male gynocomastia surgery - Lebowitz Plastic Surgery

Just like adolescent or teen gynecomastia, adult male gynecomastia is caused by an imbalance of the hormones testosterone and estrogen. Dr. Lebowitz understands that gynecomastia can cause embarrassment for males of all ages, especially adult men that want to wear form-fitting clothing and/or want to go shirtless at the public pool or beach. He is a cosmetic perfectionist that will remove, reshape, and tighten unwanted fat and skin around your chest for that perfect “boomerang” shape chest that all men want.  Maybe it’s time to consider male gynocomastia surgery.


Adult male gynecomastia is swelling of the male breast tissue and/or combination of fat in the chest region. The actual occurrence of gynecomastia reaches its peak between the ages of 50 and 80. There are numerous potential causes of adult gynecomastia… However, recent medical research reveals that gynecomastia is most commonly caused by one of the following:

  • Adolescent gynecomastia persistent: 25%
  • Drug induced: 10 – 25%
  • No detectable cause: 25%
  • Malnutrition and liver disease: 8 %
  • Primary hypogonadism (deficient testes): 8%
  • Tumors of the testes: 3%
  • Secondary hypogonadism (low sperm count): 2%
  • Hypothyroidism: 1.5%

As you can see, 25% of the gynecomastia cases are typically unresolved from adolescence! And most of you were told – “Just wait it out… It will go away.” Remember that?


Do you recall your parents or a doctor ever telling you that it will go away with diet and exercise? But you still have it… Thousands of men over the age of 18, in great shape or overweight, are concerned about their breasts and seek evaluation and treatment of their gynecomastia. Some men are content with their weight and simply want to reduce the size of their breasts, while others want to lose weight but their breasts cause too much embarrassment; which prevents them from even entering a gym.

Gynecomastia did its job… It was in the back of their mind ever since they were a young teen.


The social effects of gynecomastia have already occurred but you can still increase your self-esteem and get motivated by getting the surgery. Most male gynecomastia patients that are evaluated by Dr. Lebowitz, have a combination of fatty and glandular tissue. These patients will need both liposuction and the removal of the glandular tissue to provide the best contour throughout the chest area. This will remove all the excess breast tissue and result in a flat, more muscular chest.

I highly recommend that all my adult patients:

  1. Follow a strict diet
  2. Join and routinely visit a gym

It is far better to operate on adult men who are at their best and most comfortable weight – they are also healthier as well!


There is a big difference in comparing an adult with glandular tissue vs a combination of glandular tissue and fat. Gynecomastia in an overweight or obese male has breast tissue concentrated under the nipple, which extends outward into the surrounding fat. The removal of just the gland is not enough. As weight is lost, the breasts will droop due to loose skin which cannot tighten by itself due to the loss of elasticity. The nipples will frequently be too low on the chest as well.

Dr. Lebowitz uses his Vaser Hi-Def PowerX LipoSculpting and years of experience to remove gynecomastia from adults that have glandular tissue and/or a combination of fat. The Hi-Def, VaserLipo is a sophisticated liposuction technique that uses ultrasound energy to selectively target unwanted fat deposits for smooth, extraordinary results with fast recovery and minimal downtime.

The entire procedure is performed under local anesthesia, within Dr. Lebowitz’s private, clean, and comfortable operating room. You will be awake during the entire procedure, fully relaxed with no pain! The entire surgery can take 1-3 hours to perform, depending on if you require just an excision, VaserLipo or a combination of both procedures, and if you have gynecomastia on one side (unilateral) vs. both sides (bilateral).


Dr. Lebowitz has over 25 years of experience specializing in male gynecomastia surgery and other cosmetic procedures. He recognizes that male Gynecomastia can cause feelings of embarrassment and awkwardness for men, difficulties in wearing form-fitting shirts for adults, and a distraction from a chiseled and sculpted chest on bodybuilders. Dr. Lebowitz wants all his Gynecomastia patients to have CLOSURE.

The final results of your VaserLipo Gynecomastia procedure are permanent, the fat and gland will not return! As mentioned above, Dr. Lebowitz does encourage a healthy lifestyle of diet and exercise to supplement and maintain this cosmetic procedure.

Do you an adult with gynecomastia? Are you interested in Hi-Def, VaserLipo? Please call Lebowitz Plastic Surgery at (631) 424-0101 to schedule your FREE consultation. Not from the area? No problem… Visit our “Out of Town” page for additional information! You free consultation can be even be provided via Skype or FaceTime! We look forward to helping you and answering any questions you may have.

Adult Male Gynecomastia Surgery Videos

Long Island, NY Cosmetic & Plastic Surgeon | ©2021

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