Gynecomastia (Male Breast Reduction)

Gynecomastia surgery reduces male breast tissue using micro-cannula liposuction with laser or ultrasound assistance, plus surgical glandular excision when indicated. Performed under twilight or general anaesthesia in NYC Lipo's AAAASF-accredited suite. Sessions run one to three hours. Compression vest worn post-operatively for four to six weeks.

Gynecomastia treatment at NYC Lipo addresses the enlargement of male breast tissue — a condition affecting an estimated 30–65% of men across various life stages due to hormonal imbalances, medications, or idiopathic causes. The surgical approach is selected based on the tissue composition of the gynecomastia: predominantly fatty gynecomastia (pseudogynecomastia) is treated effectively with liposuction alone; true glandular gynecomastia requires surgical excision of the fibroglandular disc beneath the areola; and mixed presentations require a combined approach. The liposuction component at NYC Lipo uses micro-cannulas — fine-gauge cannulas that allow precise contouring in the confined chest anatomy — supplemented with laser (SmartLipo) or ultrasound (VASER) assistance to address the particularly fibrous and dense male breast fat that can resist conventional suction alone. Where glandular tissue is present, a small periareolar incision allows direct excision of the disc with careful feathering of the edges to avoid contour depressions or a residual breast mound. Post-excision, the chest is contoured with fine-cannula liposuction to blend the treated zone with the surrounding chest wall. The procedure is performed under twilight or general anaesthesia in NYC Lipo's AAAASF-accredited facility, and sessions run one to three hours depending on the degree and type of gynecomastia. A compression vest is worn for four to six weeks post-operatively to support healing and define the chest contour. Most patients return to desk work within one week; physical activity involving the upper body is restricted for four to six weeks. Final results become visible at three to six months as post-operative swelling resolves.