant skin excess (as can be the case, for example, when patients have had massive weight loss) that require gynecomastia surgery. For men who have gynecomastia due to excess glandular breast tissue, a surgical male breast reduction is the only effective form of treatment.

  • Does Gynecomastia Surgery Leave Visible Scars?

    During your gynecomastia surgery, Dr. Cangello will take great care to minimize the size of incisions or make them in areas that are naturally concealed. The severity of your gynecomastia will determine the amount of scarring you have after surgery.

    Men with Grade I gynecomastia who have very little excess skin will have either a small, 2mm scar in the breast crease (which ends up being essentially invisible), or at the most, an additional scar that goes halfway around the bottom portion of the areola. Some men can obtain a sufficient correction of their gynecomastia with liposuction alone. If this is the case, the only scar will be in the breast crease. If glandular breast tissue needs to be excised, then the periareolar scar is necessary as well, but both scars are very inconspicuous.

    Patients with Grade III gynecomastia who have severe excess skin (and some Grade II patients who have a moderate amount of excess skin) will have additional scars. There will be a scar in the breast crease where the lower portion of the breast meets the chest wall and around the areola. At your consultation, Dr. Cangello will explain the amount of scarring you can expect from gynecomastia surgery based on your anatomy and breast tissue. Additionally, Dr. Cangello also offers laser treatments to minimize the appearance of scars.

  • My Areolas Are Too Big. Can They Be Fixed During Gynecomastia Surgery?

    Areolar size can be corrected during gynecomastia surgery. To perform an areolar reduction, Dr. Cangello will create an incision encircling the areola. However, since the incision is in an area that has a natural border, the scar encircling the areola is highly inconspicuous.

  • What Is Recovery Like After Gynecomastia Surgery?

    After waking up from your gynecomastia surgery in NYC, you’ll see that you have a surgical dressing covering your incisions. There may also be some drains in place if skin was excised. You will also be wearing a compression garment to reduce swelling and facilitate healing. Your chest may be tender, swollen, or bruised, but you will be prescribed pain medication to reduce any discomfort.

    The drains are usually removed within a few days. Sutures are dissolvable, so they will not need to be removed. Most gynecomastia patients can go back to work within a few days, as long their job does not involve heavy lifting. You will need to wear your compression garment for the first month after gynecomastia surgery, and you can resume full activity after about six weeks.

  • Are the Results of Gynecomastia Surgery Permanent?

    Excessive weight gain can cause a recurrence of gynecomastia. Additionally, certain medications or substances that are known to cause gynecomastia can cause a recurrence if they are ingested or used after gynecomastia surgery. Otherwise, the results are essentially permanent.

  • Where Will My Gynecomastia Surgery in NYC Be Performed?

    Your gynecomastia surgery will be performed onsite at Dr. Cangello’s fully accredited operating facility, which you are more than welcome to tour during your consultation. For patients who’d prefer to have their male breast reduction in a hospital setting, Dr. Cangello also has operating privileges at Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital in NYC.

    Contact plastic surgeon Dr. David Cangello today at (212) 644-4416 to schedule a consultation for a male breast reduction (gynecomastia surgery) in NYC. 

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