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Video: What is Gynecomastia, What Causes It, and How to Get Rid of Man Boobs


  1. Is there another way to treat gynecomastia without surgery??

The only permanent solution for treating this condition is with surgical intervention of some kind. Dieting and exercise does not spot reduce the fat or glandular tissue in the male breasts. Our male breast reduction surgeons use a unique, minimally-invasive laser-assisted technique under local anesthesia to perform surgery in our Long Island and NYC gynecomastia centers. This allows them to have the lowest health risks and the most affordable price possible.

For excess fatty tissue, the SmartLipo laser liposuction method is the most effective means to reduce fat in the breasts completely and permanently (this method is virtually scar-free). If glandular tissue needs to be removed, that is done via a small incision in the areola and a tiny surgical tool that removes the glands.

This combination of minimally-invasive procedures allows for minimal scarring, fast recovery, and the most natural-looking results. If excessive skin remains (common in patients who have lost a large amount of weight) the excess skin will be manually excised during the procedure and will produce more visible scars.

“Other” treatments for man boobs such as weight loss pills, dieting, exercising, massaging the areas, or using special creams or lotions cannot resolve an established case of gynecomastia.


  1. How do I know if I have gynecomastia or something more serious?

Gynecomastia is considered a standalone medical condition and can be divided into three general patient categories:

  1. Males who develop man boobs due to hormonal fluctuations that occur during the teen years or after the age of 50.
  2. In other patients, the condition is present due to the use of prescription drugs, illicit drugs or anabolic steroids.
  3. The last category of patients are those who are obese or were once obese and who now have excess breast tissue.

It is vitally important to have a full medical evaluation with lab tests to rule out a more serious health condition such as liver or kidney disease, as these conditions can cause the male breast to enlarge. These major health concerns require more than surgical intervention of the actual breast tissue. Obese patients may be experiencing pseudogynecomastia, a condition that can be treated by losing weight. Excess skin may not resolve n obese patients and may need to be removed via a breast reduction procedure.


  1. Where is the procedure done?

In our AAAHC accredited Long Island outpatient surgical centers is where we perform male breast reduction. This reduces the costs involved with hospital fees because we use our very own facilities.


  1. Can gynecomastia be fixed by losing weight?

Diet and exercise, losing weight, or using weight loss pills cannot resolve a case of gynecomastia. The only solution to effectively and permanently treating gynecomastia is with male breast reduction surgery. Some of our gynecomastia New York surgeons need to remove only fatty tissue, while other times glands need to be removed or reduced.

Still others may have excess skin that is also contributing to the enlarged breasts. Many of our patients require one or more of these areas of concern to be addressed to achieve the results they are looking for; a masculine chest contour and shape.


  1. Is there an ideal age for gynecomastia treatment?

If the condition develops during the teen years, patients should wait approximately two years from the onset to see if the condition will resolve on its own. However, we do make exceptions in our Long Island and NYC gynecomastia centers for adolescents if severe mental and emotional anguish is resulting from the condition. In men who have the condition, any age for surgery is appropriate.


  1. What if my gynecomastia is due to substances or medication I am taking?

If man boobs have been brought on by the use of anabolic steroids or illicit drugs, use of these substances must be stopped prior to male breast reduction surgery. If they are used again afterward, the gynecomastia will likely recur.

In cases where prescription drugs have caused gynecomastia, The Advanced Cosmetic Surgery Team can help you with some suggestions for other prescription drugs that can treat your medical condition without bringing on a recurring case of gynecomastia. Any change of medications must be approved by your primary care physician; The Advanced Cosmetic Surgery Team can only provide you with suggestions to bring to your primary doctor.


  1. How much does male breast reduction surgery cost?

We understand that some of our patients may have suffered for years or do not think they can currently afford male breast reduction surgery. This is probably not true! Our Long Island and NYC gynecomastia surgeons have developed corrective surgery with patient cost in mind.

Our unique laser-assisted methods using local anesthesia in our own New York surgical suites all work together to reduce the total costs for patients. Additionally, we make it a priority to combine experience, quality treatments and dedication to give patients an affordable cost with the very best results. We offer promotional pricing at times throughout the year to help make it even more affordable.

Patients can expect to pay somewhere around $6,000 to $8,000 for male breast reduction surgery (request a cost estimate here), depending upon the extent of correction to be done. This is a rough estimate and does not accurately represent the exact price range for your surgery. Only a physical exam in person can help us arrive at an accurate price. Though we do not accept medical insurance as payment for procedures, patients can finance all or part of their treatment cost with CareCredit and other financing options.

Please do not let price be an obstacle in receiving treatment as soon as possible; we will always work with you to arrive at a price that you can afford!

Cost of Gynecomastia Surgery:


  1. Does gynecomastia affect any particular race or ethnic group more than another?

No. Gynecomastia does not occur more in one particular ethnic group or within a specific racial group. Men of any color, ethnic background or race can develop gynecomastia.


  1. Will insurance cover my surgery?

Most insurance carriers will not cover any part of corrective surgery in our gynecomastia New York centers because it is considered a cosmetic, appearance-only treatment. Carriers that do provide limited coverage for male breast reduction surgery usually place unreasonably high demands on patients to acquire coverage that many patients give up.

Rest assured that we will work with you to arrive at a reasonable final cost for your surgery and can help you apply for CareCredit or other surgical financing if you cannot pay for your procedure with cash.


  1. If I am overweight or obese, should I lose weight prior to surgery?

We advise our male breast reduction patients to wait to have treatment until you are within a healthy weight range. The reasons for this are several fold; 1. Obesity can increase the health risks of the patient, 2. Losing massive amounts of weight very quickly in order to have the surgery is unhealthy, 3. If treatment is done prior to weight loss, the condition may not be resolved after significant weight loss occurs.

It is therefore recommended that patients postpone their male breast reduction surgery until after they have arrived at a desired weight and have remained at that weight for several months.


  1. Am I at a higher risk for developing breast cancer if I have gynecomastia?

No. The risk of developing breast cancer at some point in a man’s life is not affected by whether or not they currently have gynecomastia or have had it at some point in their life. Male breast cancer (MBC) occurs in about 1% of all men and usually occurs in men over the age of 60, according to the American Cancer Society.

MBC occurs slightly more often in Jewish men and is related to genetic factors in those cases. Some specific genetic mutations as well as conditions such as Cowden’s Syndrome, Klinefelter’s, and liver disease have also been linked to whether a man develops breast cancer.

Other causes for male breast cancer can include environmental factors such as where a man works. Factories for steel milling, blast furnaces, and those in the soap, perfume industries as well as exposure to petroleum products and fumes from exhaust can all increase the risks of developing MBC.

Read more about male breast cancer from


  1. If I smoke, can I still have male breast reduction surgery?

Since smoking causes a variety of health issues including the reduction of blood flow to the skin, patients who smoke are not eligible for gynecomastia surgery. If they quit smoking two weeks prior to surgery and do not smoke again afterward, we will agree to perform the procedure.


  1. What are the risks of gynecomastia surgery?

The techniques that we use to perform gynecomastia surgery carry the lowest risk to our male breast reduction patients. However, in some cases, complications still arise.

Seroma or bleeding – Blood loss during any surgery is normal and is stopped by the plastic or cosmetic surgeon during the procedure. Rarely, a hematoma, or blood vessel breakage, can occur after the patient is closed up. In these cases, the patient will need to return to our office immediately for an evaluation and possible surgical intervention. A seroma is an accumulation of clear, yellowish fluid in the treatment areas that can occur. This fluid can be removed from the area with a syringe.

Infection – Though very rare, an infection can occur inside of the male breast or at one of the incision sites. As a general rule, we put patients on a round of oral antibiotics immediately following surgery to reduce this risk.

Uneven results – This occurs when too much tissue is removed from the treatment areas, resulting in a crater. The best way to prevent this from occurring is by having an experienced gynecomastia specialist perform the surgery, such as the Advanced Cosmetic Surgery Team. We make sure to never remove too much tissue from a patient and to evaluate the treated areas throughout the procedure, making adjustments as necessary, to arrive at the most natural chest contour that is possible for each patient.

Other complications – Scarring, loss of sensation in the nipples, skin discoloration, or uneven breast size or nipple position are included as other risks from surgery. Most times, these complications are temporary and either resolve themselves or lessen over time as the patient heals. Our surgeon will provide you with a complete list of all possible complications to help you make a well-informed decision about surgery.


  1. What is the down time after surgery?

Patients are usually able to return to work (non-strenuous in nature) after three days. We require that patients do not engage in strenuous physical activity for about a month after surgery. They will be required to wear a compression garment (resembling a snug vest) for the first week (24 hours per day), then for 12 hours per day for another week.

Light physical activity may be resumed a day after surgery but weight lifting or strenuous aerobic activities must be put on hold for four weeks. Follow up appointments with our gynecomastia New York surgeons is essential for achieving the best results.


  1. Which drugs and prescription medications can cause gynecomastia?

Some prescription medications can produce gynecomastia-like side effects in the male breast tissue. To find a complete listing of these medications, please search online or contact your primary physician to see if medications you are currently taking can cause this side effect.

Illegal drugs that have been shown to produce man boobs include anabolic steroids, marijuana and heroin. Some herbal supplements that have estrogenic qualities (those that mimic the female sex hormones) have also been shown to produce gynecomastia in men.

In some cases, the gynecomastia resolves itself after the substance is out of the system. For other patients, however, it never goes away and needs to be surgically corrected.


  1. What do you do with the fat and glandular tissue that is removed?

In compliance with New York state laws, we send some of the glandular tissue to a laboratory for testing to rule out cancer or other serious medical situations. The other tissue and fat are disposed of as medical waste.


Call us today at 631.499.1831 or 212.206.0023 for a free, private consultation. Get a personalized treatment plan! Our gynecomastia New York offices in NYC and Long Island are open 6 days a week for your convenience.